Form K-120 - Kansas Corporation Income Tax - 1999 Page 2

PART I - ADDITIONAL INFORMATION

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

6. If this is a final return for Kansas, please state the reason. If the corporation was

preceding year? _____ Yes _____ No. If "no", name previously filed under.

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

liquidated.

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

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

not previously been reported to Kansas, please check the applicable box or boxes

below and state the calander, fiscal, or short period year ending date. You are

required to submit the federal Forms 1139, 1120X or Revenue Agent’s Report along

3. The corporation’s books are in care of

with the Kansas Form K-139 or K-120X under separate cover.

Address

Revenue Agent’s Report

Amended Return

Net Operating Loss

Telephone

Years ended

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

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

Kansas tax act, enter all registration or license numbers on the applicable line:

Date

Amount

Date

Amount

a. Sales Tax

b. Compensating Use Tax

c. Withholding Tax

d. Other (specify)

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

by this return? _____ Yes _____ No. If "yes", attach a detailed explaination.

PART II - AFFILIATED CORPORATIONS DOING BUSINESS IN KANSAS

Name of Corporation

Federal ID Number

(Attach separate sheet for additional corporations)

PART III - 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 IV - 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) ..................................................................................................................................

PART V - SCHEDULE OF NONREFUNDABLE CREDITS

1. Business and job development (Attach Schedule K-34) (See instructions)...............................................................................................

2. Disabled access (Attach Schedule K-37) (See instructions)......................................................................................................................

3. Swine facility improvement (Attach Schedule K-38) (See instructions)....................................................................................................

4. Oil and gas well plugging (Attach Schedule K-39) (See instructions)........................................................................................................

5. Research and development (Attach Schedule K-53) (See instructions)....................................................................................................

6. Venture capital (Attach Schedule K-55) (See instructions)........................................................................................................................

7. Seed capital (Attach Schedule K-55) (See instructions).............................................................................................................................

8. High performance incentive program (Attach Schedule K-59) (See instructions)......................................................................................

9. Community service contribution (Attach Schedule K-60) (See instructions)...............................................................................................

10. Alternative-fueled motor vehicle property (Attach Schedule K-62) (See instructions)................................................................................

11. Total nonrefundable credits (Enter on line 24, page 1) ..............................................................................................................................

(Rev. 9/99)

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