Form K-150 - Kansas Franchise Tax - Balance Sheet July 2006
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22006 KANSAS
K-150
680106
(Rev. 7/06)
FRANCHISE TAX
DO NOT STAPLE
2 0 0 6
For the taxable year beginning ____ ___ / ___ ___/___ ___ ___ ___ ; ending ____ ___ / ___ ___/___ ___ ___ ___
Name
Emp oyer ID Numbers (EINs)
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Business Activity Code (NAICS):
(Enter both f app cab e)
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___ ___ ___
___
___ ___
Number and Street of Pr ncipa Off ce
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Date Business Began n KS (mm/dd
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/yyyy):
EIN this ent ty:
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___ ___ ___ ___ ___ ___ ___ ___
/
/
___ ___ ___ ___ ___ ___
___ ___
___
City
State
Zi
p Code
Date Business Discont nued n KS (mm/dd
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/yyyy):
___ ___ ___ ___ ___ ___ ___ ___
/
/
EIN Federal Conso dated Parent:
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If your name or address has changed since last year, mark an "X" in
___ ___ ___ ___ ___ ___
___ ___
___
___ ___
State of Commercia Domicile:
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this box.
Federa Form Type Used:
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Corporate (1120)
Corporate Short Form (1120A)
Business Trust (1120)
Other:
Co-op (1120)
Smal Business (1120S)
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Partnersh p (1065)
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NOTE: This form must be accompanied by a balance sheet
PERCENT TO
listing all assets and liabilities as of the end of the tax year.
TOTAL IN KANSAS
TOTAL EVERYWHERE
KANSAS
1. Average value of real and tangible personal
1
$
=
%
$
property owned or rented during the taxable year . .
divided by
2
%
$
=
$
2. Total payro . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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divided by
3
%
$
=
$
3. Sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
divided by
4
%
4. Average percent to Kansas (Add percentages on nes 1 through 3 and d vide by the number of factors used) . . . . . . . . . . .
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5
.
5. Net worth (Total shareholders equity) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
6
___ ___ ___
___ ___ ___ ___
6. Average percent (Enter percentage from ne 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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7
.
7. Kansas net worth (Multiply l ne 5 by l ne 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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8
.
8. Tota Kansas franchise tax (Mu
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ltiply li
ne 7 by .00125; cannot be more than $20,000) . . . . . . . . . . . . . .
9
.
9. Amount paid
wi
th extension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10
.
10. Refund (If ne 9 exceeds ne 8) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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11
.
11. Tax due (If l ne 8 exceeds l ne 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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12
.
12. Interest (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
.
13. Penalty (See nstruct ons) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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14
.
14. Tota tax, nterest and pena ty due (Add nes 11, 12 and 13) (Complete Form K-150V) . . . . . . . . . . .
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authorize the D rector of Taxation or the D rector's designee to discuss my return and enclosures w th my preparer.
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I dec are under the penalties of per ury that to the best of my know edge this is a true, correct, and complete return.
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sign
Si
gnature of officer
Tit
le
Date
here
Date
Individual or f rm signature of preparer
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Address and Phone Number
Mail to: Kansas Franchise Tax
Kansas Department of Revenue
915 SW Harrison Street
Topeka, KS 66699-5000
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