Form 740-Np - Kentucky Individual Income Tax Return Nonresident Or Part-Year Resident - 2005 Page 2

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FORM 740-NP (2005)

Page 2

REFUND/TAX PAYMENT SUMMARY

29 Enter total tax liability from page 1, line 28 .............................................................................................................. 29

30 (a) Enter Kentucky income tax withheld as shown on attached

•

2005 Form W-2(s) and other supporting statements .............................................. 30(a)

•

(b) Enter 2005 Kentucky estimated tax payments ......................................................... 30(b)

•

31 Add lines 30(a) through 30(c) ..................................................................................................................................... 31

32 If line 31 is larger than line 29, enter AMOUNT OVERPAID (see instructions) ..................................................... 32

➤ (Enter amount(s) checked)

See instructions for a detailed description of funds.

•

33 Nature and Wildlife Fund Contribution

$10

Other

•

34 Child Victims’ Trust Fund Contribution

Other

............ 34

•

35 Veterans’ Program Trust Fund Contribution ........................................................................... 35

•

36 Breast Cancer Research and Education Trust Fund Contribution ......................................... 36

37 Add lines 33 through 36 .............................................................................................................................................. 37

•

38 Amount of line 32 to be CREDITED TO YOUR 2006 ESTIMATED TAX .................................................................. 38

REFUND

•

39 Subtract lines 37 and 38 from line 32. Amount to be REFUNDED TO YOU ................................

•

40 If line 29 is larger than line 31, enter ADDITIONAL TAX DUE ............................................................................... 40

41 (a) Estimated tax penalty

Check if Form 2210-K attached

(d) Late filing penalty

•

(b) Interest

(e) Add lines 41(a) through 41(d). Enter here ............ 41(e)

OWE

42 Add lines 40 and 41(e) and enter here. This is the AMOUNT YOU OWE ...........................................

Make check payable to Kentucky State Treasurer. Write your Social Security number and “KY Income Tax—2005” on the check.

Staple check on top of attached wage and tax statements on page 1.

SECTION A—BUSINESS INCENTIVE AND OTHER CREDITS

1 Enter nonrefundable Kentucky corporation tax credit (KRS 141.420(3)) ..............................................................

2 Enter skills training investment credit (attach copy(ies) of certification) .............................................................

3 Enter historic preservation restoration credit ..........................................................................................................

4 Enter credit for tax paid to another state (attach copy of return(s) filed with other state) ...............................

5 Enter unemployment credit (attach Schedule UTC) ...............................................................................................

6 Enter recycling and/or composting equipment credit (attach Schedule RC) .......................................................

7 Enter Kentucky Investment Fund credit (attach copy(ies) of certification) ...........................................................

8 Enter credit for purchases of Kentucky coal used for generating electricity .......................................................

9 Enter qualified research facility credit (attach Schedule QR) ................................................................................

10 Enter GED incentive credit (attach Form DAEL-31) .................................................................................................

11 Enter voluntary environmental remediation credit (Brownfields) .........................................................................

12 Enter biodiesel credit ..................................................................................................................................................

13 Add lines 1 through 12. Enter here and on page 1, line 15 ...................................................................................

SECTION B—PERSONAL TAX CREDITS

Check Regular

Check both if 65 or over

Check both if blind

1 Enter number of

1 (a) Credits for yourself:

boxes checked

(b) Credits for spouse:

on line 1 ........................

2 Enter number of

2 Dependents:

Dependent’s

Check if qualifying

dependents who:

Dependent’s

relationship

child for family

First name

Last name

Social Security number

to you

size tax credit

• lived with you ............

• did not live with you

(see instructions) ......

• other dependents ......

•

3 Add lines 1 and 2 and enter total here ....................................................................................................................................... 3

x $20

4 Multiply credits on line 3 by $20. Enter here and on page 1, line 17 ...................................................................................... 4

SECTION C—FAMILY SIZE TAX CREDIT(List the name and Social Security number of qualifying children that are not claimed as dependents in Section B.)

First name

Last name

Social Security number

First name

Last name

Social Security number

Official Use Only

Mail to: Kentucky Department of Revenue, Frankfort, KY 40618-0006.

EFUNDS

EST CF

P B F R