Form K-120 - Kansas Corporation Income Tax

Form K-120, page 4

PART II- ADDITIONAL INFORMATION

1. Did the corporation file a Kansas income tax return under the same

6. If this is a final return for Kansas, please state the reason. If the corpor-

name for the preceding year? _____ Yes _____ No.

ation was liquidated or dissolved, state the IRC section under which

If "no", name previously filed under.

the corporation was liquidated.

7. If your federal taxable income has been redetermined for any prior years

that have not previously been reported to Kansas, please check the

2. Enter the address of the corporation’s principal location in Kansas.

applicable box or boxes below and state the calendar, fiscal, or short

period year ending date. You are required to submit the federal Forms

1139, 1120X or Revenue Agent’s Report along with the Kansas Form

K-139 or K-120X under separate cover.

3. The corporation’s books are in care of

Revenue Agent’s Report

Net Operating Loss

Address

Amended Return

Years ended

Telephone

8. If you are registered with the Kansas Department of Revenue under any

4. List each estimated tax payment and credit forward amount claimed

other Kansas tax act, enter all registration or license numbers on the

on this return.

applicable line:

Date

Amount

Date

Amount

a. Sales Tax

b. Compensating Use Tax

c. Withholding Tax

5. Has your corporation been involved in any reorganization during the

d. Other (specify)

period covered by this return? _____ Yes _____ No.

If "yes", enclose a detailed explanation.

PART III - AFFILIATED CORPORATIONS DOING BUSINESS IN KANSAS

Name of Corporation

Federal ID Number

(Enclose a separate sheet for additional corporations)

PART IV - SCHEDULE OF TAXES

(Include those taxes deducted on line 17 of the federal return. See instructions.)

1. Taxes on or measured by income or fees or payments in lieu of income taxes. (Include federal environmental tax) (Itemize):

. . . . . . . . . . . . . . .

. . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . .

. . . . . . . . . . . . . . .

. . . . . . . . . . . . .

2. Total (Enter on line 3, page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Total other taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Total taxes (Must equal line 17 of the federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART V - SCHEDULE OF INTEREST INCOME

(Include the interest from line 5 of the federal return)

1. U.S. interest income (Describe type) :

. . . . . . . . . . . . .

2. Total (Enter on line 7, page 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Total other interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Total interest income (Must equal line 5 of the federal return) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Form K-120 - Kansas Corporation Income Tax - 2000 Page 4

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