Schedule Fd (Form 41a720fd) - Food Donation Tax Credit

Download a blank fillable Schedule Fd (Form 41a720fd) - Food Donation Tax Credit in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Schedule Fd (Form 41a720fd) - Food Donation Tax Credit with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

SCHEDULE FD
Taxable Year Ending
*1500030340*
__ __ / __ __
41A720FD (06-15)
Mo.
Yr.
Commonwealth of Kentucky
F
D
T
C
OOD
ONATION
AX
REDIT
DEPARTMENT OF REVENUE
KRS 141.392
➤ Attach to Form 720, 720S, 725, 740, 740-NP , 741, 765 or 765-GP .
Name of Entity (Donor)
Identification Number (SSN or FEIN)
Kentucky Corporation/LLET Account Number
(if applicable)
__ __ __ __ __ __
__ __ __ __ __ __ __ __ __
Address (Number, Street, and Room or Suite No.)
City, State and Zip Code
Part I - Information on Donated Food - To be completed by taxpayer making the donation and/or donee
 Fruits
 Vegetables
 Beef
 Poultry
 Pork
 Fish
 Other edible product __________________________________
A
B
C
D
E
Description of
Date
Quantity of
Fair Market Price
Fair Market Value
Donated Food
Donated
Donation
Per Unit of Measure
(multiply Column C by Column D)
1.
1
00
2.
2
00
3.
3
00
4.
4
00
5.
5
00
6.
6
00
7. Total fair market value of donation (add Column E, lines 1 through 6) ..............................
7
00
8. Reimbursements received from all sources .........................................................................
8
00
9. Total fair market value of donation less reimbursements (subtract line 8 from line 7) ....
9
00
10. Credit percentage
10
10%
11. Credit amount. Multiply line 9 by line 10 ..............................................................................
11
00
12. Prior year credit carryforward amount .................................................................................. 12
00
13. Total credit amount (add lines 11 and 12). Enter result here and on applicable form or
schedule ................................................................................................................................... 13
00
Part II - Taxpayer (Donor) Statement
I, the undersigned, declare under the penalties of perjury, that to the best of my knowledge and belief, the information
and fair market values included in Part I are true, correct and complete.
Signature of Taxpayer (Donor) _________________________________________________________
Date __________________________________
_____________________________________________________________________________________
Type Name and Title of Person Signing This Document
Part III - Donee Acknowledgement - To be completed by the charitable organization
I, the undersigned, declare under the penalties of perjury, that this charitable organization is exempt from federal
income tax under Section 501(c)(3) of the Internal Revenue Code, that it operates a surplus food collection and
distribution program as defined in KRS 141.392(1)(c), and that I have examined this schedule, and to the best of my
knowledge and belief, it is true, correct and complete.
Name of Charitable Organization (Donee)
Employer Identification Number
Address (Number, Street, and Room or Suite No.)
City, State and Zip Code
Authorized Signature
Title
Date

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2