Instructions For Form K-40h
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6FORM K-40H
LINE-BY-LINE INSTRUCTIONS
The large colored boxes on Form K-40H will allow
Telephone Number
us to process your refund claim faster and with fewer
Enter the area code and telephone number where
errors. For this new system to work at its best, it is
you can be reached during our office hours. Should a
important to follow the instructions below when
problem arise while processing your claim, it is very
completing this form.
helpful if we can contact you by phone. The number
Use only black ink.
will be kept confidential.
Send the original claim form. Do not send a
Special Informational Boxes
photocopy.
Deceased Claimant: If you are filing on behalf of
Stay within the lines of each box. Do not use
a claimant who is deceased, mark an “X” in the box,
dollar signs, lines, dashes, slashes, or other
and enter the date of the claimant’s death. You must
symbols in the boxes or in writing your numbers.
use the special instructions for “Deceased Claimants”
For example:
beginning on page 4 to figure the decedent’s refund.
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Be sure to enclose the additional documents required.
Do:
Do Not:
Amended Claim: If this is an amended claim, mark
Print only one number or letter in each box. For
an “X” in the box. The instructions for amending a
example, if the amount is $4,439, it should be
claim are on page 5.
entered as:
4 , 4 3 9 . 00
QUALIFICATIONS — Lines 1 through 3
If a line does not apply to you, leave it blank. Do
IMPORTANT: To qualify, you must first have
not put zeros, dashes, lines, or other symbols
been a resident of Kansas all of 1998.
in the boxes.
If you were a Kansas resident all year, complete
ONLY the qualification that applies to your situation.
CLAIMANT INFORMATION
For example, if you are over 55 and also blind, you
Name and Address
need only complete line 1.
If you received a homestead claim booklet with a
Line 1 — Age Qualification
pre-addressed label and the name and address
If you were born before January 1, 1943, enter your
information is correct, place it on your Form K-40H in
date of birth.
the space provided AFTER you complete your claim.
Line 2 — Disabled or Blind Qualification
If the information is not correct, make the necessary
If you are blind or totally and permanently disabled,
corrections directly on the label.
enter the date you became blind or disabled.
If you do not have a pre-printed label, type or clearly
print your name, street address, and county of
IMPORTANT: Documentation of permanent
residence in the spaces provided. Do not use a P.O.
disability or blindness MUST accompany
Box alone, your address must be the physical location
each year’s homestead claim. Enclose with Form
of your residence. Be sure to include any additional
K-40H:
address information, such as a lot number or
a copy of your Social Security statement
apartment number, to assure delivery of your refund
showing your disability began prior to 1998,
or any correspondence.
OR
If you filed a 1997 homestead claim, and your name
a Schedule DIS (page 21) completed by your
or address has changed, please put an “X” in the box
doctor.
to the right of the address. This will help us to update
our records and assure timely response to your claim.
Line 3 — Dependent Child Qualification
Using ALL CAPITAL LETTERS, enter the first four
If you had at least one dependent child under 18
letters of your last name in the boxes to the right of
who lived with you all year. Enter the youngest child’s
the Social Security number. If your last name has less
name (not born in 1998) and date of birth in the boxes
than four letters, leave the remaining boxes blank.
provided.
For example:
If you do not meet one of these three
F O X
qualifications, you do not qualify to file
a homestead refund claim.
Page 15
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