Kentucky Individual Income Tax Forms - Kentucky Department Of Revenue - 2012 Page 26
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76FORM 740 (2012)
*1200010002*
Page 2 of 3
REFUND/TAX PAYMENT SUMMARY
•
00
29 Enter amount from page 1, line 28. This is your Total Tax Liability .......................................................................
29
30 (a) Enter Kentucky income tax withheld as shown on attached
•
00
2012 Form W-2(s) and other supporting statements .......................................
30(a)
•
00
(b) Enter 2012 Kentucky estimated tax payments ..................................................
30(b)
•
00
(c) Enter 2012 refundable certified rehabilitation credit (KRS 141.382(1)(b)) .....
30(c)
•
00
(d) Enter 2012 film industry tax credit (KRS 141.383) ...........................................
30(d)
•
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31 Add lines 30(a) through 30(d) ......................................................................................................................................
31
00
32 If line 31 is larger than line 29, enter AMOUNT OVERPAID (see instructions) ........................................................
32
Fund Contributions; See instructions.
➤ (Enter amount(s) checked)
•
00
33 Nature and Wildlife Fund ............................................
$10
$25
$50
Other
33
•
00
34 Child Victims’ Trust Fund ...........................................
$10
$25
$50
Other
34
•
35 Veterans’ Program Trust Fund ...................................
$10
$25
$50
Other
35
00
•
00
36 Breast Cancer Research/Education Trust Fund .......
$10
$25
$50
Other
36
00
37 Add lines 33 through 36 ...............................................................................................................................................
37
•
38 Amount of line 32 to be CREDITED TO YOUR 2013 ESTIMATED TAX ....................................................................
38
00
•
REFUND
00
39 Subtract lines 37 and 38 from line 32. Amount to be REFUNDED TO YOU .................................
39
•
40 If line 29 is larger than line 31, enter ADDITIONAL TAX DUE ..................................................................................
40
00
41 (a) Estimated tax penalty and/or interest.
Check if Form 2210-K attached ...
41(a)
00
(b) Interest .................................................................................................................
41(b)
00
(c) Late payment penalty .........................................................................................
41(c)
00
(d) Late filing penalty ................................................................................................
41(d)
00
00
•
42 Add lines 41(a) through 41(d). Enter here ...................................................................................................................
42
OWE
00
43 Add lines 40 and 42 and enter here. This is the AMOUNT YOU OWE ................................................
43
OFFICIAL USE ONLY
Make check payable to Kentucky State Treasurer or visit for more options.
l
PWR
Write your Social Security number and “KY Income Tax—2012” on the check.
l
A.
B.
SECTION A—BUSINESS INCENTIVE AND OTHER TAX CREDITS
Spouse
Yourself
00
00
1 Enter nonrefundable limited liability entity credit (KRS 141.0401(2)) .................
1
1
00
00
2 Enter Kentucky small business investment credit .................................................
2
2
00
00
3 Enter skills training investment credit (attach copy(ies) of certification) .............
3
3
00
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4 Enter nonrefundable certified rehabilitation credit (KRS 171.397(1)(a)) ..............
4
4
00
00
5 Enter credit for tax paid to another state (attach copy of other state’s return(s))
5
5
00
00
6 Enter unemployment credit (attach Schedule UTC) ..............................................
6
6
00
00
7 Enter recycling and/or composting equipment credit (attach Schedule RC) .......
7
7
00
00
8 Enter Kentucky investment fund credit (attach copy(ies) of certification) ...........
8
8
00
00
9 Enter coal incentive credit ........................................................................................
9
9
00
00
10 Enter qualified research facility credit (attach Schedule QR) ................................
10
10
00
00
11 Enter GED incentive credit (attach Form DAEL-31) ................................................
11
11
00
00
12 Enter voluntary environmental remediation credit (attach Schedule VERB) .......
12
12
00
00
13 Enter biodiesel and renewable diesel credit ...........................................................
13
13
00
00
14 Enter environmental stewardship credit .................................................................
14
14
00
00
15 Enter clean coal incentive credit ..............................................................................
15
15
00
00
16 Enter ethanol credit (attach Schedule ETH) ............................................................
16
16
00
00
17 Enter cellulosic ethanol credit (attach Schedule CELL) .........................................
17
17
00
00
18 Enter energy efficiency products credit (attach Form 5695-K) ..............................
18
18
Continue to page 3 to complete Section A
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