Schedule S - Kansas Supplemental Schedule - 2015
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1
2SCHEDULE S
2015
114315
KANSAS SUPPLEMENTAL SCHEDULE
(Rev. 7/15)
DO NOT STAPLE
Enter the first four letters of your last name.
Your First Name
Initial
Last Name
Use ALL CAPITAL letters.
Your Social
Security number
Spouse’s First Name
Initial
Last Name
Enter the first four letters of your spouse’s
last name. Use ALL CAPITAL letters.
IMPORTANT: Refer to the Schedule S instructions before completing Parts A, B,
Spouse’s Social
or C of this form. You must enclose all supportive documentation where indicated
Security number
in the instructions.
PART A - Modifications to Federal Adjusted Gross Income
Additions
A1. State and municipal bond interest not specifically exempt from Kansas income tax (reduced by
00
A1
related expenses ............................................................................................................................
00
A2
A2. Contributions to all KPERS (Kansas Public Employee’s Retirement Systems)..............................
00
A3
A3. Federal net operating loss carry forward .......................................................................................
00
A4
A4. Business loss as reported on Schedule C and line 12 of your federal Form 1040 ........................
CAUTION: Line
00
A5
A5. Kansas expensing recapture (enclose applicable schedules) .......................................................
numbers that
reference federal
A6. Loss from rental real estate, royalties, partnerships, S corporations, trusts, etc. as reported on
00
A6
Form 1040 are
Schedule E and line 17 of your federal Form 1040 ........................................................................
from the 2014
00
A7
forms and subject
A7. Farm loss as reported on Schedule F and line 18 of your federal Form 1040................................
to change for tax
00
A8
A8. Deduction for self-employment taxes as reported on line 27 of your federal Form 1040 ..............
year 2015.
A9. Deduction for self-employed SEP, SIMPLE, and qualified plans as reported on line 28 of your
00
A9
federal Form 1040 .........................................................................................................................
00
A10
A10. Deduction for self-employed health insurance as reported on line 29 of your federal Form 1040 ...
00
A11
A11. Domestic production activities deduction as reported on line 35 of your federal Form 1040 ........
A12. Partnership Guaranteed Payments as reported on federal Schedule K-1 (1065-B) in box 9 or
00
A12
(1065) in box 4 ...............................................................................................................................
00
A13
A13. Other additions to federal adjusted gross income (see instructions and enclose list) ...................
00
A14
A14. Total additions to federal adjusted gross income (add lines A1 through A13) ...............................
Subtractions
00
A15
A15. Social Security benefits .................................................................................................................
00
A16
A16. KPERS lump sum distributions exempt from Kansas income tax ..................................................
00
A17
A17. Interest on U.S. Government obligations (reduced by related expenses) ......................................
00
A18
A18. State or local income tax refund (if included in line 1 of Form K-40) ..............................................
00
A19. Retirement benefits specifically exempt from Kansas income tax (do NOT include social security
A19
benefits or KPERS lump sum distributions) ...................................................................................
00
A20
CAUTION: Line
A20. Military compensation of a nonresident servicemember (nonresidents only) ................................
numbers that
00
A21
reference federal
A21. Contributions to Learning Quest or other states’ qualified tuition program ....................................
Form 1040 are
00
A22
from the 2014
A22. Armed forces recruitment, sign-up, or retention bonus ..................................................................
forms and subject
00
A23
A23. Net gain from qualified sale of cattle, horses and other livestock as reported on your federal return ..
to change for tax
year 2015.
00
A24
A24. Business income as reported on Schedule C and line 12 of your federal Form 1040 ...................
00
A25. Income from rental real estate, royalties, partnerships, S corporations, trusts, etc. as reported on
A25
Schedule E and line 17 of your federal Form 1040 ...................................................................................
00
A26
A26. Farm income as reported on Schedule F and line 18 of your federal Form 1040 ..........................
00
A27. Net gain from qualified sale of Christmas trees grown in Kansas and held at least 6 years as
A27
reported on your federal return ........................................................................................................
00
A28
A28. Other subtractions from federal adjusted gross income (see instructions and enclose list) ...........
00
A29
A29. Total subtractions from federal adjusted gross income (add lines A15 through A28) .....................
Net
A30. Net modification to federal adjusted gross income (subtract line A29 from line A14). Enter
Modification
00
A30
total here and on line 2, Form K-40. If negative, shade minus
box. ...............................
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