Form K-40 - Kansas Individual Income Tax Return - 2015 Page 2
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2114215
ENTER AMOUNTS IN WHOLE DOLLARS ONLY
Income
00
1
1. Federal adjusted gross income (as reported on your federal income tax return) ................
00
2
Shade the box for
2. Modifications (from Schedule S, line A30; enclose Schedule S) ........................................
negative amounts.
00
3
3. Kansas adjusted gross income (line 2 added to or subtracted from line 1) .........................
Example:
00
Deductions
4
4. Standard deduction OR itemized deductions (if itemizing, complete Part C of Schedule S) ..
00
5
5. Exemption allowance ($2,250 x number of exemptions claimed) .............................................
00
6
6. Total deductions (add lines 4 and 5)............................................................................................
00
7
7. Taxable income (subtract line 6 from line 3; if less than zero, enter 0)........................................
Tax
00
8
8. Tax (from Tax Tables or Tax Computation Schedule) .................................................................
Computation
9
9. Nonresident percentage (from Schedule S, line B23; or if 100%, enter 100.0000).....................
00
10
10. Nonresident tax (multiply line 8 by line 9) ...................................................................................
00
11
11. Kansas tax on lump sum distributions (residents only - see instructions) ..................................
00
12
12. TOTAL INCOME TAX (residents: add lines 8 & 11; nonresidents: enter amount from line 10) ...
Credits
00
13
13. Credit for taxes paid to other states (see instructions; enclose return(s) from other states)
00
14
14. Other credits (enclose all appropriate credit schedules) ............................................................
00
15
15. Subtotal (subtract lines 13 and 14 from line 12) .........................................................................
00
16
16. Earned income tax credit (from worksheet on page 8 of instructions) ..................................
00
17
17. Food sales tax credit (from line H, front of this form) ..................................................................
00
18
18. Tax balance after credits (subtract lines 16 and 17 from line 15; cannot be less than zero) .......
Use Tax
00
19
19. Use tax due (see instructions) ....................................................................................................
00
20
20. Total tax balance (add lines 18 and 19).......................................................................................
00
Withholding
21
21. Kansas income tax withheld from W-2s and/or 1099s ...............................................................
and
00
22
Payments
22. Estimated tax paid ......................................................................................................................
00
23
23. Amount paid with Kansas extension ...........................................................................................
00
24
24. Refundable portion of earned income tax credit (from worksheet, page 8 of instructions) ...
If this is an
00
AMENDED return,
25
25. Refundable portion of tax credits ................................................................................................
complete lines
00
26
26. Payments remitted with original return .......................................................................................
26 and 27.
00
27. Overpayment from original return (this figure is a subtraction; see instructions) .................
27
00
28
28. Total refundable credits (add lines 21 through 26; then subtract line 27) ............................
00
Balance
29
29. Underpayment (if line 20 is greater than line 28, enter the difference here)..............................
Due
00
30
30. Interest (see instructions) ............................................................................................................
00
31
31. Penalty (see instructions) ............................................................................................................
00
32
Mark box if engaged in commercial farming or fishing in 2015
32. Estimated Tax Penalty
00
33
33. AMOUNT YOU OWE (add lines 29 through 32 and any entries on lines 36 through 41) ...........
Overpayment
00
34
34. Overpayment (if line 20 is less than line 28, enter the difference here) ....................................
00
35
35. CREDIT FORWARD (enter amount you wish to be applied to your 2016 estimated tax) ..........
You may donate
00
36
36. CHICKADEE CHECKOFF (Kansas Nongame Wildlife Improvement Program) ........................
to any of the
00
programs on lines
37
37. SENIOR CITIZENS MEALS ON WHEELS CONTRIBUTION PROGRAM .................................
36 through 41.
00
The amount you
38
38. BREAST CANCER RESEARCH FUND .....................................................................................
enter will reduce
00
39
your refund or
39. MILITARY EMERGENCY RELIEF FUND ...................................................................................
increase the
00
40
40. KANSAS HOMETOWN HEROES FUND ...................................................................................
amount you owe.
00
41
41. KANSAS CREATIVE ARTS INDUSTRY FUND ..........................................................................
00
42. REFUND (subtract lines 35 through 41 from line 34) .................................................................
42
Signature(s)
I authorize the Director of Taxation or the Director’s designee to discuss my return and enclosures with my preparer.
I declare under the penalties of perjury that to the best of my knowledge this is a true, correct, and complete return.
Signature of taxpayer
Date
Signature of preparer other than taxpayer
Phone number of preparer
Signature of spouse if Married Filing Joint
Tax preparer’s EIN or SSN:
ENCLOSE any necessary documents with this form. DO NOT STAPLE.
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