COPY B
2010
K-18
For Beneficiary's Record
(Rev. 6/10)
FIDUCIARY REPORT OF NONRESIDENT BENEFICIARY TAX WITHHELD
KANSAS DEPARTMENT OF REVENUE
ENDING DATE OF ESTATE OR TRUSTS TAX YEAR__________________________________
NAME OF ESTATE OR TRUST
NONRESIDENT BENEFICIARY'S NAME
SOCIAL SECURITY NO.
NONRESIDENT BENEFICIARY'S SHARE OF DISTRIBUTABLE
INCOME FROM KANSAS SOURCES:
Taxable income......................................$
STREET ADDRESS OR RURAL ROUTE
Modifications as if Kansas resident........$
*
Amount of tax withheld...........................$
*Beneficiary: enter this amount on the "Kansas Income Tax Withheld" line of your Kansas
CITY
STATE
ZIP CODE
Individual Income Tax return, Form K-40.