Form K-40h - Kansas Homestead Claim - 2007 printable pdf download

2007

K-40H

134107

KANSAS HOMESTEAD CLAIM

(Rev. 7/07)

FILE THIS CLAIM AFTER DECEMBER 31, 2007, BUT NO LATER THAN APRIL 15, 2008

- -

Claimant's

First four letters of

Claimant's

claimant's last name.

Social Security

Telephone

Number

Use ALL CAPITAL letters.

Number

First Name of Claimant

Initial

Last Name

Mark this box if claimant is

deceased (See instructions) . . . . .

Date of Death _____/_____/_____

Home Address (number and street or rural route)

IMPORTANT: Mark this box if

name or address has changed . . .

City

State

Zip Code

County Abbreviation

Mark this box if this is an

amended claim . . . . . . . . . . . . . . .

YOU MUST HAVE BEEN A RESIDENT OF KANSAS THE ENTIRE YEAR OF 2007

MONTH

DAY

YEAR

Answer ONLY the questions that apply to you:

1. Age 55 or over for the entire year. Enter date of birth. (Must be prior to 1952.) . . . . . . . . . . . . .

ENCLOSE Social Security Benefit

2. Disabled or blind for the entire year. Enter date

Verification Statement or Schedule DIS

disability began. See instructions on page 16. . . . .

3. Dependent child who resided with you and was under 18 years of age for the entire

year. Child's name _______________________. Enter date of birth. (Must be prior to 2007.)

ENTER THE TOTAL RECEIVED IN 2007 FOR EACH TYPE OF INCOME. See instructions, page 16.

4. 2007 Wages OR Kansas Adjusted Gross Income $ _______________ plus Federal Earned Income Credit

$ _____________. Enter the total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. All taxable income other than wages and pensions not included in Line 4. Do not subtract net operating

losses and capital losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6. Total Social Security and SSI benefits received in 2007 (do not include disability payments from Social

Security or SSI) $ ________________. Enter 50% of this total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

7. Railroad Retirement benefits, including Medicare deductions, and all other pensions, annuities, and

veterans benefits (do not include disability payments from Veterans and Railroad Retirement) . . . . . . . . . . .

8. TAF payments, general assistance, worker's compensation, grants and scholarships . . . . . . . . . . . . . . . . . .

9. All other income, including the income of others who resided with you at any time during 2007. . . . . . . . . . .

10.

TOTAL HOUSEHOLD INCOME (Add lines 4 through 9. If line 10 is more than $29,100, you do not qualify for a refund)

Mark this box if you have

OWNER - 2007 general property taxes (See instructions, page 17). . . . . . . .

11.

delinquent property tax.

12. RENTER - Enter total of line 5 amounts from RNT Schedule(s). ENCLOSE all RNT Schedules . . . . . . . . . . . . .

13. Total. Add lines 11 and 12, but do not enter more than $700. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

14. Using your total household income on line 10 and the table on page 6, enter your refund percentage. . . . . . . . . . . . . .

15. Homestead refund

(Multiply line 13 by percentage on line 14)

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

Important: If you filed Form ELG with your county, your refund will be reduced by the ELG amount applied to the first half of your 2007 property tax. See page 19.

Mark this box if you wish to participate in the Homestead Refund Advancement Program (see instructions, page 20)

I authorize the Director of Taxation or the Director's designee to discuss my K-40H and enclosures with my preparer.

I declare under the penalties of perjury that to the best of my knowledge and belief, this is a true, correct and complete claim.

_______________________________________

_____________

____________________________________

_______________________

Claimant's signature

Date

Signature of preparer other than claimant

Preparer's phone number

IMPORTANT: Please allow 10 to 12 weeks processing