Form K-41 - Kansas Fiduciary Income Tax - 2012

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2012 KANSAS
K-41
140012
FIDUCIARY INCOME TAX
(Rev. 7/12)
DO NOT STAPLE
2 0 1 2
For the taxable year beginning ____ ___ / ___ ___/___ ___ ___ ___ ; ending ____ ___ / ___ ___/___ ___ ___ ___
Name of Estate or Trust
Employer ID Number (EIN)
Name of Fiduciary
Mailing Address (Number and Street, including Rural Route)
Telephone Number
(
)
City, Town, or Post Office
State
Zip Code
School District Number
County Abbreviation
If your name or address changed since last year, mark an "X" in this box.
If this is an amended return, mark an "X" in this box.
Filing Status (Mark ONE)
Residency Status (Mark ONE)
Date Established
Estate
Resident
Date of decedent's death or date trust established:
Trust
Nonresident (See instructions)
___ ___ / ___ ___ / ___ ___ ___ ___
Bankruptcy Estate
MONTH
DAY
YEAR
.
1. Federal taxable income (Residents: Federal Form 1041; Nonresidents: Part III, line 49, column D) . . . . . . . . . .
1
00
2. Resident fiduciary's share of modifications to federal taxable income (residents only)
.
2
00
Part I, line 27 or Part II, line (j). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
3
00
3. Kansas taxable income (Line 1 plus or minus line 2. See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
4
00
4. Tax (From tax computation schedule on the last page of this form) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
5
00
5. Kansas tax on lump sum distributions (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
6
00
6. Nonresident beneficiary tax (Part IV total of column E) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
.
7. TOTAL KANSAS TAX (Add lines 4, 5, and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
00
.
8
00
8. Credit for taxes paid to other states (Resident estates or trusts only; See instructions) . . . . . . . . . . . . . . . . . . . .
.
9
00
9. University deferred maintenance credit (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
10
00
10. Other nonrefundable credits (Enclose all appropriate schedules). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
.
11. Total credits (Add lines 8, 9 and 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
00
12. Balance (Subtract line 11 from line 7; cannot be less than zero). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
.
12
00
.
13
13. Kansas income tax withheld (Enclose K-19 forms, see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
.
14
14. Amount paid with Kansas extension . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
00
.
15. Technical and community college deferred maintenance credit refund (see instructions). . . . . . . . . . . . . . . . . . .
15
00
.
16. Refundable portion of credits (Enclose all appropriate schedules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
00
.
17. Amended filers: Payments remitted with original return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
00
.
18. Amended filers: Overpayment from original return (This figure is a subtraction; see instructions) . . . . . . . . . . .
18
00
0
.
19. Total refundable credits (Add lines 13 through 17 and subtract line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
00
.
20
00
20. UNDERPAYMENT (If line 12 is greater than line 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
21. INTEREST (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
00
22. PENALTY (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
22
00
Write your EIN on your check or money order
23. BALANCE DUE (Add lines 20, 21 and 22). . . . . . . . . . . . . . . . . . . .
0
and make payable to: Kansas Fiduciary Tax
.
23
00
NOTE:
If the "TOTAL" line in Part IV, Column E, is zero and line 23 is zero, DO NOT FILE this return. (Both entries must be zero.)
.
00
24
24. REFUND (If line 19 is greater than line 12). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLEASE COMPLETE THE BACK OF THIS FORM

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