Form K-120 - Kansas Corporation Income Tax - 2015 Page 4
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4PART II - ADDITIONAL INFORMATION
6. If this is a final return for Kansas, state the reason. If the corporation was
1. Did the corporation file a Kansas Income Tax return under the same name
liquidated or dissolved, state the IRC section under which the corporation
for the preceding year? ___ Yes ____ No If “no”, enter previous name
was liquidated. _____________________________________________
and EIN.
_______________________________________________________
________________________________________________________
_______________________________________________________
7. If your federal taxable income has been redetermined for any prior
years that have not previously been reported to Kansas, check the
2. Enter the address of the corporation’s principal location in Kansas.
applicable box(es) below and state the calendar, fiscal, or short period
_______________________________________________________
year ending date. You are required to submit, under separate cover, the
_______________________________________________________
federal Forms 1139, 1120X, or Revenue Agent’s Report along with the
Kansas amended return.
3. The corporation’s books are in care of:
Name __________________________________________________
Revenue Agent’s Report
Net Operating Loss
Address ________________________________________________
Amended Return
_______________________________________________________
Telephone _______________________________________________
Years ended ____________________________________________
8. If you are registered with the Kansas Department of Revenue under any
4. List each estimated tax payment and credit forward amount claimed on
other Kansas tax act, enter all registration or license numbers on the
this return.
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”, enclose a
_____________________________________________________
detailed explanation.
PART III - AFFILIATED CORPORATIONS DOING BUSINESS IN KANSAS
Name of Corporation
Employer 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)......................................................................................
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