Form K-120s - Kansas Partnership Or S Corporation Income Booklet - 2013 Page 2

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PART I - ADDITIONAL INFORMATION

1. Did the corporation file a Kansas income tax return under the same

4. Has your corporation been involved in any reorganization during the

name for the preceding year? _____ Yes _____ No If "no" enter

period covered by this return? _____ Yes _____ No If "yes",

previous name and EIN:

enclose a detailed explanation.

5. If your federal taxable income has been redetermined for any prior

years that have not previously been reported to Kansas, check the

applicable box(es) below and state the calendar, fiscal, or short

2. Enter the address of the corporation's principal location in Kansas.

period year ending date. You are required to submit, under separate

cover, the federal forms or Revenue Agent's Report along with the

Kansas amended return (Form K-120S).

Revenue Agent's Report

3. The corporation's books are in care of:

Name

Net Operating Loss

Address

Amended Return

Years ended

Telephone

PART II - PARTNER'S OR SHAREHOLDER'S DISTRIBUTION OF INCOME

This schedule is to be completed for all partners or shareholders. If you have nonresident partners or shareholders, complete Form KW-7S. If there are

more than 12 partners or shareholders, you must complete a schedule similar to the schedule below and submit it with your return. Individual partners or

shareholders complete columns 1 through 8. All other partners and shareholders complete columns 1 through 5.

(1)

(2)

(3)

(4)

Social Security Number or

Partner's or

Partner's profit percent

Name and address of partner or shareholder

Check box if

nonresident

Employer Identification