Form K-41 - Kansas Fiduciary Income Tax - 2012 Page 2

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140112
PART I - MODIFICATIONS TO FEDERAL TAXABLE INCOME
25. Additions to federal taxable income:
25a
.
00
a. State and local bond interest (Reduced by related expenses, enclose schedule). . . . . . . . . . . . . . . . . . . . . . . .
25b
.
00
b. State or local taxes measured by income deducted on the federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25c
.
00
c. Administrative expenses claimed as deductions on Kansas estate tax return. . . . . . . . . . . . . . . . . . . . . . . . . . .
.
25d
00
d. Other additions (See instructions, enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
25e
0
00
e. Total additions to federal income (Add lines 25a through 25d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26. Subtractions from federal taxable income:
.
26a
00
a. Interest on U.S. Government obligations (Reduced by related expenses, enclose schedule). . . . . . . . . . . . . .
.
26b
00
b. State income tax refunds reported as income on federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
26c
00
c. Exempt retirement benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
26d
00
d. Other subtractions from federal taxable income (See instructions, enclose schedule) . . . . . . . . . . . . . . . . . . .
.
e. Total subtractions from federal taxable income (Add lines 26a through 26d) . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
26e
00
0
.
00
27. Net modification to federal taxable income (Subtract line 26e from line 25e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
PART II - COMPUTATION OF SHARES OF THE MODIFICATION TO FEDERAL TAXABLE INCOME
NOTE: The Kansas fiduciary modification is to be allocated among the beneficiaries and the fiduciary in proportion to their share of the sum
of the federal distributable net income and the amount distributed or required to be distributed from current income.
(A)
(B)
(C)
(D)
Percent of
Share of fiduciary adjustment (line 27,
Name and Address
Social Security No.
Distribution
Part I, multiplied by column C)
RESIDENT BENEFICIARIES
(a)
%
0
(b)
%
0
(c)
%
0
(d)
%
0
NONRESIDENT BENEFICIARIES
%
(e)
0
%
0
(f)
%
0
(g)
%
0
(h)
%
0
( i ) Charitable beneficiaries' portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( i )
0
Subtotal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
0
( j ) Fiduciary's portion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ( j )
%
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
100%
I authorize the Director of Taxation or the Director's designee to discuss my K-41 and enclosures with my preparer.
I declare under the penalties of perjury that to the best of my knowledge and belief this is a true, correct, and complete return.
sign
Signature of fiduciary
Date
Title
here
Signature of preparer other than fiduciary
Address/Telephone Number
Date
MAIL TO: Fiduciary Tax, Kansas Department of Revenue, 915 SW Harrison St., Topeka, KS 66699-3000

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