Form 740-Np - Kentucky Individual Incometax Return

FORM 740-NP (2015)

Page 2 of 4

*1500010005*

REFUND/TAX PAYMENT SUMMARY

29 Enter amount from page 1, line 28. This is your Total Tax Liability ..........................................................................

30 (a) Enter Kentucky income tax withheld as shown on attached

2015 Form W-2(s) and other supporting statements ........................................

30(a)

(b) Enter 2015 Kentucky estimated tax payments ..................................................

30(b)

30(c)

(d) Enter 2015 film industry tax credit (KRS 141.383) .............................................

30(d)

(e) Enter Nonresident Withholding from Form PTE-WH, line 9 (KRS 141.206(4)(b)(1))

30(e)

31 Add lines 30(a) through 30(e) ......................................................................................................................................

32 If line 31 is larger than line 29, enter AMOUNT OVERPAID (see instructions) ........................................................

Fund Contributions; See instructions.

➤ (Enter amount(s) checked)

(a) Nature and Wildlife Fund ......................................

$10

$25

$50

Other

33(a)

(b) Child Victims’ Trust Fund.......................................

$10

$25

$50

Other

33(b)

$10

$25

$50

Other

33(c)

(d) Breast Cancer Research/Education Trust Fund ..

$10

$25

$50

Other

33(d)

(e) Farms to Food Banks Trust Fund .........................

$10

$25

$50

Other

33(e)

(f) Local History Trust Fund ......................................

$10

$25

$50

Other

33(f)

34 Add lines 33(a) through 33(f) .......................................................................................................................................

35 Amount of line 32 to be CREDITED TO YOUR 2016 ESTIMATED TAX .......................................................................

REFUND

36 Subtract lines 34 and 35 from line 32. Amount to be REFUNDED TO YOU ..................................

REFUND OPTIONS (Not available for amended returns)

Check here if you would like your refund issued on a Bank of America Prepaid Debit Card

Check here if you would like to receive your Debit Card material in Spanish

37 If line 29 is larger than line 31, enter ADDITIONAL TAX DUE ...................................................................................

38 (a) Estimated tax penalty and/or interest.

Check if Form 2210-K attached....

38(a)

(b) Interest .................................................................................................................

38(b)

38(c)

(d) Late filing penalty ................................................................................................

38(d)

39 Add lines 38(a) through 38(d). .....................................................................................................................................

OWE

40 Add lines 37 and 39 and enter here. This is the AMOUNT YOU OWE ..................................................

OFFICIAL USE ONLY

Visit for electronic payment options; or

PWR

Make check payable to Kentucky State Treasurer, include your Social Security number and “KY Income Tax—2015. ”

SECTION A—BUSINESS INCENTIVE AND OTHER TAX CREDITS

1 Enter nonrefundable limited liability entity credit (KRS 141.0401(2)) ......................................................................

2 Enter Kentucky small business investment credit ......................................................................................................

3 Enter skills training investment credit (attach copy(ies) of certification)..................................................................

4 Enter nonrefundable certified rehabilitation credit (KRS 171.397(1)(a)) ...................................................................

5 Enter credit for tax paid to another state (attach copy of other state’s return(s)) ...................................................

6 Enter unemployment credit (attach Schedule UTC) ...................................................................................................

7 Enter recycling and/or composting equipment credit (attach Schedule RC) ...........................................................

8 Enter Kentucky investment fund credit (attach copy(ies) of certification) ................................................................

9 Enter coal incentive credit ............................................................................................................................................

10 Enter qualified research facility credit (attach Schedule QR) .....................................................................................

11 Enter GED incentive credit (attach Form DAEL-31) .....................................................................................................

12 Enter voluntary environmental remediation credit (attach Schedule VERB) ............................................................

13 Enter biodiesel and renewable diesel credit ...............................................................................................................

14 Enter environmental stewardship credit .....................................................................................................................

15 Enter clean coal incentive credit ..................................................................................................................................

16 Enter ethanol credit (attach Schedule ETH) ................................................................................................................

17 Enter cellulosic ethanol credit (attach Schedule CELL) ..............................................................................................

18 Enter energy efficiency products credit (attach Form 5695-K) ..................................................................................

Continue to page 3 to complete Section A