Filled Out 1040Ez Tax Form by ped20056

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									New/       Field   Field Identification             Form   Length   Type   Field Description
Changed    No.                                      Ref.
                   Byte Count                              4               2754
                   Start of Record Sentinel                4               ****
           0000    Record ID                               6        AN     "STbbbb"
           0001    Form Number                             6        AN     "0001bb"
           0002    Page Number                             5        AN     "PG01b"
           0003    Primary SSN                             9        N
           0004    Filler                                  1               Blank
           0005    Form/Schedule Number                    7        N      "0000001"
           0010    State Code                              2        A      "KS"
           0011    City Code                               2        A      No Entry
           0015    Imperfect Return Indicator              1               "E" = Exception Processing or blank
           0016    Mis-match of ITIN/SSN                   1        A      M=mis-match of ITIN/SSN, otherwise blank (IRS use
                                                                           only)
           0019    State-Only-Indicator                    2        A      “SO” if State Only, otherwise blank.
           0020    Doc Control Number                      14       N      Must be the same as reported on the IRS return
           a.      First Two Position                      2        N      "00"
           b.      EFIN of Originator                      6        N
           c.      Batch Number                            3        N      (000-999)
           d.      Serial Number                           2        N      (00-99)
Changed    e.      Year Digit (processing year)            1        N      "1"
           0023    Return Sequence Number                  16       N      Must equal RSN in Federal 1040, 1040A OR 1040EZ.

           a.      ETIN of transmitter                     5        N      Electronic Transmitter ID Number
           b.      Trans Use Field                         2        N      in 1040, A or EZ
           c.      Julian Date of Tr                       3        N
           d.      Trans Seq. Number                       2        N      (01-99)
           e.      Seq Number of Ret                       4        N      (0001-9999)
           0024    Direct Deposit/Debit Indicator          1        AN     “1”=Direct Deposit
                                                                           “2”=Direct Debit
                                                                           Blank=no direct deposit/payment
           0025    Reserved-RTN-Flag                       1        N      No Entry
changed    0027    Direct Debit Date                       8        N      YYYYMMDD or blank if no Direct Debit. Required
for                                                                        entry if Field 024=2. If filing after 4/18, date must =
extended                                                                   next business day.
filing
deadline
           0028    Direct Debit Amount                     12       N      Must equal Field 0500 or blank if no Direct Debit
           0030    State-Routing Transit                   9        N      Blank if no State DD or DP
           0032    State-RTN-Indicator                     1        N      0=no State RTN present
                                                                           1=State RTN found on FOMF
                                                                           2=State RTN not found on FOMF
           0035    State-Deposit Acct No                   17       AN     Blank if no State DD or DP
           0040    State-Checking-Acct                     1        AN     "X" or blank
           0048    State-Savings-Acct                      1        AN     "X" or blank
           0049    On-Line-State-Return                    1        A      "O" = On-Line or blank
           0050    State Numeric Area                      27       AN
           a.      Preparer SSN/Preparer TIN               9        AN     from   1040 Seq 1360, If TIN: PNNNNNNNN
           b.      Preparer EIN                            9        N      from   1040 Seq 1380
           c.      Preparer Zip                            5        N      from   1040 Seq 1410-5
           d.      Preparer Zip+4                          4        N      from   1040 Seq 1410-4
           0052    State Alphanumeric Area                 93       AN
           a.      Mailbox ID                              5        AN     Software Developer ETIN
           b.      Preparer Firm Name                      35       AN     from 1040 Seq 1370
           c.      Preparer Address                        30       AN
           d.      Preparer City                           20       AN     from 1040 Seq 1390
           e.      Preparer State                          2        AN     from 1040 Seq 1400
           f.      Preparer Self-Empl Ind                  1        AN     from 1040 Seq 1350
           0055    Spouse's SSN                            9        N
           0060    Name Line 1                             35       AN     Required Entry
           a.      Primary Last Name                       32       AN
           b.      Primary Suffix                          3        AN
           0062    Date of Death Primary                   8        N      YYYYMMDD

                                                                                                                              24
          0065   Name Line 2                      35   AN
          a.     Secondary Last Name              32   AN
          b.     Secondary Suffix                 3    AN
          0068   Date of Death Secondary          8    N    YYYYMMDD
          0070   Name Line 3                      35   AN
          a.     Primary First Name               16   AN
          b.     Primary Middle Initial           1    AN
          c.     Secondary First Name             16   AN
          d.     Secondary Middle Initial         1    AN
          e.     IAT Indicator                    1    AN   X' or blank
Changed   0074   C/O Name                         35   AN   Kansas will now accept and process data in this
                                                            field
          0075   Address Line 1                   35   AN
          0077   Foreign Street Address           35   AN
          0080   Address Line 2                   35   AN
          0085   City                             22   A
          0087   Foreign City State or Province   35   AN
          0090   City Code                        5    N    No Entry
          0095   State Abbreviation               2    A    Use Post Office standards
          0098   Foreign Country                  22   A
          0100   Zip Code                         12   N    First 5 positions must be a valid zip code. Last 7
                                                            positions may be zero filled or blank. NO HYPHEN
                                                            Note: If the return has a domestic address, the
                                                            following must be present: (Seq 075), (Seq 085),
                                                            (Seq 095), (Seq 100)
                                                            If the return has a foreign address, the following must
                                                            be present (Seq 077), (Seq 087), and (Seq 098)


          0105   County                           20   A
          a.     County Abbreviation              2    A    Left justified. Must be valid KS County abbreviation.
                                                            Leave blank for non-resident.
          b.     Blank Filler                     18        Blank
          0110   County Code                      5    N    No Entry
          0115   Telephone Number                 12   AN   Must be 10 digit number. Left justified. REQUIRED if
                                                            entered on federal return.
          0120   Primary TP Signature             5    N    Not used in Kansas
          0125   Spouse Signature                 5    N    Not used in Kansas
          0126   ERO EFIN/PIN                     11   N    Not used in Kansas
          0150   Federal Filing Status            1    N    Required, from federal return
          0155   Total Federal Exemptions         2    N    Required, from federal return
          0160   Wages, Salaries, Tips            12   N    Required, from federal return
          0165   Taxable Interest                 12   N    Required, from federal return
          0170   Tax Exempt Interest              12   N    Required, from federal return
          0175   Dividends                        12   N    Required, from federal return
          0180   State Refund                     12   N    Required, from federal return
          0185   Taxable Social Sec Benefits      12   N    Required, from federal return
          0190   Keogh Plan and SEP Deductions    12   N    Required, from federal return
          0195   Adjusted Gross Income            12   N    Required, from federal return
          0200   Standard/Itemized Deductions     12   N    Required, from federal return
          0205   Earned Income Credit             12   N    Required, from federal return
          0300   Alphanumeric Field 1             80   AN
          a.     Software Developer Code          10   AN   Software name, REQUIRED
          b.     Paid Preparer Name               31   AN   from 1040 Seq 1340
          c.     Preparer Phone Number            10   AN
          d.     Non-Paid Preparer                13   AN   from 1040 Seq 1338
          e.     Preparer State EIN               16   AN
          0305   Alphanumeric Field 2             80   AN
          0310   Alphanumeric Field 3             80   AN
          a.     Return Type                      1    A    Required. Must equal "K" for form K-40




                                                                                                             25
            b.     Kansas Filing Status*                    1    A    Required entries are:
                                                                      "S"=Single
                                                                      "M"=Married Filing Separate
                                                                      "F"=Married Filing Joint
                                                                      "U"=Head of Household
                                                                      *KS Filing Status must be the same as the federal
                                                                      filing status with one exception: KS does not
                                                                      recognize the federal filing status of "Qualifying
                                                                      Widow(er)with Dependent Children", KS filing status
                                                                      is Head of Household

Changed,    c.     Residency Status                         1    A    Required. Values are "R" = resident, "P" = part-
added new                                                             year resident, "N" = nonresident
status code



            d.     Kansas School District                   3    N    Must be a valid KS school district number (see chart
                                                                      within this publication). Leave blank for non-resident

            e.     Total Kansas Exemptions*                 2    N    Required. Must equal federal return’s number of
                                                                      exemptions
                                                                      *If Kansas filing status is "Head of Household" add 1
                                                                      to the number of exemptions for the total Kansas
                                                                      exemptions. Value range 00-99.
            f.     Discuss with preparer                    1    A    Required. "Y"(yes) or "N"(no)
Changed     g.     Taxable year beginning                   8    N    Required. Must equal "20100101"
Changed     h.     Taxable year ending                      8    N    Required. Must equal "20101231"
            i.     Credit for taxes paid to state #1        2    A    Must be standard postal abbreviation, enter XX for
                                                                      foreign country. From Line 1 of Worksheet. Must file
                                                                      as KS resident
            j.     Credit for taxes paid to state #2        2    A    Must be standard postal abbreviation, enter XX for
                                                                      foreign country. From Line 1 of Worksheet. Must file
                                                                      as KS resident
            k.     Credit for taxes paid to state #3        2    A    Must be standard postal abbreviation, enter XX for
                                                                      foreign country. From Line 1 of Worksheet. Must file
                                                                      as KS resident
            l.     Credit for taxes paid to state #4        2    A    Must be standard postal abbreviation, enter XX for
                                                                      foreign country. From Line 1 of Worksheet. Must file
                                                                      as KS resident
Changed     m.     Engaged in commercial farming or         1    A    Required. "Y"(yes) or "N"(no)
business           fishing*                                           *From line 32 of K40. If Yes and Direct Debit
rule                                                                  requested, payment date in (Seq 0027) must be
                                                                      20110301 to avoid penalties.
            n.     Deceased Indicator (Primary)             1    A    "Y" (yes) If Primary Taxpayer is deceased. (Must
                                                                      meet IRS criteria for deceased taxpayer in ELF).
                                                                      Otherwise "N" (no).
            o.     Deceased Indicator (Secondary)           1    A    "Y" (yes) If Secondary Taxpayer is deceased (Must
                                                                      meet IRS criteria for deceased taxpayer in ELF).
                                                                      Otherwise "N" (no).
NEW         p.     State of Legal Residence for part-       2    A    2 char state abbreviation. If residency status in
                   year and nonresidents                              Field 310c is P or N this field is required. For
                                                                      foreign address enter XX.
NEW         q.     Part-year Resident Dates "From"          8    N    YYYYMMDD. If residency status is P for part-year,
                   date in Kanss                                      enter beginning date for time spent in Kansas

NEW         r.     Part-year Resident Dates "To"            8    N    YYYYMMDD. If residency status is P for part-year,
                   date in Kansas                                     enter ending date for time spent in Kansas

            s.     Blank Filler                             26   AN   Blank
            0315   Alphanumeric Field 4                     80   AN   No Entry
            0320   Alphanumeric Field 5                     80   AN   No Entry
            0325   Alphanumeric Field 6                     80   AN   No Entry
            0330   Alphanumeric Field 7                     80   AN   No Entry
            0350   Federal adjusted gross income        1   12   N    Required. Must be the same as on the federal return



                                                                                                                       26
           0355   Modifications to federal adjusted    2     12   N   Entry is carried over from Pt A, line A19. Must have
                  gross income                                        an entry in one of the fields in Part A. May be positive
                                                                      or negative entry. If negative it must be a (-) signed
                                                                      field
           0360   Kansas adjusted gross income         3     12   N   Add Line 1 and Line 2. May be positive or negative
                                                                      entry
           0365   Standard deduction or itemized       4     12   N   If taxpayer did NOT itemize on federal, they can NOT
                  deductions*                                         itemize on the KS return, standard deduction must be
                                                                      claimed. If taxpayer DID itemize on the federal return
                                                                      they can either itemize or claim the standard
                                                                      deduction, whichever is to their advantage.
                                                                      *However, there is one exception: If the federal filing
                                                                      status is "Married Filing Separate" the Kansas
                                                                      deduction must be the same method as on the
                                                                      federal return. The standard deduction charts are
                                                                      provided within this publication

           0370   Exemption Allowance                  5     12   N   Multiply the total number of exemptions claimed on
                                                                      the state return by $2,250
           0375   Total deductions                     6     12   N   Add Line 4 and Line 5
           0380   Taxable Income                       7     12   N   Subtract Line 6 from Line 3
           0385   Tax                                  8     12   N   Required field. Enter the amount of tax from Tax
                                                                      Rates Schedule. Must be > or = 0
           0390   Nonresident allocation percentage* 9       12   N   Required entry for nonresident returns
                                                                      *This entry is carried over from Sch S, PtB, Ln B23.
                                                                      Report 3 to left and 4 to right of decimal.
                                                                      *Must be positive, equal to or greater than 0 and
                                                                      equal to or less than 100. Positions 5, 6 and 7 would
                                                                      be for the data to the left of the decimal, Positions 8,
                                                                      9, 10, 11 would be for the right of the decimal, with
                                                                      the 12th position being blank. Assume the decimal
                                                                      point will be between the 7th and 8th position of this
                                                                      field. 75.1234% would be entered as 00000751234b.


           0395   Nonresident tax                      10    12   N   Required for all nonresident returns. Computed by
                                                                      multiplying line 8 (the tax), by the nonresident
                                                                      allocation percentage on line 9
           0400   Kansas tax on lump sum               11    12   N   Residents: compute by multiplying the federal tax on
                  distributions                                       the lump sum distribution determined on federal form
                                                                      4972 by 13%. Nonresidents: leave blank.

           0405   Total Kansas tax                     12    12   N   Residents: compute by adding lines 8 and 11.
                                                                      Nonresidents: enter amount from line 10
           0410   Credit for taxes paid to other states 13   12   N   Must file as KS resident. Amount determined from
                                                                      Other States Credit Worksheet
           0415   Credit for child & dependent care    14    12   N   Must file as KS resident. Compute by multiplying
                  expenses                                            credit allowed on the federal return by 25%
           0420   Other credits                        15    12   N   Total amounts from all appropriate schedules
           0425   Total tax credits                    16    12   N   Compute the sum of Lines 13,14 & 15. Not to exceed
                                                                      Total KS Tax
           0430   Income Tax Balance after credits     17    12   N   Subtract Line 16 from Line 12. Balance must be = to
                                                                      or > 0
           0435   Use tax due                          18    12   N   See Use tax worksheet to assist in computing tax due

           0440   Total tax balance                    19    12   N   Add lines 17 and 18
           0445   Kansas income tax withheld           20    12   N   Sum of all KS tax withheld
Changed    0450   Estimated tax paid*                  21    12   N   Sum of all estimated tax credited to a taxpayer’s
business                                                              account
rule                                                                  *Includes the amount of any prior year overpayment
                                                                      credited forward & any estimated payments for
                                                                      current tax year & any tax withheld by estates or
                                                                      trusts.
           0455   Amount paid with Kansas extension 22       12   N   Amount paid with extension of time payment. This
                                                                      field is only for extension payments already paid to Ks
                                                                      DOR.

                                                                                                                        27
Changed     0460   Earned income credit                 23   12   N   Must file as KS Resident. Allowed Federal EIC
threshold                                                             multiplied by 18%.
            0465   Refundable portion of tax credits    24   12   N   Refundable portion amounts from all appropriate
                                                                      credit schedules.
Changed    0470    Food sales tax refund*               25   12   N   KS AGI of $0-$17,500=$90 refund; $17,501-
threshold                                                             $35,000=$45 refund.
and refund                                                            *Taxpayer must have been a KS resident for entire
amounts                                                               year of 2010, had income of $35,000 or less and
                                                                      meet 1 of the following 3 requirements: age 55 or
                                                                      older; blind or disabled; had 1 or more dependent
                                                                      children claimed as a personal exemption under the
                                                                      age of 18 the entire year of 2010. Filer must also
                                                                      complete “Qualifying Income Worksheet” (this may
                                                                      change Food Sales Tax amount or eligibility)


            0475   Total refundable credits             28   12   N   Compute the sum of Lines 20-25. Can be < = to or >
                                                                      than 0
            0480   Underpayment                         29   12   N   If Line 19 is greater than Line 28; enter balance
            0485   Interest                             30   12   N   Interest rate for Calendar Year 2011 remains at 5%.
                                                                      Multiply Balance Due by .41667% (.0041667), for
                                                                      each month or fraction thereof the return is delinquent.

Changed     0490   Penalty                              31   12   N   Penalty = Compute penalty at 1% per month (or
business                                                              portion thereof) from the due date of the return using
rule                                                                  the amount on Line 29.
                                                                      *For example, if you paid tax of $150 on May 20,
                                                                      2011, (due date of April 18, 2011) multiply Line 17
                                                                      ($150) by 2% and enter the result ($3.00) on Line 31.
                                                                      Maximum penalty is 24%
            0495   Estimated Tax Penalty                32   12   N   Amount from Schedule K-210
            0500   Amount owed                          33   12   N   Total Lines 29 through 32. Include amounts from
                                                                      Lines 36 through 39, if applicable.
            0505   Overpayment                          34   12   N   If Line 28 is greater than Line 19, enter difference.
                                                                      Any of this amount can be donated to a contribution
                                                                      program or credited forward
            0510   Credit Forward                       35   12   N   Must be = to or > than overpayment
            0515   Chickadee Check-off                  36   12   N   Amount of donation
            0520   Meals on Wheels Contribution         37   12   N   Amount of donation
            0525   Breast Cancer Research Fund          38   12   N   Amount of donation
            0530   Military Emergency Relief Fund       39   12   N   Amount of donation
            0535   Refund                               40   12   N   Subtract Lines 35 through 39 from Line 34
                   Schedule S Parts A & B
            0540   State & municipal bond interest      A1   12   N   > or = to 0
                   received not exempt from KS
                   income tax (reduced by related
                   expenses)
            0545   Contributions to all Kansas Public   A2   12   N   Depending on the employer this amount may be
                   Employees’ Retirement Systems*                     shown on the taxpayer's W2 or may need to be
                                                                      computed. If shown, description should indicate
                                                                      amount contributed to KPERS, KPER, KPF or similar
                                                                      abbreviation.
                                                                      *Note: If not on the W2, Subtract amount in the
                                                                      "Wages, tips and compensation income" box from
                                                                      amount shown in the 'State and local wages income'
                                                                      box of W2

Changed     0550   Federal net operating loss carry     A3   12   N   Any federal net operating loss claimed on your 2010
                   forward                                            federal return
            0555   Contributions to a Regional          A4   12   N   Add-back amount of total contribution listed on
                   Foundation                                         Schedule K-32.




                                                                                                                       28
            0560   Other Additions to federal adjusted A5      12   N   Enter the following additions to Federal Adjusted
                   gross income                                         Gross Income: Individual Development Account,
                                                                        Federal Income Tax Refund, Disabled Access Credit
                                                                        Modification, Partnership, S Corporation or Fiduciary
                                                                        Adjustments, Community Service Contribution Credit,
                                                                        Swine Facility Improvement Credit, Habitat
                                                                        Management Credit, Learning Quest Education
                                                                        Savings Program, Small Employer Healthcare Credit,
                                                                        Expenditures - Energy Credits, Amoritization - Energy
                                                                        Credits.

            0565   Total additions to fed adjusted       A6    12   N   Computed by adding Lines A1 through A5.
                   gross income
            0570   Interest on U.S. Government           A9    12   N   > or = to 0
                   obligations
            0575   State income tax refund included in   A10   12   N   Any state or local income tax refund included in the
                   line 1 of K-40                                       fed. adjusted gross income
            0580   Kansas net operating loss carry       A11   12   N   From line 15 of Schedule CRF for the first year of
                   forward                                              carry forward or line 17 a-j of Schedule CRF for the
                                                                        following years
            0585   Retirement benefits specifically      A12   12   N   Enter total amount of benefits received from the
                   exempt from Kansas income tax                        following: Federal Retirement Benefits, Kansas
                                                                        Pension Plans, Railroad Retirement Benefits. Do not
                                                                        include Social Security benefits on this line.
            0590   Military Compensation of a            A13   12   N   Amount of non-resident servicemember’s
                   Nonresident Servicemember                            compensation. *Non-resident military
                   (NONRESIDENT FILERS ONLY)*                           servicemembers will continue to complete Part B of
                                                                        Sch S, to determine the Nonresident Allocation
                                                                        Percentage on Line 9 of the K-40.
Changed     0595   Qualified Long-Term Care              A14   12   N   Premium costs for Qualified Long-Term Care
business           Insurance premiums                                   Insurance Contracts, as defined by subsection (b) of
rule                                                                    Section 7702B of Public Law 104-191.
threshold                                                               $1000 max credit for Single, HOH and Married
                                                                        Filing Separate filers; $2,00 max credit for Married
                                                                        Filing Joint filers purchasing 2 contracts.


            0600   Learning Quest Education Savings      A15   12   N   Amount of contribution not to exceed $3,000 per
                   Program contributions                                student for Single, $6,000 per student for Joint.
                                                                        Contributions made during tax year to a Learning
                                                                        Quest account are not subject to Kansas Income Tax,
                                                                        as are contributions to another state's 529 Qualified
                                                                        Tuition Program.
            0605   Armed Forces Recruitment, Sign-       A16   12   N   Armed Forces recruitment, sign-up or retention bonus
                   Up, or Retention Bonus                               received to join, enlist or remain in the Armed
                                                                        Services of the United States (including Kansas Army
                                                                        & Air National Guard). Amounts received for
                                                                        repayment of educational or student loans incurred by
                                                                        or obligated to such taxpayer and received by such
                                                                        taxpayer as a result of service in the Armed Forces.


            0610   Other subtractions from federal       A17   12   N   Enter Other Subtractions from FAGI (do not subtract
                   adjusted gross income                                the amount of income reported to another state).
                                                                        Other Subtractions include: Individual Development
                                                                        Account, Kansas National Guard Death Benefit, Jobs
                                                                        Tax Credit, Kansas Venture Capital Inc Dividends,
                                                                        Partnership, S Corporation or Fiduciary Adjustments,
                                                                        S Corporation Privilege Adjustment, Sale of Kansas
                                                                        Turnpike Bonds, Electrical Generation Revenue
                                                                        Bonds, Native American Indian Reservation Income,
                                                                        Amoritization - Energy Credits.



            0615   Total subtractions from federal       A18   12   N   Computed as the sum of A7 through A17.
                   adjusted gross income



                                                                                                                        29
0620   Net modifications to federal         A19   12   N   Subtract line A18 from line A6. Enter on K-40, Line 2.
       adjusted gross income                               If negative, ensure a negative sign is included

0625   Wages, salaries, tips etc.           B1    12   N   Federal Col. As reported on federal income tax
                                                           return. Must be > or = to 0.
0630   Wages, salaries, tips etc.           B1    12   N   Kansas Column. Amount from Federal Column, Line
                                                           B1 which are from Kansas sources. Must be > or =
                                                           to 0.
0635   Interest and dividend income         B2    12   N   Federal Column. As reported on federal income tax
                                                           return
0640   Interest and dividend income         B2    12   N   Kansas Column. Amount from Federal Column, Line
                                                           B2 which are from Kansas sources
0645   Refunds of state and local income    B3    12   N   Federal Column. As reported on federal income tax
       taxes                                               return
0650   Refunds of state and local income    B3    12   N   Kansas Column. Amount from Federal Column, Line
       taxes                                               B3 which are from Kansas sources
0655   Alimony received                     B4    12   N   Federal Column. As reported on federal income tax
                                                           return
0660   Alimony received                     B4    12   N   Kansas Column. Amount from Federal Column, Line
                                                           B4 which are from Kansas sources
0665   Business income or (loss)            B5    12   N   Federal Column. As reported on federal income tax
                                                           return
0670   Business income or (loss)            B5    12   N   Kansas Column. Amt. from Federal Column, Line B5
                                                           which are from Kansas sources
0675   Farm income or (loss)                B6    12   N   Federal Column. As reported on federal income tax
                                                           return.
0680   Farm income or (loss)                B6    12   N   Kansas Column. Amount from Federal Column, Line
                                                           B6 that are from Kansas sources.
0685   Capital gain or (loss)               B7    12   N   Federal Column. As reported on federal income tax
                                                           return.
0690   Capital gain or (loss)               B7    12   N   Kansas Column. Amt from Federal Column, Line B7
                                                           which are from Kansas sources
0695   Other gains or (losses)              B8    12   N   Federal Column. As reported on federal income tax
                                                           return
0700   Other gains or (losses)              B8    12   N   Kansas Column. Amount from Federal Column, Line
                                                           B8 which are from KS sources
0705   Pensions, IRA distributions and      B9    12   N   Federal Column. As reported on federal income tax
       annuities                                           return
0710   Pensions, IRA distributions and      B9    12   N   Kansas Column. Amount from Federal Column, Line
       annuities                                           B9 which are from KS sources
0715   Rental real estate, royalties,       B10   12   N   Federal Column. As reported on federal income tax
       partnerships, S corporations,                       return
       estates, trusts, etc
0720   Rental real estate, royalties,       B10   12   N   KS Column. Amt from Fed. Column, Line B10 from
       partnerships, S corporations,                       Kansas sources
       estates, trusts, etc
0725   Unemployment compensation,           B11   12   N   Federal Column. As reported on federal income tax
       taxable Social Security benefits &                  return. Can be < = to or > than 0
       other income
0730   Unemployment compensation,           B11   12   N   Kansas Column. Amount from Federal Column, Line
       taxable Social Security benefits &                  B11 which are from Kansas sources. Can be < = to or
       other income                                        > than 0
0735   Total income from Kansas sources B12       12   N   Calculated-add lines B1 through B11- col. B

0740   IRA/Retirement deductions            B13   12   N   Federal Column. As reported on federal income tax
                                                           return.
0745   IRA/Retirement deductions            B13   12   N   Kansas Column. IRA/Retirement Deductions
                                                           applicable to particular items of Kansas source
                                                           income.
0750   Penalty on early withdrawal of       B14   12   N   Federal Column. As reported on federal income tax
       savings                                             return.
0755   Penalty on early withdrawal of       B14   12   N   Kansas Column. Amount of penalties in Federal
       savings                                             Column, Line B14 accessed during Kansas residency
                                                           may be allowed as an adjustment.


                                                                                                           30
0760   Alimony paid                       B15   12   N   Federal Column. As reported on federal income tax
                                                         return.
0765   Alimony paid                       B15   12   N   KS Column. Alimony paid - amount claimed in
                                                         Federal Column, Line B15, must be prorated by the
                                                         ratio of the payer's Kansas source income divided by
                                                         the payer's total income.
0770   Moving expenses                    B16   12   N   Federal Column. As reported on federal income tax
                                                         return.
0775   Moving expenses                    B16   12   N   KS Column. Moving exp. in Federal Column, Ln B16.
                                                         Enter only those moving expenses incurred during tax
                                                         year to move into Kansas.
0780   Other Federal Adjustments:         B17   12   N   Federal Column. As reported on federal income tax
                                                         return (current at time of publication, subject to
                                                         change to include additional deductions allowed by
                                                         IRS): One half of Self-Employment Tax Deduction,
                                                         Self-Employed Health Insurance Deduction, Student
                                                         Loan Interest Deduction, Self-employed SEP,
                                                         SIMPLE, and qualified plans, Business expenses for
                                                         Reservists, Artists & Fee-Basis Government Officials,
                                                         Domestic Production Activities Deduction, Archer
                                                         MSA and Health Savings Account Deduction, Jury
                                                         Duty pay given to employer.


0785   Other Federal Adjustments          B17   12   N   KS Col. Amt claimed in Fed. Column, Line B17 as it
                                                         applies to KS sources.
0790   Total federal adjustments to       B18   12   N   Computed by adding lines B13 through B17, Kansas
       Kansas source income:                             Column.
0795   Kansas source income after         B19   12   N   Computed by subtracting line B18 from Line B12,
       federal adjustments                               Kansas Column
0800   Net modificiations applicable to   B20   12   N   Modifications from Part A that apply to KS source
       Kansas Source Income                              income. May be + or -. If -, use a - sign.
0805   Modified Kansas source income      B21   12   N   Line B19 plus or minus Line B20. Can be < = to or >
                                                         than 0
0810   Kansas adjusted gross income       B22   12   N   Kansas adjusted gross income from Line 3 on page 1
                                                         of K-40
0815   Nonresident allocation percentage* B23   12   N   Divide Line B21 by line B22. Report 3 to left and 4 to
                                                         right of decimal, enter on Line 9 of K-40.
                                                         *Must be positive, equal to or greater than 0 and
                                                         equal to or less than 100. Positions 5, 6 and 7 would
                                                         be for the data to the left of the decimal, Positions 8,
                                                         9, 10, 11 would be for the right of the decimal, with
                                                         the 12th position being blank. Assume the decimal
                                                         point will be between the 7th and 8th position of this
                                                         field. 75.1234% would be entered as 00000751234b.


0820   Social Security benefits           A7    12   N   All benefits received under the Social Security Act
                                                         (including SSI benefits) that are subject to federal
                                                         income tax are not subject to Kansas Income Tax
                                                         when FAGI is $75,000 or less, whether taxpayer's
                                                         filing status is single, HOH, MFS or MFJ.


0825   KPERS lump sum distributions       A8    12   N   KPERS retirement benefits, and all earnings
       exempt from KS income tax                         thereon, that are rolled over into a qualified retirement
                                                         account (such as
                                                         a 401k, IRA, etc.) are not subject to Kansas Income
                                                         Tax whether the KPERS
                                                         benefits are segregated from or commingled with
                                                         other retirement funds. Does not apply to KS State
                                                         Board of Regents or City of Wichita.
0830   Numeric Field 97                         12   N   Blank filler
0835   Numeric Field 98                         12   N   Blank filler
0840   Numeric Field 99                         12   N   Blank filler
0845   Numeric Field 100                        12   N   Blank filler
0850   Numeric Field 101                        12   N   Blank filler

                                                                                                           31
0855   Numeric Field 102       12   N   Blank filler
0860   Numeric Field 103       12   N   Blank filler
0865   Numeric Field 104       12   N   Blank filler
0870   Numeric Field 105       12   N   Blank filler
0875   Numeric Field 106       12   N   Blank filler
0880   Numeric Field 107       12   N   Blank filler
0885   Numeric Field 108       12   N   Blank filler
0890   Numeric Field 109       12   N   Blank filler
0895   Numeric Field 110       12   N   Blank filler
0900   Numeric Field 111       12   N   Blank filler
0905   Numeric Field 112       12   N   Blank filler
0910   Numeric Field 113       12   N   Blank filler
0915   Numeric Field 114       12   N   Blank filler
0920   Numeric Field 115       12   N   Blank filler
0925   Numeric Field 116       12   N   Blank filler
       Record Terminus     1            #




                                                       32
New/      Field Field Identification                    Line #   Length   Type   Field Description
Changed     No.

NEW              Schedule CR                                                     This schedule is required if an entry is
                                                                                 made on Form K-40 Lines 15 or 24.
New              Byte Count                                      4               "nnnn"
New              Start of Record Sentinel                        4               "!!!!"
New       0000   Record ID Type                                  6        AN     "STbbbb"
New       0001   Form Number                                     6        AN     "FRMSCR"
New       0002   Page Number                                     5        AN     "PG01b"
New       0003   Taxpayer Identification Number                  9        N      Primary SSN. Must match federal return.

New       0004   Filler                                          1               blank
New       0005   Form/Schedule Number                            7        N      "0000001"
New       0020   Taxable Year Beginning Date                     8        N      YYYYMMDD
New       0025   Taxable Year Ending Date                        8        N      YYYYMMDD
New       0030   Primary Taxpayer Last Name                      35       AN     Last Name as entered on K40.
New       0035   K-30 Angel Investor Credit,            1a       12       N      Must be = or > 0
                 nonrefundable credit amount
New       0040   K-31 Kansas Center for                 2a       12       N      Must be = or > 0
                 Entrepeneurship, nonrefundable
                 credit amount
New       0045   K-32 Regional Foundation Credit,       3a       12       N      Must be = or > 0
                 nonrefundable amount
New       0050   K-32 Regional Foundation Credit,       3b       12       N      Must be = or > 0
                 refundable amount
New       0055   K-33 Agritourism Liability Insurance   4a       12       N      Must be = or > 0
                 Credit, nonrefundable amount

New       0060 K-34 Business and Job Development 5a              12       N      Must be = or > 0
               Credit, nonrefundable amount

New       0065 K-35 Historic Preservation Credit,       6a       12       N      Must be = or > 0
               nonrefundable amount
New       0070 K-36 Telecommuncations and               7a       12       N      Must be = or > 0
               Railroad Credit, nonrefundable
               amount
New       0075 K-36 Telecommuncations and               7b       12       N      Must be = or > 0
               Railroad Credit, refundable amount

New       0080 K-37 Disabled Access Credit,             8a       12       N      Must be = or > 0
               nonrefundable amount
New       0085 K-37 Disabled Access Credit,             8b       12       N      Must be = or > 0
               refundable amount
New       0090 K-38 Swine Facility Improvement          9a       12       N      Must be = or > 0
               Credit, nonrefundable amount

New       0095 K-39 Plugging an Abandoned Gas or        10a      12       N      Must be = or > 0
               Oil Well Credit, nonrefundable
               amount
New       0100 K-42 Assistive Technology                11a      12       N      Must be = or > 0
               Contribution Credit, nonrefundable
               amount
New       0105 K-47 Adoption Credit, nonrefundable      12a      12       N      Must be = or > 0
               amount
New       0110 K-53 Research and Development            13a      12       N      Must be = or > 0
               Credit, nonrefundable amount

New       0115 K-55 Venture and Local Seed Capital 14a           12       N      Must be = or > 0
               Credit, nonrefundable amount

New       0120 K-56 Child Day Care Assistance           15a      12       N      Must be = or > 0
               Credit (employer's only),
               nonrefundable amount

                                                                                                                      33
New   0125 K-56 Child Day Care Assistance           15b   12   N   Must be = or > 0
           Credit (employer's only), refundable
           amount
New   0130 K-57 Small Employer Healthcare           16a   12   N   Must be = or > 0
           Credit, nonrefundable amount
New   0135 K-57 Small Employer Healthcare           16b   12   N   Must be = or > 0
           Credit, refundable amount
New   0140 K-59 High Performance Incentive          17a   12   N   Must be = or > 0
           Program Credit, nonrefundable
           amount
New   0145 K-60 Community Service                   18a   12   N   Must be = or > 0
           Contribution Credit, nonrefundable
           amount
New   0150 K-60 Community Service                   18b   12   N   Must be = or > 0
           Contribution Credit, refundable
           amount
New   0155 K-62 Alternative-Fuel Tax Credit,        19a   12   N   Must be = or > 0
           nonrefundable amount
New   0160 K-64 Business Machinery and              20a   12   N   Must be = or > 0
           Equipment Credit, nonrefundable
           amount
New   0165 K-64 Business Machinery and              20b   12   N   Must be = or > 0
           Equipment Credit, refundable
           amount
New   0170 K-67 Carryback of Net Operating          21a   12   N   Must be = or > 0
           Farm Loss Refund, nonrefundable
           amount
New   0175 K-67 Carryback of Net Operating          21b   12   N   Must be = or > 0
           Farm Loss Refund, refundable
           amount
New   0180 K-68 Individual Development              22a   12   N   Must be = or > 0
           Account Credit, nonrefundable
           amount
New   0185 K-68 Individual Development              22b   12   N   Must be = or > 0
           Account Credit, refundable amount

New   0190 K-72 Kansas Law Enforcement              23a   12   N   Must be = or > 0
           Training Center Credit,
           nonrefundable
New   0195 Petroleum Refinery Credit,               24a   12   N   Must be = or > 0
           nonrefundable amount
New   0200 K-75 Historic Site Contribution          25a   12   N   Must be = or > 0
           Credit, nonrefundable amount
New   0205 K-75 Historic Site Contribution          25b   12   N   Must be = or > 0
           Credit, refundable amount
New   0210 K-76 Single City Port Authority,         26a   12   N   Must be = or > 0
           nonrefundable amount
New   0215 K-77 Qualifying Pipeline Credit,         27a   12   N   Must be = or > 0
           nonrefundable amount
New   0220 K-78 Nitrogen Fertilizer Plant Credit,   28a   12   N   Must be = or > 0
           nonrefundable amount
New   0225 K-79 BioMass-to-Energy Plant             29a   12   N   Must be = or > 0
           Credit, nonrefundable amount
New   0230 K-80 Integrated Coal Gassification       30a   12   N   Must be = or > 0
           Power Plant Credit, nonrefundable
           amount
New   0235 K-81 Environmental Compliance            31a   12   N   Must be = or > 0
           Credit, nonrefundable amount

New   0240 K-82 Storage and Blending                32a   12   N   Must be = or > 0
           Equipment Credit, nonrefundable
           amount




                                                                                      34
New   0245 K-83 Electric Cogeneration Facility      33a   12   N    Must be = or > 0
           Credit, nonrefundable amount

New   0250 K-84 Technical and Community             34a   12   N    Must be = or > 0
           College Deferred Maintenance
           Credit, nonrefundable amount
New   0255 K-84 Technical and Community             34b   12   N    Must be = or > 0
           College Deferred Maintenance
           Credit, refundable amount
New   0260 K-85 University Deferred                 35a   12   N    Must be = or > 0
           Maintenance Credit, nonrefundable
           amount
New   0265 K-87 Declared Disaster Capital           36a   12   N    Must be = or > 0
           Investment, nonrefundable amount

New   0270 K-87 Declared Disaster Capital      36b        12   N    Must be = or > 0
           Investment, refundable amount
New   0275 Total Credits, nonrefundable column 37a        12   N    Add lines 1 through 36 for column (a) and
                                                                    enter this amount on line 15 of K-40

New   0280 Total Credits, refundable column         37b   12   N    Add lines 1 through 36 for column (b) and
                                                                    enter this amount on line 15 of K-40

             Record Terminus                              1         "$"
             K-34 Kansas Business and Job
             Development Credit
             Byte Count                                   4         "nnnn"
             Start of Record Sentinel                     4         "!!!!"
      0000   Record ID Type                               6    AN   "STbbbb"
      0001   Form Number                                  6    AN   "FRMK34"
      0002   Page Number                                  5    AN   "PG01b"
      0003   Taxpayer Identification Number               9    N    Primary SSN. Must match federal return.
      0004   Filler                                       1         blank
      0005   Form/Schedule Number                         7    N    "0000001" to "0000025"
      0020   Taxable Year Beginning Date                  8    N    YYYYMMDD
      0025   Taxable Year Ending Date                     8    N    YYYYMMDD
      0030   Primary Taxpayer Last Name                   35   AN   Last Name as entered on K40.
      0035   Name of Partnership, S Corp, LLC or          35   AN   If pass-through credit, enter name of where
             LLP                                                    credit is passing from
      0040   EIN                                          9    N
      0045   Name of legal entity making investment 1     35   AN

      0050 EIN of legal entity making investment    1     9    N
      0055 Street Address of qualified business     2a    35   AN   Required
           facility
      0060 City of qualified business facility      2b    22   AN   Required
      0065 County Number of qualified business      2b    3    N    Required
           facility
      0070 County Name of qualified business        2b    35   AN   Required
           facility
      0075 NAICS of qualified business facility     2c    6    AN
      0080 SIC of qualified business facility       2d    4    AN
      0085 Date operation began at this qualified   3     8    N    YYYYMMDD
           business facility
      0090 Type of business activity conducted at   4     1    N    Required :
           this facility                                            1=Retail or Service
                                                                    2=Manufacturer
                                                                    3=Contractor-retailer
                                                                    4=Contractor-nonmanufacturer
                                                                    5=Nonmanufacturer-regular
                                                                    6=Nonmanufacturer-business headquarters
                                                                    7=Nonmanufacturer-ancillary support
                                                                    8=Nonmanufacturer-SIC



                                                                                                            35
0095 Nonmanufacturer- SIC Number                  4       1     N    If #8 is chosen above, select type of SIC:
                                                                     1=Nonmanufacturer-SIC 5961
                                                                     2=Nonmanufacturer-SIC 7372
                                                                     3=Nonmanufacturer-SIC 7948-0201

0100 Type of qualified investment made at         5       1     N    1=New facility
     this facility                                                   2=Investment of expansion of existing facility
                                                                     3=Move from old Kansas location to new
                                                                     Kansas location
                                                                     4=Move from out-of-state to new location in
                                                                     Kansas
                                                                     5=Other
                                                                     6=No new investment (for computing credits)

0105 Explanation of Type of qualified             5a      50    AN   If #5 (other) is chosen on Line 5, explain type
     investment made at this facility                                of qualified investment

0110 Date of investment made during tax           6       8     N    YYYYMMDD, ENTER ONLY ONE DATE, IF
     year for qualified business facility                            MORE THAN ONE DATE ENTER LATEST
                                                                     DATE. DO NOT USE WORDS "VARIOUS"
0115 Description of investment made at            7       100   AN
     qualified business
0120 Number of qualified business facility        8a, a   12    N
     employees, Retail or Service
0125 Number of qualified business facility        8a, b   12    N
     employees, Manufacturer/
     Nonmanufacturer
0130 Total Kansas payroll for employees           8b, a   12    N
     identified on line 8a, Retail or Service

0135 Total Kansas payroll for employees           8b, a   12    N
     identified on line 8a,
     Manufacturer/Nonmanufacturer
0140 Qualified business facility employee         9a      12    N
     credit, Retail or Service
0145 Qualified business facility employee         9b      12    N
     credit, Manufacturer/ Nonmanufacturer

0150 Qualified business facility investment:      10a     12    N
     Retail or Service
0155 Qualified business facility investment,      10b     12    N
     Manufacturer/ Nonmanufacturer

0160 Qualified business facility credit factor:   11a     12    N
     Retail or Service
0165 Qualified business facility credit factor,   11b     12    N
     Manufacturer/ Nonmanufacturer

0170 Qualified business facility investment       12a     12    N
     credit, Retail or Service
0175 Qualified business facility investment       12b     12    N
     credit, Manufacturer/ Nonmanufacturer

0180 Total, Retail or Service                     13a     12    N
0185 Total, Manufacturer/ Nonmanufacturer         13b     12    N

0190 Amount of credit used, Manufacturer/         14b     12    N
     Nonmanufacturer
0195 Carry forward amount, Manufacturer/          15b     12    N
     Nonmanufacturer
0200 Qualified business facility income,          16a     12    N
     Retail or Service
0205 Defer this credit to another tax year        16b     1     AN   Y=Yes
                                                                     N=No



                                                                                                               36
0210 Year of credit deferral                    16b    4    N    If 16b is Yes, enter year to defer (not to
                                                                 exceed 3 years). YYYY
0215 Tax on qualified business facility         17a    12   N
     income, Retail or Service
0220 Business and job credit limitation         18a    12   N    50% of Line 17
0225 Business and job development credit        19a    12   N    amount of business credit (total)

0230 Ownership Percentage, Retail or            20a    7    N    Enter percentage that represents proportionate
     Service                                                     ownership share. Round percentage to the 4th
                                                                 decimal point. Do not enter the decimal. If
                                                                 sole owner, enter 1000000. If 75.1234%
                                                                 ownership, enter 0751234


0235 Ownership Percentage, Manufacturer/        20b    7    N    Enter percentage that represents proportionate
     Nonmanufacturer                                             ownership share. Round percentage to the 4th
                                                                 decimal point. Do not enter the decimal. If
                                                                 sole owner, enter 1000000. If 75.1234%
                                                                 ownership, enter 0751234


0240 Shareholder or partner amount of           21a    12   N
     credit, Retail or Service
0245 Shareholder or partner amount of           21b    12   N
     credit, Manufacturer/ Nonmanufacturer

0250 Shareholder or partner Kansas tax        22a      12   N
     liability, Retail or Service
0255 Shareholder or partner Kansas tax        22b      12   N
     liability, Manufacturer/ Nonmanufacturer

0260 Amount of credit used, Retail or Service 23a      12   N    Enter on line 15 of K-40

0265 Amount of credit used, Manufacturer/       23b    12   N    Enter on line 15 of K-40
     Nonmanufacturer
0270 Carry forward amount, Manufacturer/        24b    12   N
     Nonmanufacturer
0275 Total Employment in the state of           A, a   12   N
     Kansas, Retail or Service
0280 Total Employment in the state of           A, b   12   N
     Kansas, Manufacturer/Nonmanufacturer

0285 Total payroll in the state of Kansas,      B, a   12   N
     Retail or Service
0290 Total payroll in the state of Kansas,      B, b   12   N
     Manufacturer/Nonmanufacturer
     * K-34 Parts C&D are not required to
     be sent in with the K-40 and are not
     supported through e-file at this time.
     We will require this information as part
     of the KS Corporate return. Exception:
     If filing Sch C, taxpayer will need to
     provide Sch C and K34 Parts C&D by
     mail for fax to the Department.


       Record Terminus                                 1         "$"
       K-35 Historic Preservation Credit

       Byte Count                                      4         "nnnn"
       Start of Record Sentinel                        4         "!!!!"
0000   Record ID Type                                  6    AN   "STbbbb"
0001   Form Number                                     6    AN   "FRMK35"
0002   Page Number                                     5    AN   "PG01b"
0003   Taxpayer Identification Number                  9    N    Primary SSN. Must match federal return.
0004   Filler                                          1         blank
0005   Form/Schedule Number                            7    N    "0000001" to "0000025"

                                                                                                              37
               0020 Taxable Year Beginning Date                             8    N    YYYYMMDD
               0025 Taxable Year Ending Date                                8    N    YYYYMMDD
               0030 Primary Taxpayer Last Name                              35   AN   Last Name as entered on K40.
               0035 Name of Partnership, S Corp, LLC or                     35   AN   If pass-through credit, enter name of where
                    LLP                                                               credit is passing from
               0040 EIN                                                     9    N
NEW            0045 Certificate ID Number                         Part A    12   AN   New: Required Certificate ID Number that
                                                                                      applicant receives from Ks DOR website
                                                                                      prior to filing
Changed        0050 Historic Structure Project Number             Part A    8    N
Field number

Changed        0055 Name of Historic Property                     Part A    35   AN
Field number

Changed        0060 Street Address of Historic Property           Part A    35   AN
Field number

Changed        0065 City of Historic Property                     Part A    22   AN
Field number

Changed        0070 State                                         Part A    2    AN
Field number

Changed        0075 Zip                                           Part A    9    N    no hyphen
Field number

Changed        0080 Project start date                            Part B    8    N    YYYYMMDD
Line Number

Changed        0085 Project completion date                       Part B    8    N    YYYYMMDD
Line Number

Changed        0090 Is an acquired credit being claimed?          Part B    1    AN   Y=Yes
Field and                                                                             N=No
Line Number

Changed        0095 Total Costs incurred to rehabilitate the      Part C,   12   N    Must be = or > $5,000
Field number        historic structure                            Line 1

Changed        0100 Credit percentage allowed                     Part C,   7    N    Either 25% or 30%, see detailed instructions
Field number                                                      Line 2              on form for applicable percentage. Should be
                                                                                      entered as 0250000 or 0300000.

               0105 Total credit available for this project       Part C,   12   N    Multiply line 1 by line 2.
                                                                  Line 3
               0110 Ownership Percentage                          Part C,   7    N    Enter percentage that represents proportionate
                                                                  Line 4              ownership share. Round percentage to the 4th
                                                                                      decimal point. Do not enter the decimal. If
                                                                                      sole owner, enter 1000000. If 75.1234%
                                                                                      ownership, enter 0751234


               0115 Credit available to this return               Part C,   12   N    Multiply line 3 by line 4
                                                                  Line 5
               0120 Amount of carry forward from prior            Part D,   12   N
                    year's Sch K-35                               Line 6
               0125 Total credit available this tax year          Part D,   12   N    Add lines 5 and 6
                                                                  Line 7
               0130 Total tax liability for this tax year after   Part D,   12   N
                    all credits other than this credit            Line 8
               0135 Credit this tax year                          Part D,   12   N    Lesser of lines 7 or 8. Enter this amount on
                                                                  Line 9              line 15 of K-40.
               0140 Credit Carry forward                          Part E,   12   N    Use if line 9 is less than line 7. Subtract line 9
                                                                  Line 10             from line 7.

                                                                                                                                  38
       Record Terminus                                   1         "$"
       K-36 Kansas Telecommunications &
       Railroad Credit

       Byte Count                                        4         "nnnn"
       Start of Record Sentinel                          4         "!!!!"
0000   Record ID Type                                    6    AN   "STbbbb"
0001   Form Number                                       6    AN   "FRMK36"
0002   Page Number                                       5    AN   "PG01b"
0003   Taxpayer Identification Number                    9    N    Primary SSN. Must match federal return.
0004   Filler                                            1         blank
0005   Form/Schedule Number                              7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                       8    N    YYYYMMDD
0025   Taxable Year Ending Date                          8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                        35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or               35   AN   If pass-through credit, enter name of where
       LLP                                                         credit is passing from
0040   EIN                                               9    N    If pass-through credit, enter EIN of where
                                                                   credit is passing from
0045 Prior tax year: PVD ID#                   Part A,   5    AN   Enter property valuation ID number
                                               col a
0050 Prior tax year: Credit available from     Part A,   12   N
     PVD Form TC-100                           col b
0055 Prior tax year: Amount of column (b)      Part A,   12   N    Do not include any filing penalties.
     paid this year and available for credit   Col c

0060 Prior tax year: Date paid                 Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col d               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0065 Current tax year: PVD ID#               Part A,     5    AN   Enter property valuation ID number
                                             col a
0070 Current tax year: Credit available from Part A,     12   N
     PVD Form TC-100                         col b
0075 Current tax year: Amount of column (b) Part A,      12   N    Do not include any filing penalties.
     paid this year and available for credit Col c

0080 Current tax year: Date paid               Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col d               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0085 Total Tax Paid, Total of column c         Part A    12   N    Add amounts Part A, column c
0090 Prior tax year: PVD ID#                   Part B,   5    AN   Enter property valuation ID number
                                               col a
0095 Prior tax year: Credit available from     Part B,   12   N
     PVD Form RC-100                           col b
0100 Prior tax year: Amount of column (b)      Part B,   12   N    Do not include any filing penalties.
     paid this year and available for credit   Col c

0105 Prior tax year: Date paid                 Part B,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col d               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0110 Current tax year: PVD ID#               Part B,     5    AN   Enter property valuation ID number
                                             col a
0115 Current tax year: Credit available from Part B,     12   N
     PVD Form RC-100                         col b
0120 Current tax year: Amount of column (b) Part B,      12   N    Do not include any filing penalties.
     paid this year and available for credit Col c

0125 Current tax year: Date paid               Part B,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col d               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0130 Total Tax Paid, Total of column c         Part B    12   N    Add amounts Part B, column c
0135 Totals from Column C's.                   Part C,   12   N    Total of fields 0085 and 0130.
                                               Line 1



                                                                                                           39
0140 Ownership Percentage                        Part C,      7    N    Enter percentage that represents proportionate
                                                 Line 2                 ownership share. Round percentage to the 4th
                                                                        decimal point. Do not enter the decimal. If
                                                                        sole owner, enter 1000000. If 75.1234%
                                                                        ownership, enter 0751234


0145 Total credit available                      Part C,      12   N    Multiply line 1 by line 2
                                                 Line 3a
0150 Amount of tax liability for this tax year   Part C,      12   N
     to be applied against this credt            Line 4
0155 Credit this tax year                        Part C,      12   N    Lesser of lines 3b or 4. Enter amount on line
                                                 Line 5                 15 of K-40.
0160 Refund amount                               Part D,      12   N    Subtract line 5 from line 3b, enter amount on
                                                 Line 6                 line 24 of K-40.
0165 Total credit available reduced              Part C,      12   N    Multiply the amount on line 3a by 90%
                                                 Line 3b
       Record Terminus                                        1         "$"
       K-37 Kansas Disabled Access Credit

       Byte Count                                             4         "nnnn"
       Start of Record Sentinel                               4         "!!!!"
0000   Record ID Type                                         6    AN   "STbbbb"
0001   Form Number                                            6    AN   "FRMK37"
0002   Page Number                                            5    AN   "PG01b"
0003   Taxpayer Identification Number                         9    N    Primary SSN. Must match federal return.
0004   Filler                                                 1         blank
0005   Form/Schedule Number                                   7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                            8    N    YYYYMMDD
0025   Taxable Year Ending Date                               8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                             35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or                    35   AN   If pass-through credit, enter name of where
       LLP                                                              credit is passing from
0040   EIN                                                    9    N
0045   Alterations in compliance with ADA        1            1    AN   Y= Yes (Alterations are in compliance with the
                                                                        American with Disabilities Act of 1990).
                                                                        N=No (not eligible for credit)

0050   Street Address of Alterations             2            35   AN
0055   City                                      2            22   AN
0060   Date alterations were completed           3            8    N    YYYYMMDD
0065   Type of Residence                         4            1    N    1=Personal residence
                                                                        2=Residence of a lineal ancestor or offspring

0070   Tax year-Qualified Year                   5, Col 1     4    N    YYYY
0075   Tax year-Carry Fwd Year                   5, Col 2     4    N    YYYY
0080   Tax year-Carry Fwd Year                   5, Col 3     4    N    YYYY
0085   Tax year-Carry Fwd Year                   5, Col 4     4    N    YYYY
0090   Amount of expenditures                    6            12   N
0095   Percentage of expenditures                7            7    N    Enter percentage that represents proportionate
                                                                        ownership share. Round percentage to the 4th
                                                                        decimal point. Do not enter the decimal. If
                                                                        sole owner, enter 1000000. If 75.1234%
                                                                        ownership, enter 0751234


0100   Allowable expenditures                    8            12   N    Multiple line 6 by line 7
0105   Credit limit, reduced                     9b           12   N    Line 9a X 90%
0110   Carry Forward from prior year K-37        10, Col 2    12   N    Line 18 from prior year X 90%
0115   Carry Forward from prior year K-37        10, Col 3    12   N    Line 18 from prior year X 90%
0120   Carry Forward from prior year K-37        10, Col 4    12   N    Line 18 from prior year X 90%
0125   Tax liability, reduced                    11b, Col 1   12   N    Line 11a X 90%

0130 Tax liability, reduced                      11b, Col 2 12     N    Line 11a X 90%




                                                                                                                40
0135 Tax liability, reduced                        11b, Col 3 12    N    Line 11a X 90%

0140 Tax liability, reduced                        11b, Col 4 12    N    Line 11a X 90%

0145   Credit used in this tax period              12, Col 1   12   N    Line 10 or 11 whichever is less
0150   Credit used in this tax period              12, Col 2   12   N    Line 10 or 11 whichever is less
0155   Credit used in this tax period              12, Col 3   12   N    Line 10 or 11 whichever is less
0160   Credit used in this tax period              12, Col 4   12   N    Line 10 or 11 whichever is less
0165   Refundable portion of credit                13, Col 1   12   N    Subtract line 11 from line 8
0170   Refundable portion of credit                13, Col 2   12   N    Subtract line 11 from line 8
0175   Refundable portion of credit                13, Col 3   12   N    Subtract line 11 from line 8
0180   Refundable portion of credit                13, Col 4   12   N    Subtract line 11 from line 8
0185   If 1st yr amount from line 9, otherwise     14, Col 1   12   N
       amount from line 11
0190   If 1st yr amount from line 9, otherwise     14, Col 2   12   N
       amount from line 11
0195   If 1st yr amount from line 9, otherwise     14, Col 3   12   N
       amount from line 11
0200   If 1st yr amount from line 9, otherwise     14, Col 4   12   N
       amount from line 11
0205   Refundable percentage                       16, Col 1   12   N    Multiply line 14 by 25%
0210   Refundable percentage                       16, Col 2   12   N    Multiply line 14 by 33%
0215   Refundable percentage                       16, Col 3   12   N    Multiply line 14 by 50%
0220   Refundable percentage                       16, Col 4   12   N    Multiply line 14 by 100%
0225   Refund                                      17, Col 1   12   N    Subtract line 11b from line 16. Cannot be less
                                                                         than zero.
0230 Refund                                        17, Col 2   12   N    Subtract line 11b from line 16. Cannot be less
                                                                         than zero.
0235 Refund                                        17, Col 3   12   N    Subtract line 11b from line 16. Cannot be less
                                                                         than zero.
0240 Refund                                        17, Col 4   12   N    Subtract line 11b from line 16. Cannot be less
                                                                         than zero.
0245 Carry Forward                                 18, Col 1   12   N    Add line 11a + line 17, then subtract from line
                                                                         9a
0250 Carry Forward                                 18, Col 2   12   N    Add line 11a + line 17, then subtract from line
                                                                         9a
0255 Carry Forward                                 18, Col 3   12   N    Add line 11a + line 17, then subtract from line
                                                                         9a
0260 Carry Forward                                 18, Col 4   12   N    Add line 11a + line 17, then subtract from line
                                                                         9a
0265 Expenditures attributable to removal or       19a         12   N
     equivalent facilitation of an existing
     architectural barrier
0270 All or any portion of existing facility has   19b         1    AN   Y=Yes
     been made accessible to individuals                                 N=No
     with a disability
0275 Expenditures attributable to                  20a         12   N
     modification or adaptation of an
     existing facility in order to employ
     individuals with a disability
0280 Existing facility or piece of equipment       20b         1    AN   Y=Yes
     has been modified to employ                                         N=No
     individuals with a disability
0285   Total costs incurred                        21          12   N    sum of lines 19a and 20a
0290   50% of expenditures                         22          12   N    50% of line 21
0295   Tax Year - Qualified Year                   23, Col 1   4    N    YYYY
0300   Tax Year - Carry Fwd Year                   23, Col 2   4    N    YYYY
0305   Tax Year - Carry Fwd Year                   23, Col 3   4    N    YYYY
0310   Tax Year - Carry Fwd Year                   23, Col 4   4    N    YYYY
0315   Tax Year - Carry Fwd Year                   23, Col 5   4    N    YYYY
0320   Credit                                      24          12   N    Lesser of line 22 or $10,000




                                                                                                                  41
0325 Ownership Percentage                        25           7    N    Enter percentage that represents proportionate
                                                                        ownership share. Round percentage to the 4th
                                                                        decimal point. Do not enter the decimal. If
                                                                        sole owner, enter 1000000. If 75.1234%
                                                                        ownership, enter 0751234


0330   Share of credit                           26           12   N    Multiply line 24 by line 25
0335   Carry forward - Qualified Year            27, Col 1    12   N
0340   Carry forward - Carry Fwd Year            27, Col 2    12   N
0345   Carry forward - Carry Fwd Year            27, Col 3    12   N
0350   Carry forward - Carry Fwd Year            27, Col 4    12   N
0355   Carry forward - Carry Fwd Year            27, Col 5    12   N
0360   Total credit available, reduced           28b, Col 1   12   N    Line 28a X 90%

0365 Total credit available, reduced             28b, Col 2 12     N    Line 28a X 90%

0370 Total credit available, reduced             28b, Col 3 12     N    Line 28a X 90%

0375 Total credit available, reduced             28b, Col 4 12     N    Line 28a X 90%

0380 Total credit available, reduced             28b, Col 5 12     N    Line 28a X 90%

0385 Tax liability, reduced                      29b, Col 1 12     N    Line 29a X 90%

0390 Tax liability, reduced                      29b, Col 2 12     N    Line 29a X 90%

0395 Tax liability, reduced                      29b, Col 3 12     N    Line 29a X 90%

0400 Tax liability, reduced                      29b, Col 4 12     N    Line 29a X 90%

0405 Tax liability, reduced                      29b, Col 5 12     N    Line 29a X 90%

0410   Amount of credit this year                30, Col 1    12   N    Lesser of lines 28b or 29b
0415   Amount of credit this year                30, Col 2    12   N    Lesser of lines 28b or 29b
0420   Amount of credit this year                30, Col 3    12   N    Lesser of lines 28b or 29b
0425   Amount of credit this year                30, Col 4    12   N    Lesser of lines 28b or 29b
0430   Amount of credit this year                30, Col 5    12   N    Lesser of lines 28b or 29b
0435   Carry forward to next year                31, Col 1    12   N    Subtract line 29a from line 28a
0440   Carry forward to next year                31, Col 2    12   N    Subtract line 29a from line 28a
0445   Carry forward to next year                31, Col 3    12   N    Subtract line 29a from line 28a
0450   Carry forward to next year                31, Col 4    12   N    Subtract line 29a from line 28a
0455   Carry forward to next year                31, Col 5    12   N    Subtract line 29a from line 28a
0460   Depreciation claimed on capitalized       32           12   N
       expenditures deducted on federal return

0465 Attributable expenses deducted on           33           12   N
     federal return
0470 Total expenses                              34           12   N    Enter this amount on line A5 of Sch S. (Must
                                                                        be added back in each subsequent year the
                                                                        entity files a Kansas return)
0475   Lesser of Credit on line 8 or $9,000      9a           12   N
0480   Tax liability for current year            11a          12   N
0485   Total credit                              28a          12   N    lines 26 plus 27
0490   Tax liability for this year               29a          12   N
       Record Terminus                                        1         "$"
       K-47 Kansas Adoption Credit
       Byte Count                                             4         "nnnn"
       Start of Record Sentinel                               4         "!!!!"
0000   Record ID Type                                         6    AN   "STbbbb"
0001   Form Number                                            6    AN   "FRMK47"
0002   Page Number                                            5    AN   "PG01b"
0003   Taxpayer Identification Number                         9    N    Primary SSN. Must match federal return.
0004   Filler                                                 1         blank
0005   Form/Schedule Number                                   7    N    "0000001" to "0000025"

                                                                                                               42
           0020   Taxable Year Beginning Date                     8    N    YYYYMMDD
           0025   Taxable Year Ending Date                        8    N    YYYYMMDD
           0030   Primary Taxpayer Last Name                      35   AN   Last Name as entered on K40.
           0035   Federal Adoption Credit                1        12   N    Fed credit allowed this tax year
New                                    One of the next 3 fields must be sent as Y:
business
rule
           0040 25% Checkbox                             2        1    AN   Y=Yes: adopted child was NOT a KS resident
                                                                            prior to adoption, N=No
           0045 50% Checkbox                             2        1    AN   Y=Yes: adopted child WAS a KS resident prior
                                                                            to adoption, N=No
           0050 75% Checkbox                             2        1    AN   Y=Yes: adopted child was BOTH a KS
                                                                            resident prior to adoption AND a "child with
                                                                            special needs", N=No
           0055 Credit percentage allowed                2        12   N    Multiply Line 1 by qualifying percentage
           0060 Special needs/SRS Custody Adoption       3        12   N    Multiply number of qualifying children adopted
                Credit                                                      by $1,500
           0065 Credit Forward from prior year           4        12   N    Amount from Line 8 of prior yr K-47, enter zero
                                                                            if first year to claim credit
           0070 Total credit available this tax year     5a       12   N    Add lines 2, 3 and 4.
           0075 Tax liability                            6a       12   N    Enter the amount of your Kansas tax liability
                                                                            for this tax year to be applied against this
                                                                            credit.
Changed    0080 Adoption credit for this tax year        7        12   N    Lesser of line 5b or 6b. Enter on line 15 of K-
business                                                                    40. If line 7 is less than line 5a, complete
rule                                                                        line 8.
           0085 Credit Carry Forward                     8        12   N    Subtract line 6a from line 5a. Enter this
                                                                            amount on next year's K-47.
           0090 Total credit available this tax year,    5b       12   N    Multiply the amount on line 5a by 90%
                reduced
           0095 Tax liability, reduced                   6b       12   N    Multiply the amount on line 6a by 90%
New        0100 Adopted child's first and last name      Header   40   AN   Enter the first and last name of adopted
                                                                            child
New        0105 Adopted child's SSN                      Header   9    N    Enter the SSN of adopted child
                Record Terminus                                   1         "$"
                K-53 Research and Development
                Credit
                Byte Count                                        4         "nnnn"
                Start of Record Sentinel                          4         "!!!!"
           0000 Record ID Type                                    6    AN   "STbbbb"
           0001 Form Number                                       6    AN   "FRMK53"
           0002 Page Number                                       5    AN   "PG01b"
           0003 Taxpayer Identification Number                    9    N    Primary SSN. Must match federal return.
           0004 Filler                                            1         blank
           0005 Form/Schedule Number                              7    N    "0000001" to "0000025"
           0020 Taxable Year Beginning Date                       8    N    YYYYMMDD
           0025 Taxable Year Ending Date                          8    N    YYYYMMDD
           0030 Primary Taxpayer Last Name                        35   AN   Last Name as entered on K40.
           0035 Name of Partnership, S Corp, LLC or               35   AN   If pass-through credit, enter name of where
                LLP                                                         credit is passing from
           0040 EIN                                               9    N
           0045 Research and Development                 1        12   N
                expenditures for current year
           0050 Type of Research and Development         1        1    AN   Y=Yes
                expenditures: Machinery & Equipment                         N=No

           0055 Type of Research and Development          1       1    AN   Y=Yes
                expenditures: Payroll                                       N=No
           0060 Type of Research and Development          1       1    AN   Y=Yes
                expenditures: Other                                         N=No
           0065 Research and Development                  2a      12   N
                expenditures for first preceding tax year




                                                                                                                     43
0070 Research and Development                    2b    12   N
     expenditures for second preceding tax
     year
0075 Total                                       3     12   N   Add lines 1, 2a and 2b(if applicable)
0080 Average expenditure                         4     12   N   Divide line 3 by 3
0085 Amount of expenditures for credit           5     12   N   Subtract line 4 from line 1, if line 1 is < or = to
                                                                0, enter 0
0090 Total research and development credit       6     12   N   Multiply line 5 by 6.5% (.065)

0095 Maximum allowable credit                    7     12   N   Multiply line 6 by 25%
0100 Ownership Percentage                        8     7    N   Enter percentage that represents proportionate
                                                                ownership share. Round percentage to the 4th
                                                                decimal point. Do not enter the decimal. If
                                                                sole owner, enter 1000000. If 75.1234%
                                                                ownership, enter 0751234


0105 Share of amount expended this year          9a    12   N   Multiply line 7 by line 8

0110 Tax liability for current taxable year to   10a   12   N
     be applied against this credit
0115 Total credit available this tax year        11    12   N   Lessor of line 9b or line 10b
0120 Amount of carryforward allowable            12    12   N   Multiply line 6 by percentage on line 8, then
                                                                subtract line 11.
0125 Year end date of original Sch K-53 for      13a   8    N   YYYYMMDD
     which a carryover is being claimed

0130 Amount of carryover from original Sch       14a   12   N
     K-53 for the year shown on line 13

0135 Amount of line 14 previously used as a      15a   12   N
     credit
0140 Year credit was used                        16a   4    N   YYYY
0145 Year credit was used                        16a   4    N   YYYY (if applicable, otherwise blank)
0150 Year credit was used                        16a   4    N   YYYY (if applicable, otherwise blank)
0155 Amount of carryforward remaining            17a   12   N   Subtract line 15 from line 14
 160 Maximum credit allowable in any one         18a   12   N
     year from the original Sch K-53 for the
     year on line 13
0165 Amount of carryforward available to this 19a      12   N   Lessor of line 17 or line 18
     return
0170 Year end date of original Sch K-53 for   13b      8    N   YYYYMMDD
     which a carryover is being claimed

0175 Amount of carryover from original Sch       14b   12   N
     K-53 for the year shown on line 13

0180 Amount of line 14 previously used as a      15b   12   N
     credit
0185 Year credit was used                        16b   4    N   YYYY
0190 Year credit was used                        16b   4    N   YYYY (if applicable, otherwise blank)
0195 Year credit was used                        16b   4    N   YYYY (if applicable, otherwise blank)
0200 Amount of carryforward remaining            17b   12   N   Subtract line 15 from line 14
0205 Maximum credit allowable in any one         18b   12   N
     year from the original Sch K-53 for the
     year on line 13
0210 Amount of carryforward available to this 19b      12   N   Lessor of line 17 or line 18
     return
0215 Year end date of original Sch K-53 for   13c      8    N   YYYYMMDD
     which a carryover is being claimed

0220 Amount of carryover from original Sch       14c   12   N
     K-53 for the year shown on line 13




                                                                                                             44
0225 Amount of line 14 previously used as a     15c   12   N
     credit
0230 Year credit was used                       16c   4    N    YYYY
0235 Year credit was used                       16c   4    N    YYYY (if applicable, otherwise blank)
0240 Year credit was used                       16c   4    N    YYYY (if applicable, otherwise blank)
0245 Amount of carryforward remaining           17c   12   N    Subtract line 15 from line 14
0250 Maximum credit allowable in any one        18c   12   N
     year from the original Sch K-53 for the
     year on line 13
0255 Amount of carryforward available to this 19c     12   N    Lessor of line 17 or line 18
     return
0260 Year end date of original Sch K-53 for   13d     8    N    YYYYMMDD
     which a carryover is being claimed

0265 Amount of carryover from original Sch      14d   12   N
     K-53 for the year shown on line 13

0270 Amount of line 14 previously used as a     15d   12   N
     credit
0275 Year credit was used                       16d   4    N    YYYY
0280 Year credit was used                       16d   4    N    YYYY (if applicable, otherwise blank)
0285 Year credit was used                       16d   4    N    YYYY (if applicable, otherwise blank)
0290 Amount of carryforward remaining           17d   12   N    Subtract line 15 from line 14
0295 Maximum credit allowable in any one        18d   12   N
     year from the original Sch K-53 for the
     year on line 13
0300 Amount of carryforward available to this 19d     12   N    Lessor of line 17 or line 18
     return
0305 Total amount of carryforward available 20a       12   N    Total of line 19 from all prior years
     to this return
0310 Amount of tax liability for current      21a     12   N
     taxable year to be applied against this
     tax credit
0315 Computation of total credit claimed this   22    12   N    Lesser of sum of lines 11 and 20b or line 21b.
     tax year                                                   Enter amount on Line 15 of K40.
0320 Share of amount expended this year,        9b    12   N    Multiply amount on line 9a by 90%
     Reduced
0325 Tax liability reduced                      10b   12   N    Multiply amount on line 10a by 90%
0330 Total amount of carryforward available     20b   12   N    Multiply line 20a by 90%
     to this return, Reduced
0335 Amount of tax liability for current        21b   12   N    Multiply line 21a by 90%
     taxable year to be applied against this
     tax credit, Reduced
       Record Terminus                                1         "$"
       K-57 Kansas Small Employer Health
       Insurance Contribution Credit

       Byte Count                                     4         "nnnn"
       Start of Record Sentinel                       4         "!!!!"
0000   Record ID Type                                 6    AN   "STbbbb"
0001   Form Number                                    6    AN   "FRMK57"
0002   Page Number                                    5    AN   "PG01b"
0003   Taxpayer Identification Number                 9    N    Primary SSN. Must match federal return.
0004   Filler                                         1         blank
0005   Form/Schedule Number                           7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                    8    N    YYYYMMDD
0025   Taxable Year Ending Date                       8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                     35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or            35   AN   If pass-through credit, enter name of where
       LLP                                                      credit is passing from
0040   EIN                                            9    N
0045   Date began participation in this plan          8    N    YYYYMMDD




                                                                                                        45
0050 If plan began on or after 1/1/05, Did                1    AN   Y=Yes. If yes, taxpayer does not qualify for
     this employer contribute to any health                         this credit.
     insurance premium on behalf of an                              N=No.
     employee who is to be covered by the                           Leave Blank for plans started prior to Jan 1,
     employer’s contribution within the                             2005.
     preceding two years of the effective
     date of the employer’s small employer
     health benefit plan?


0055 1st month Number of eligible             Sch 1, 1a 6      N    Use Sch 1 if employer established plan after
     employees                                                      12/31/04.
0060 1st month amount, first 12 months        Sch 1, 1b 12     N    Multiply number in column (a) by the lesser of
                                                                    $70 or the actual amount paid per employee.

0065 1st month amount, next 12 months         Sch 1, 1c   12   N    Multiply number in column (a) by the lesser of
                                                                    $50 or the actual amount paid per employee.

0066 1st month amount, next 12 months         Sch 1, 1d 12     N    Multiply number in column (a) by the lesser of
                                                                    $35 or the actual amount paid per employee.

0070 2nd month Number of eligible             Sch 1, 2a 6      N
     employees
0075 2nd month amount, first 12 months        Sch 1, 2b 12     N    Multiply number in column (a) by the lesser of
                                                                    $70 or the actual amount paid per employee.

0080 2nd month amount, next 12 months         Sch 1, 2c   12   N    Multiply number in column (a) by the lesser of
                                                                    $50 or the actual amount paid per employee.

0081 2nd month amount, next 12 months         Sch 1, 2d 12     N    Multiply number in column (a) by the lesser of
                                                                    $35 or the actual amount paid per employee.

0085 3rd month Number of eligible             Sch 1, 3a 6      N
     employees
0090 3rd month amount, first 12 months        Sch 1, 3b 12     N    Multiply number in column (a) by the lesser of
                                                                    $70 or the actual amount paid per employee.

0095 3rd month amount, next 12 months         Sch 1, 3c   12   N    Multiply number in column (a) by the lesser of
                                                                    $50 or the actual amount paid per employee.

0096 3rd month amount, next 12 months         Sch 1, 3d 12     N    Multiply number in column (a) by the lesser of
                                                                    $35 or the actual amount paid per employee.

0100 4th month Number of eligible             Sch 1, 4a 6      N
     employees
0105 4th month amount, first 12 months        Sch 1, 4b 12     N    Multiply number in column (a) by the lesser of
                                                                    $70 or the actual amount paid per employee.

0110 4th month amount, next 12 months         Sch 1, 4c   12   N    Multiply number in column (a) by the lesser of
                                                                    $50 or the actual amount paid per employee.

0111 4th month amount, next 12 months         Sch 1, 4d 12     N    Multiply number in column (a) by the lesser of
                                                                    $35 or the actual amount paid per employee.

0115 5th month Number of eligible             Sch 1, 5a 6      N
     employees
0120 5th month amount, first 12 months        Sch 1, 5b 12     N    Multiply number in column (a) by the lesser of
                                                                    $70 or the actual amount paid per employee.

0125 5th month amount, next 12 months         Sch 1, 5c   12   N    Multiply number in column (a) by the lesser of
                                                                    $50 or the actual amount paid per employee.

0126 5th month amount, next 12 months         Sch 1, 5d 12     N    Multiply number in column (a) by the lesser of
                                                                    $35 or the actual amount paid per employee.



                                                                                                             46
0130 6th month Number of eligible         Sch 1, 6a 6      N
     employees
0135 6th month amount, first 12 months    Sch 1, 6b 12     N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0140 6th month amount, next 12 months     Sch 1, 6c   12   N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.

0141 6th month amount, next 12 months     Sch 1, 6d 12     N   Multiply number in column (a) by the lesser of
                                                               $35 or the actual amount paid per employee.

0145 7th month Number of eligible         Sch 1, 7a 6      N
     employees
0150 7th month amount, first 12 months    Sch 1, 7b 12     N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0155 7th month amount, next 12 months     Sch 1, 7c   12   N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.

0156 7th month amount, next 12 months     Sch 1, 7d 12     N   Multiply number in column (a) by the lesser of
                                                               $35 or the actual amount paid per employee.

0160 8th month Number of eligible         Sch 1, 8a 6      N
     employees
0165 8th month amount, first 12 months    Sch 1, 8b 12     N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0170 8th month amount, next 12 months     Sch 1, 8c   12   N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.

0171 8th month amount, next 12 months     Sch 1, 8d 12     N   Multiply number in column (a) by the lesser of
                                                               $35 or the actual amount paid per employee.

0175 9th month Number of eligible         Sch 1, 9a 6      N
     employees
0180 9th month amount, first 12 months    Sch 1, 9b 12     N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0185 9th month amount, next 12 months     Sch 1, 9c   12   N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.

0186 9th month amount, next 12 months     Sch 1, 9d 12     N   Multiply number in column (a) by the lesser of
                                                               $35 or the actual amount paid per employee.

0190 10th month Number of eligible        Sch 1, 10a 6     N
     employees
0195 10th month amount, first 12 months   Sch 1, 10b 12    N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0200 10th month amount, next 12 months    Sch 1, 10c 12    N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.

0201 10th month amount, next 12 months    Sch 1, 10d 12    N   Multiply number in column (a) by the lesser of
                                                               $35 or the actual amount paid per employee.

0205 11th month Number of eligible        Sch 1, 11a 6     N
     employees
0210 11th month amount, first 12 months   Sch 1, 11b 12    N   Multiply number in column (a) by the lesser of
                                                               $70 or the actual amount paid per employee.

0215 11th month amount, next 12 months    Sch 1, 11c 12    N   Multiply number in column (a) by the lesser of
                                                               $50 or the actual amount paid per employee.




                                                                                                       47
0216 11th month amount, next 12 months    Sch 1, 11d 12   N   Multiply number in column (a) by the lesser of
                                                              $35 or the actual amount paid per employee.

0220 12th month Number of eligible        Sch 1, 12a 6    N
     employees
0225 12th month amount, first 12 months   Sch 1, 12b 12   N   Multiply number in column (a) by the lesser of
                                                              $70 or the actual amount paid per employee.

0230 12th month amount, next 12 months    Sch 1, 12c 12   N   Multiply number in column (a) by the lesser of
                                                              $50 or the actual amount paid per employee.

0231 12th month amount, next 12 months    Sch 1, 12d 12   N   Multiply number in column (a) by the lesser of
                                                              $35 or the actual amount paid per employee.

0235 Total Number of eligible employees   Sch 1, 13a 6    N   Total of Sch 1, Lines 1a-12a

0240 Total amount, first 12 months        Sch 1, 13b 12   N   Total of Sch 1, Lines 1b-12b

0245 Total amount, next 12 months         Sch 1, 13c 12   N   Total of Sch 1, Lines 1c-12c

0246 Total amount, next 12 months         Sch 1, 13d 12   N   Total of Sch 1, Lines 1d-12d

0250 1st month Number of eligible         Sch 2, 1e 6     N   Use Sch 2 if employer established plan prior to
     employees                                                1/1/05.
0255 1st month amount                     Sch 2, 1f 12    N   Multiply 1e by $35
0260 2nd month Number of eligible         Sch 2, 23 6     N
     employees
0265 2nd month amount                     Sch 2, 2f 12    N   Multiply 2e by $35
0270 3rd month Number of eligible         Sch 2, 3e 6     N
     employees
0275 3rd month amount                     Sch 2, 3f 12    N   Multiply 3e by $35
0280 4th month Number of eligible         Sch 2, 4e 6     N
     employees
0285 4th month amount                     Sch 2, 4f 12    N   Multiply 4e by $35
0290 5th month Number of eligible         Sch 2, 5e 6     N
     employees
0295 5th month amount                     Sch 2, 5f 12    N   Multiply 5e by $35
0300 6th month Number of eligible         Sch 2, 6e 6     N
     employees
0305 6th month amount                     Sch 2, 6f 12    N   Multiply 6e by $35
0310 7th month Number of eligible         Sch 2, 7e 6     N
     employees
0315 7th month amount                     Sch 2, 7f 12    N   Multiply 7e by $35
0320 8th month Number of eligible         Sch 2, 8e 6     N
     employees
0325 8th month amount                     Sch 2, 8f 12    N   Multiply 8e by $35
0330 9th month Number of eligible         Sch 2, 9e 6     N
     employees
0335 9th month amount                     Sch 2, 9e 12    N   Multiply 9e by $35
0340 10th month Number of eligible        Sch 2, 10e 6    N
     employees
0345 10th month amount                    Sch 2, 10f 12   N   Multiply 10e by $35

0350 11th month Number of eligible        Sch 2, 11e 6    N
     employees
0355 11th month amount                    Sch 2, 11f 12   N   Multiply 11e by $35

0360 12th month Number of eligible        Sch 2, 12e 6    N
     employees
0365 12th month amount                    Sch 2, 12e 12   N   Multiply 12e by $35

0370 Total Number of eligible employees   Sch 2, 13e 6    N   Total of Sch 2, Lines 1e-12e




                                                                                                      48
0375 Total amount                                Sch 2, 13f 12   N    Total of Sch 2, Lines 1f-12f

0380 Actual expense for the tax period           14        12    N    Complete lines 14-17 if Sch 2 was completed.
                                                                      If Sch 1 was completed, skip to Line 18.

0385 Maximum credit allowed                      15        12    N    Multiply line 14 by 50%
0390 Lesser of line 13 col (b) or line 15        16        12    N
0395 Year of participation                       17        1     N    Required if using Schedule 2:
                                                                      1=1st and 2nd year 100%
                                                                      2=3rd year 75%
                                                                      3=4th year 50%
                                                                      4=5th year 25%
0400 Credit allowable for this tax year          18a       12    N    If Sch 1: enter amount from line 13 col b, c or d
                                                                      If Sch 2: multiply line 16 by the appropriate
                                                                      percentage from line 17


0405 Ownership Percentage                        19        7     N    Enter percentage that represents proportionate
                                                                      ownership share. Round percentage to the 4th
                                                                      decimal point. Do not enter the decimal. If
                                                                      sole owner, enter 1000000. If 75.1234%
                                                                      ownership, enter 0751234


0410 Share of credit for this year's investment 20a        12    N    Multiply line 18a by line 19

0415 Tax liability for this year to be applied   21a       12    N
     against this tax credit
0420 Credit this tax year                        22        12    N    Lesser of lines 20b or 21b. If line 22 is less
                                                                      than line 20b, complete line 23.
0425 Refundable portion of tax credit            23        12    N    Subtract line 22 from line 20b, enter this
                                                                      amount on applicable line of main tax form.
0430 Credit allowable for this tax year,         18b       12    N    Multiply the amount of line 18a by 90%
     reduced
0435 Share of credit for this year's             20b       12    N    Multiply line 20a by 90%
     investment, reduced
0440 Tax liability, Reduced                      21b       12    N    Multiply line 21a by 90%
     Record Terminus                                       1          "$"
     K-59 Kansas High Performance
     Incentive Program Credit
     Byte Count                                            4          "nnnn"
     Start of Record Sentinel                              4          "!!!!"
0000 Record ID Type                                        6     AN   "STbbbb"
0001 Form Number                                           6     AN   "FRMK59"
0002 Page Number                                           5     AN   "PG01b"
0003 Taxpayer Identification Number                        9     N    Primary SSN. Must match federal return.
0004 Filler                                                1          blank
0005 Form/Schedule Number                                  7     N    "0000001" to "0000025"
0020 Taxable Year Beginning Date                           8     N    YYYYMMDD
0025 Taxable Year Ending Date                              8     N    YYYYMMDD
0030 Primary Taxpayer Last Name                            35    AN   Last Name as entered on K40.
0035 Name of Partnership, S Corp, LLC or                   35    AN   If pass-through credit, enter name of where
     LLP                                                              credit is passing from
0040 EIN                                                   9     N
0045 HPIP Certified Period, beginning            1         8     N    YYYYMMDD
0050 HPIP Certified Period, through              1         8     N    YYYYMMDD
0055 HPIP Certification number                   2         9     AN
0060 Total qualified cash investment in          3         12    N
     training and education
0065 Total amount expended for payroll           4         12    N
     during period
0070 Calculation of Line 4                       5         12    N    Multiply line 4 by 2%
0075 Amount of credit subject to limitation      6         12    N    subtract line 5 from line 3
0080 Total credit for amount invested            7         12    N    lesser of line 6 or $50,000



                                                                                                                 49
0085 Ownership percentage                      8        7    N    Enter percentage that represents proportionate
                                                                  ownership share. Round percentage to the 4th
                                                                  decimal point. Do not enter the decimal. If
                                                                  sole owner, enter 1000000. If 75.1234%
                                                                  ownership, enter 0751234


0090 Amount of allowable credit for training   9        12   N    Multiply line 7 by line 8
     and education
0095 Street address of location of qualified   10       35   AN   Required
     business facility
0100 City of location of qualified business    10       22   AN   Required
     facility
0105
0110 Base Year                                 11-2     4    N    YYYY
0115 1st Qualifying Year                       11-3     4    N    YYYY
0120 Filing Period                             11-1-a   2    N    MM. 2 digit month
0125 Monthly Base Investment                   11-2-a   12   N
0130 Monthly Qualifying Investment             11-3-a   12   N
0135 Filing Period                             11-1-b   2    N    MM. 2 digit month
0140 Monthly Base Investment                   11-2-b   12   N
0145 Monthly Qualifying Investment             11-3-b   12   N
0150 Filing Period                             11-1-c   2    N    MM. 2 digit month
0155 Monthly Base Investment                   11-2-c   12   N
0160 Monthly Qualifying Investment             11-3-c   12   N
0165 Filing Period                             11-1-d   2    N    MM. 2 digit month
0170 Monthly Base Investment                   11-2-d   12   N
0175 Monthly Qualifying Investment             11-3-d   12   N
0180 Filing Period                             11-1-e   2    N    MM. 2 digit month
0185 Monthly Base Investment                   11-2-e   12   N
0190 Monthly Qualifying Investment             11-3-e   12   N
0195 Filing Period                             11-1-f   2    N    MM. 2 digit month
0200 Monthly Base Investment                   11-2-f   12   N
0205 Monthly Qualifying Investment             11-3-f   12   N
0210 Filing Period                             11-1-g   2    N    MM. 2 digit month
0215 Monthly Base Investment                   11-2-g   12   N
0220 Monthly Qualifying Investment             11-3-g   12   N
0225 Filing Period                             11-1-h   2    N    MM. 2 digit month
0230 Monthly Base Investment                   11-2-h   12   N
0235 Monthly Qualifying Investment             11-3-h   12   N
0240 Filing Period                             11-1-i   2    N    MM. 2 digit month
0245 Monthly Base Investment                   11-2-i   12   N
0250 Monthly Qualifying Investment             11-3-i   12   N
0255 Filing Period                             11-1-j   2    N    MM. 2 digit month
0260 Monthly Base Investment                   11-2-j   12   N
0265 Monthly Qualifying Investment             11-3-j   12   N
0270 Filing Period                             11-1-k   2    N    MM. 2 digit month
0275 Monthly Base Investment                   11-2-k   12   N
0280 Monthly Qualifying Investment             11-3-k   12   N
0285 Filing Period                             11-1-l   2    N    MM. 2 digit month
0290 Monthly Base Investment                   11-2-l   12   N
0295 Monthly Qualifying Investment             11-3-l   12   N
0300 Total: Base Year, Monthly Base            11-m-2   12   N
     Investment
0305 Total: 1st Qualifying Year, Monthly       11-m-3   12   N
     Qualifying Investment
0310 Average Investment: Base Year,            11-n-2   12   N
     Monthly Base Investment
0315 Average Investment: 1st Qualifying        11-n-3   12   N
     Year, Monthly Qualifying Investment
0320 Capitalized Rents: Base Year, Monthly     11-o-2   12   N
     Base Investment
0325 Capitalized Rents: 1st Qualifying Year,   11-o-3   12   N
     Monthly Qualifying Investment



                                                                                                         50
0330 Total: Base Year, Monthly Base             11-p-2   12   N    Total of lines n & o from col 2
     Investment
0335 Total: 1st Qualifying Year, Monthly        11-p-3   12   N    Total of lines n & o from col 3
     Qualifying Investment
0340 Base                                       11-q-3   12   N
0345 Average Qualified Investment               11-r-3   12   N
0350 Qualified Business Facility Investment     11-t-3   12   N    (must be minimum of $50,000)

0355 Investment Credit                          11-u-3   12   N    10% of line t
0360 Ownership percentage                       12       7    N    Enter percentage that represents proportionate
                                                                   ownership share. Round percentage to the 4th
                                                                   decimal point. Do not enter the decimal. If
                                                                   sole owner, enter 1000000. If 75.1234%
                                                                   ownership, enter 0751234


0365 Amount of credit available this tax year   13       12   N    Multiply line 11u by line 12
     or prior year credit forward
0370 Amount of tax liability for current year   14       12   N
     after all previous credits claimed

0375 Amount of credit used                      15       12   N
0380 Amount of carry forward for next year's    16       12   N
     K-59
0385 Number of actual jobs created as a         17       12   N
     direct result of this qualified business
     facility investment
0390 Additional payroll generated as a direct 18         12   N
     result of actual jobs created on line 17

0395 Number of actual jobs retained that        19       12   N
     would have been eliminated if not for
     this qualified bus facility improvement

0400 Payroll for actual jobs retained           20       12   N
0405 Additional revenue generated as a          21       12   N
     direct result of this qualified business
     facility investment or loss

0410 Additional sales generated as a direct     22       12   N
     result of this qualified bus facility

0415   Total employment in state of KS          23       12   N
0420   Total payroll in state of KS             24       12   N
0425   First Year Carryforward Tax Year         25a      4    N    YYYY
0430   Certification No.                        25b      9    AN
0435   Date of Certification                    25c      8    N    YYYYMMDD
0440   Carry Forward Amount                     25d      12   N
0445   Credit Used                              25e      12   N
0450   Credit Forward Available                 25f      12   N
0455   Second Year Carryforward Tax Year        26a      4    N    YYYY

0460   Certification No.                        26b      9    AN
0465   Date of Certification                    26c      8    N    YYYYMMDD
0470   Carry Forward Amount                     26d      12   N
0475   Credit Used                              26e      12   N
0480   Credit Forward Available                 26f      12   N
0485   Third Year Carryforward Tax Year         27a      4    N    YYYY
0490   Certification No.                        27b      9    AN
0495   Date of Certification                    27c      8    N    YYYYMMDD
0500   Carry Forward Amount                     27d      12   N
0505   Credit Used                              27e      12   N
0510   Credit Forward Available                 27f      12   N
0515   Fourth Year Carryforward Tax Year        28a      4    N    YYYY



                                                                                                          51
0520   Certification No.                     28b   9    AN
0525   Date of Certification                 28c   8    N    YYYYMMDD
0530   Carry Forward Amount                  28d   12   N
0535   Credit Used                           28e   12   N
0540   Credit Forward Available              28f   12   N
0545   Fifth Year Carryforward Tax Year      29a   4    N    YYYY
0550   Certification No.                     29b   9    AN
0555   Date of Certification                 29c   8    N    YYYYMMDD
0560   Carry Forward Amount                  29d   12   N
0565   Credit Used                           29e   12   N
0570   Credit Forward Available              29f   12   N
0575   Sixth Year Carryforward Tax Year      30a   4    N    YYYY
0580   Certification No.                     30b   9    AN
0585   Date of Certification                 30c   8    N    YYYYMMDD
0590   Carry Forward Amount                  30d   12   N
0595   Credit Used                           30e   12   N
0600   Credit Forward Available              30f   12   N
0605   Seventh Year Carryforward Tax Year    31a   4    N    YYYY

0610   Certification No.                     31b   9    AN
0615   Date of Certification                 31c   8    N    YYYYMMDD
0620   Carry Forward Amount                  31d   12   N
0625   Credit Used                           31e   12   N
0630   Credit Forward Available              31f   12   N
0635   Eighth Year Carryforward Tax Year     32a   4    N    YYYY
0640   Certification No.                     32b   9    AN
0645   Date of Certification                 32c   8    N    YYYYMMDD
0650   Carry Forward Amount                  32d   12   N
0655   Credit Used                           32e   12   N
0660   Credit Forward Available              32f   12   N
0665   Ninth Year Carryforward Tax Year      33a   4    N    YYYY
0670   Certification No.                     33b   9    AN
0675   Date of Certification                 33c   8    N    YYYYMMDD
0680   Carry Forward Amount                  33d   12   N
0685   Credit Used                           33e   12   N
0690   Credit Forward Available              33f   12   N
0695   Tenth Year Carryforward Tax Year      34a   4    N    YYYY
0700   Certification No.                     34b   9    AN
0705   Date of Certification                 34c   8    N    YYYYMMDD
0710   Carry Forward Amount                  34d   12   N
0715   Credit Used                           34e   12   N
       Record Terminus                             1         "$"
       K-60 Kansas Community Service
       Contribution Credit
       Byte Count                                  4         "nnnn"
       Start of Record Sentinel                    4         "!!!!"
0000   Record ID Type                              6    AN   "STbbbb"
0001   Form Number                                 6    AN   "FRMK60"
0002   Page Number                                 5    AN   "PG01b"
0003   Taxpayer Identification Number              9    N    Primary SSN. Must match federal return.
0004   Filler                                      1         blank
0005   Form/Schedule Number                        7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                 8    N    YYYYMMDD
0025   Taxable Year Ending Date                    8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                  35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or         35   AN   If pass-through credit, enter name of where
       LLP                                                   credit is passing from
0040   EIN                                         9    N
0045   Type of Taxpayer                            1    N    Enter "4" for Income Tax (Form K40).
                                                             1=K120, K120S
                                                             2=K65
                                                             3=K130
                                                             4=K40
                                                             5=K41

                                                                                                     52
0050 Authorized Credit Percentage                        1    N    1=50%
                                                                   2=70% (located in rural community)
0055 Name of Community Service                           35   AN
     Organization
0060 Street Address                                      35   AN
0065 City                                                22   AN
0070 State                                               2    AN
0075 Zip Code                                            9    N    No hyphen
0080 Total Contributions this tax year          1        12   N
0085 Ownership Percentage                       2        7    N    Enter percentage that represents proportionate
                                                                   ownership share. Round percentage to the 4th
                                                                   decimal point. Do not enter the decimal. If
                                                                   sole owner, enter 1000000. If 75.1234%
                                                                   ownership, enter 0751234


0090 Share of contributions made and            3        12   N    Multiply line 1 by line 2. Also enter this
     claimed as the basis for credit this tax                      amount on line A-5 of K-40 Sch S for the
     year                                                          required addition modification.
0095 Share of credit for contributions made     5        12   N    Multiply line 3 by authorized credit percentage
     this tax year                                                 (50% or 70%)
0100 Amount of available carry forward from     6        12   N
     prior year K-60
0105 Total Credit available this tax year       7a       12   N    Add lines 5 and 6
0110 Amount of tax liability to be applied      8a       12   N
     against this credit
0115 Amount of credit this tax year             9        12   N    Lesser of lines 7b or 8b. Enter amount on line
                                                                   15 of K-40
0120 Refundable portion of credit               10       12   N    Complete if line 9 is less than line 7b: subtract
                                                                   line 9 from line 7b, enter amount of excess
                                                                   credit to be refunded on line 24 of K-40.

0125 Credit carry forward amount                11       12   N    Complete only for taxpayers claiming an
                                                                   assigned credit: Subtract line 8a from line 7a,
                                                                   this amount is reportable on next year's K-60.

0130 Total credit this tax year, reduced        7b       12   N    Multiply amount on line 7a by 90%
0135 Tax liability, reduced                     8b       12   N    Multiply amount on line 8a by 90%
     Record Terminus                                     1         "$"
     K-62 Kansas Alternative-Fuel Tax
     Credit
     Byte Count                                          4         "nnnn"
     Start of Record Sentinel                            4         "!!!!"
0000 Record ID Type                                      6    AN   "STbbbb"
0001 Form Number                                         6    AN   "FRMK62"
0002 Page Number                                         5    AN   "PG01b"
0003 Taxpayer Identification Number                      9    N    Primary SSN. Must match federal return.
0004 Filler                                              1         blank
0005 Form/Schedule Number                                7    N    "0000001" to "0000025"
0020 Taxable Year Beginning Date                         8    N    YYYYMMDD
0025 Taxable Year Ending Date                            8    N    YYYYMMDD
0030 Primary Taxpayer Last Name                          35   AN   Last Name as entered on K40.
0035 Name of Partnership, S Corp, LLC or                 35   AN   If pass-through credit, enter name of where
     LLP                                                           credit is passing from
0040 EIN                                                 9    N
0045 Type of Alternative-fuel expenditures:     Part A   1    AN   Y=Yes, complete section 1
     Gasoline or diesel vehicle conversion                         N=No

0050 Type of Alternative-fuel expenditures:     Part A   1    AN   Y=Yes, complete section 2 (only E85 qualifies;
     Factory-equipped alternative-fueled                           credit is no longer allowed for any vehicle that
     vehicle                                                       utilizes Natural Gas, LP Gas, Hydrogen,
                                                                   Methanol or Electricity to power it)
                                                                   N=No




                                                                                                              53
0055 Type of Alternative-fuel expenditures:      Part A     1    AN   Y=Yes, complete section 3
     Alternative-fuel fueling station                                 N=no

0060 Date facility placed in service             Sec 3, A   8    N    YYYYMMDD
0065 Expenditures for compression                Sec 3, B   12   N
     equipment
0070 Expenditures for storage                    Sec 3, C   12   N
     tanks/receptacles
0075 Expenditures for delivery property          Sec 3, D   12   N
0080 Total qualified alternative-fuel fueling    Sec 3, E   12   N    Total of Sec 3, lines B, C and D
     station expenditures
0085 Amount of fueling station expenditures      Sec 3, F   12   N
     available for this credit
0090 Amount of credit                            Sec 3, G   12   N    Enter on Part B line 3
0095 Amount from Line 9, section 1               Part B,    12   N
                                                 Line 1
0100 Amount from Line 9, section 2               Part B,    12   N
                                                 Line 2
0105 Amount from line G, section 3               Part B,    12   N
                                                 Line 3
0110 Total credit available                      Part B,    12   N    Add lines 1 , 2 & 3 from Part B.
                                                 Line 4
0115 Ownership Percentage                        Part B,    7    N    Enter percentage that represents proportionate
                                                 Line 5               ownership share. Round percentage to the 4th
                                                                      decimal point. Do not enter the decimal. If
                                                                      sole owner, enter 1000000. If 75.1234%
                                                                      ownership, enter 0751234


0120 Share of credit for amount expended         Part B,    12   N    Multiply line 4 by line 5
     this tax year                               Line 6
0125 Amount of carryforward available on         Part C,    12   N    carryforward amount from prior year Sch K-62
     this return                                 Line 7
0130 Total credit available this tax year        Part C, 8a 12   N    Add lines 6 and 7

0135 Tax liability for this tax year to be       Part C, 9a 12   N
     applied against this tax credit
0140 Alternative fuel credit for this tax year   Part C,    12   N    Lessor of lines 8b or 9b. Enter this amount on
                                                 Line 10              appropriate line of tax return
0145 Excess Credit carryforward                  Part D,    12   N    If line 9a is less than line 8a, Subtract line 9a
                                                 Line 11              from line 8a and this is amount of carryforward
                                                                      available to next year's K-62.

0150 Date Vehicle placed in service              Sec 1, A1 8     N    YYYYMMDD

0155 Vehicle Make                                Sec 1, B1 20    AN

0160 Vehicle Model                               Sec 1, C1 20    AN

0165 Vehicle Identification Number (VIN)         Sec 1, D1 17    AN

0170 Alternative Fuel Type                       Sec 1, E1 20    AN
0175 Dedicated Bi-Fueled or Flexible Fueled      Sec 1, F1 20    AN

0180 Conversion Cost                             Sec 1, G1 12    N

0185 Amount of Expenditures for Credit           Sec 1, H1 12    N

0190 Credit Amount this vehicle                  Sec 1, I1 12    N
0195 Date Vehicle placed in service              Sec 1, A2 8     N    YYYYMMDD

0200 Vehicle Make                                Sec 1, B2 20    AN

0205 Vehicle Model                               Sec 1, C2 20    AN



                                                                                                                54
0210 Vehicle Identification Number (VIN)      Sec 1, D2 17   AN

0215 Alternative Fuel Type                    Sec 1, E2 20   AN
0220 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F2 20   AN

0225 Conversion Cost                          Sec 1, G2 12   N

0230 Amount of Expenditures for Credit        Sec 1, H2 12   N

0235 Credit Amount this vehicle               Sec 1, I2 12   N
0240 Date Vehicle placed in service           Sec 1, A3 8    N    YYYYMMDD

0245 Vehicle Make                             Sec 1, B3 20   AN

0250 Vehicle Model                            Sec 1, C3 20   AN

0255 Vehicle Identification Number (VIN)      Sec 1, D3 17   AN

0260 Alternative Fuel Type                    Sec 1, E3 20   AN
0265 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F3 20   AN

0270 Conversion Cost                          Sec 1, G3 12   N

0275 Amount of Expenditures for Credit        Sec 1, H3 12   N

0280 Credit Amount this vehicle               Sec 1, I3 12   N
0285 Date Vehicle placed in service           Sec 1, A4 8    N    YYYYMMDD

0290 Vehicle Make                             Sec 1, B4 20   AN

0295 Vehicle Model                            Sec 1, C4 20   AN

0300 Vehicle Identification Number (VIN)      Sec 1, D4 17   AN

0305 Alternative Fuel Type                    Sec 1, E4 20   AN
0310 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F4 20   AN

0315 Conversion Cost                          Sec 1, G4 12   N

0320 Amount of Expenditures for Credit        Sec 1, H4 12   N

0325 Credit Amount this vehicle               Sec 1, I4 12   N
0330 Date Vehicle placed in service           Sec 1, A5 8    N    YYYYMMDD

0335 Vehicle Make                             Sec 1, B5 20   AN

0340 Vehicle Model                            Sec 1, C5 20   AN

0345 Vehicle Identification Number (VIN)      Sec 1, D5 17   AN

0350 Alternative Fuel Type                    Sec 1, E5 20   AN
0355 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F5 20   AN

0360 Conversion Cost                          Sec 1, G5 12   N

0365 Amount of Expenditures for Credit        Sec 1, H5 12   N

0370 Credit Amount this vehicle               Sec 1, I5 12   N
0375 Date Vehicle placed in service           Sec 1, A6 8    N    YYYYMMDD

0380 Vehicle Make                             Sec 1, B6 20   AN

0385 Vehicle Model                            Sec 1, C6 20   AN



                                                                             55
0390 Vehicle Identification Number (VIN)      Sec 1, D6 17     AN

0395 Alternative Fuel Type                    Sec 1, E6 20     AN
0400 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F6 20     AN

0405 Conversion Cost                          Sec 1, G6 12     N

0410 Amount of Expenditures for Credit        Sec 1, H6 12     N

0415 Credit Amount this vehicle               Sec 1, I6 12     N
0420 Date Vehicle placed in service           Sec 1, A7 8      N    YYYYMMDD

0425 Vehicle Make                             Sec 1, B7 20     AN

0430 Vehicle Model                            Sec 1, C7 20     AN

0435 Vehicle Identification Number (VIN)      Sec 1, D7 17     AN

0440 Alternative Fuel Type                    Sec 1, E7 20     AN
0445 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F7 20     AN

0450 Conversion Cost                          Sec 1, G7 12     N

0455 Amount of Expenditures for Credit        Sec 1, H7 12     N

0460 Credit Amount this vehicle               Sec 1, I7 12     N
0465 Date Vehicle placed in service           Sec 1, A8 8      N    YYYYMMDD

0470 Vehicle Make                             Sec 1, B8 20     AN

0475 Vehicle Model                            Sec 1, C8 20     AN

0480 Vehicle Identification Number (VIN)      Sec 1, D8 17     AN

0485 Alternative Fuel Type                    Sec 1, E8 20     AN
0490 Dedicated Bi-Fueled or Flexible Fueled   Sec 1, F8 20     AN

0495 Conversion Cost                          Sec 1, G8 12     N

0500 Amount of Expenditures for Credit        Sec 1, H8 12     N

0505 Credit Amount this vehicle               Sec 1, I8   12   N
0510 Total Section 1 Credit Available         Sec 1       12   N    Total of Sec 1, Col I (credit amounts from all
                                                                    vehicles listed). Enter on Part B line 1
0515 Date Vehicle placed in service           Sec 2, A1 8      N    YYYYMMDD

0520 Vehicle Make                             Sec 2, B1 20     AN

0525 Vehicle Model                            Sec 2, C1 20     AN

0530 Vehicle Identification Number (VIN)      Sec 2, D1 17     AN

0535 Alternative Fuel Type                    Sec 2, E1 20     AN
0540 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F1 20     AN

0545 Incremental Cost                         Sec 2,    12     N
                                              G1,1
0550 Cost of Vehicle                          Sec 2,    12     N
                                              G2,1
0555 Amount of Expenditures for Credit        Sec 2, H1 12     N

0560 Credit Amount this vehicle               Sec 2, I1 12     N
0565 Date Vehicle placed in service           Sec 2, A2 8      N    YYYYMMDD



                                                                                                              56
0570 Vehicle Make                             Sec 2, B2 20   AN

0575 Vehicle Model                            Sec 2, C2 20   AN

0580 Vehicle Identification Number (VIN)      Sec 2, D2 17   AN

0585 Alternative Fuel Type                    Sec 2, E2 20   AN
0590 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F2 20   AN

0595 Incremental Cost                         Sec 2,    12   N
                                              G1,2
0600 Cost of Vehicle                          Sec 2,    12   N
                                              G2,2
0605 Amount of Expenditures for Credit        Sec 2, H2 12   N

0610 Credit Amount this vehicle               Sec 2, I2 12   N
0615 Date Vehicle placed in service           Sec 2, A3 8    N    YYYYMMDD

0620 Vehicle Make                             Sec 2, B3 20   AN

0625 Vehicle Model                            Sec 2, C3 20   AN

0630 Vehicle Identification Number (VIN)      Sec 2, D3 17   AN

0635 Alternative Fuel Type                    Sec 2, E3 20   AN
0640 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F3 20   AN

0645 Incremental Cost                         Sec 2,    12   N
                                              G1,3
0650 Cost of Vehicle                          Sec 2,    12   N
                                              G2,3
0655 Amount of Expenditures for Credit        Sec 2, H3 12   N

0660 Credit Amount this vehicle               Sec 2, I3 12   N
0665 Date Vehicle placed in service           Sec 2, A4 8    N    YYYYMMDD

0670 Vehicle Make                             Sec 2, B4 20   AN

0675 Vehicle Model                            Sec 2, C4 20   AN

0680 Vehicle Identification Number (VIN)      Sec 2, D4 17   AN

0685 Alternative Fuel Type                    Sec 2, E4 20   AN
0690 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F4 20   AN

0695 Incremental Cost                         Sec 2,    12   N
                                              G1,4
0700 Cost of Vehicle                          Sec 2,    12   N
                                              G2,4
0705 Amount of Expenditures for Credit        Sec 2, H4 12   N

0710 Credit Amount this vehicle               Sec 2, I4 12   N
0715 Date Vehicle placed in service           Sec 2, A5 8    N    YYYYMMDD

0720 Vehicle Make                             Sec 2, B5 20   AN

0725 Vehicle Model                            Sec 2, C5 20   AN

0730 Vehicle Identification Number (VIN)      Sec 2, D5 17   AN

0735 Alternative Fuel Type                    Sec 2, E5 20   AN
0740 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F5 20   AN




                                                                             57
0745 Incremental Cost                         Sec 2,    12     N
                                              G1,5
0750 Cost of Vehicle                          Sec 2,    12     N
                                              G2,5
0755 Amount of Expenditures for Credit        Sec 2, H5 12     N

0760 Credit Amount this vehicle               Sec 2, I5 12     N
0765 Date Vehicle placed in service           Sec 2, A6 8      N    YYYYMMDD

0770 Vehicle Make                             Sec 2, B6 20     AN

0775 Vehicle Model                            Sec 2, C6 20     AN

0780 Vehicle Identification Number (VIN)      Sec 2, D6 17     AN

0785 Alternative Fuel Type                    Sec 2, E6 20     AN
0790 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F6 20     AN

0795 Incremental Cost                         Sec 2,    12     N
                                              G1,6
0800 Cost of Vehicle                          Sec 2,    12     N
                                              G2,6
0805 Amount of Expenditures for Credit        Sec 2, H6 12     N

0810 Credit Amount this vehicle               Sec 2, I6 12     N
0815 Date Vehicle placed in service           Sec 2, A7 8      N    YYYYMMDD

0820 Vehicle Make                             Sec 2, B7 20     AN

0825 Vehicle Model                            Sec 2, C7 20     AN

0830 Vehicle Identification Number (VIN)      Sec 2, D7 17     AN

0835 Alternative Fuel Type                    Sec 2, E7 20     AN
0840 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F7 20     AN

0845 Incremental Cost                         Sec 2,    12     N
                                              G1,7
0850 Cost of Vehicle                          Sec 2,    12     N
                                              G2,7
0855 Amount of Expenditures for Credit        Sec 2, H7 12     N

0860 Credit Amount this vehicle               Sec 2, I7 12     N
0865 Date Vehicle placed in service           Sec 2, A8 8      N    YYYYMMDD

0870 Vehicle Make                             Sec 2, B8 20     AN

0875 Vehicle Model                            Sec 2, C8 20     AN

0880 Vehicle Identification Number (VIN)      Sec 2, D8 17     AN

0885 Alternative Fuel Type                    Sec 2, E8 20     AN
0890 Dedicated Bi-Fueled or Flexible Fueled   Sec 2, F8 20     AN

0895 Incremental Cost                         Sec 2,    12     N
                                              G1,8
0900 Cost of Vehicle                          Sec 2,    12     N
                                              G2,8
0905 Amount of Expenditures for Credit        Sec 2, H8 12     N

0910 Credit Amount this vehicle               Sec 2, I8   12   N
0915 Total Section 2 Credit Available         Sec 2       12   N    Total of Sec 2, Col I (credit amounts from all
                                                                    vehicles listed). Enter on Part B line 2



                                                                                                              58
0920 Total credit available reduced            Part C,   12   N    Multiply the amount on line 8a by 90%
                                               Line 8b
0925 Tax liability reduced                     Part C,   12   N    Multiplly the amount on line 9a by 90%.
                                               Line 9b
       Record Terminus                                   1         "$"
       K-64 Kansas Business Machinery &
       Equipment Credit
       Byte Count                                        4         "nnnn"
       Start of Record Sentinel                          4         "!!!!"
0000   Record ID Type                                    6    AN   "STbbbb"
0001   Form Number                                       6    AN   "FRMK64"
0002   Page Number                                       5    AN   "PG01b"
0003   Taxpayer Identification Number                    9    N    Primary SSN. Must match federal return.
0004   Filler                                            1         blank
0005   Form/Schedule Number                              7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                       8    N    YYYYMMDD
0025   Taxable Year Ending Date                          8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                        35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or               35   AN   If pass-through credit, enter name of where
       LLP                                                         credit is passing from
0040   EIN                                               9    N
0045   Prior Tax Year: Property tax paid,      Part A,   12   N    Do not include any filing penalties.
       Schedule 2                              Col a
0050   Prior Tax Year: Date paid, Schedule 2   Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0055 Prior Tax Year: Property tax paid,        Part A,   12   N    Do not include any filing penalties.
     Schedule 5                                Col a
0060 Prior Tax Year: Date paid, Schedule 5     Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0065 Prior Tax Year: Property tax paid,        Part A,   12   N    Do not include any filing penalties.
     Schedule 6                                Col a
0070 Prior Tax Year: Date paid, Schedule 6     Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
                                               Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0075 Prior Tax Year: Other Business            Part A    1    AN   Y=Yes
     Property: Spare Parts                                         N=No
0080 Prior Tax Year: Other Business            Part A    1    AN   Y=Yes
     Property: Supplies                                            N=No
0085 Prior Tax Year: Other Business            Part A    1    AN   Y=Yes
     Property: Other                                               N=No
0090 Prior Tax Year: Description of Type of    Part A    50   AN   If Other Business Property: "Other" is chosen
     Other Business Property                                       above, provide description of property,
                                                                   otherwise blank.
0095 Current Tax Year: Property tax paid,      Part A,   12   N    Do not include any filing penalties.
     Schedule 2                                Col a
0100 Current Tax Year: Date paid, Schedule     Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
     2                                         Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0105 Current Tax Year: Property tax paid,      Part A,   12   N    Do not include any filing penalties.
     current year, Schedule 5                  Col a
0110 Current Tax Year: Date paid, Schedule     Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
     5                                         Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0115 Current Tax Year: Property tax paid,      Part A,   12   N    Do not include any filing penalties.
     Schedule 6                                Col a
0120 Current Tax Year: Date paid, Schedule     Part A,   8    N    YYYYMMDD, ENTER ONLY ONE DATE, IF
     6                                         Col b               MORE THAN ONE DATE ENTER LATEST
                                                                   DATE.
0125 Current Tax Year: Other Business          Part A    1    AN   Y=Yes
     Property: Spare Parts                                         N=No
0130 Current Tax Year: Other Business          Part A    1    AN   Y=Yes
     Property: Supplies                                            N=No

                                                                                                             59
0135 Current Tax Year: Other Business           Part A    1    AN   Y=Yes
     Property: Other                                                N=No
0140 Current Tax Year: Description of Type      Part A    50   AN   If Other Business Property: "Other" is chosen
     of Other Business Property                                     above, provide description of property,
                                                                    otherwise blank.
0145 Total Property tax paid                    Part A,   12   N    Totals from Col A, do not include equipment
                                                Line 1a             that is being leased
0150 Ownership Percentage                       Part A,   7    N    Enter percentage that represents proportionate
                                                Line 1b             ownership share. Round percentage to the 4th
                                                                    decimal point. Do not enter the decimal. If
                                                                    sole owner, enter 1000000. If 75.1234%
                                                                    ownership, enter 0751234


0155 Total Property tax eligible for credit     Part A,   12   N    Multiply line 1a by line 1b
                                                Line 2
0160 Total credit available this tax year       Part B,   12   N    Multiply line 2 by line 3
                                                Line 4a
0165 Tax liability to be applied against this   Part B,   12   N
     tax credit                                 Line 5
0170 Credit this tax year                       Part B,   12   N    Lesser of lines 4b or 5, enter this amount on
                                                Line 6              applicable line of tax form.
0175 Refund amount                              Part C,   12   N    Complete If line 6 is less than line 4b: Subtract
                                                Line 7              line 6 from line 4b. Enter this amount on
                                                                    applicable line of tax form.
0180 Total Credit Available, Reduced            Part B,   12   N    Multiply line 4a by 90%
                                                Line 4b
       Record Terminus                                    1         "$"
       K-84 Kansas Technical and                                    This credit can only be claimed electronically.
       Community College Deferred                                   If the tax return is mailed, and claims this
       Maintenance Credit                                           credit, the credit will be denied. If the tax
                                                                    return is e-filed, but the credit is mailed or
                                                                    faxed, the credit will be denied.


       Byte Count                                         4         "nnnn"
       Start of Record Sentinel                           4         "!!!!"
0000   Record ID Type                                     6    AN   "STbbbb"
0001   Form Number                                        6    AN   "FRMK84"
0002   Page Number                                        5    AN   "PG01b"
0003   Taxpayer Identification Number                     9    N    Primary SSN. Must match federal return.
0004   Filler                                             1         blank
0005   Form/Schedule Number                               7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                        8    N    YYYYMMDD
0025   Taxable Year Ending Date                           8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                         35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or                35   AN   If pass-through credit, enter name of where
       LLP                                                          credit is passing from
0040   EIN                                                9    N
0045   Total amount contributed this tax year   1         12   N

0050 Maximum allowable credit                   3         12   N    Multiply line 1 by 60%
0055 Proportionate share percentage             4         7    N    Enter percentage that represents proportionate
                                                                    ownership share. Round percentage to the 4th
                                                                    decimal point. Do not enter the decimal. If
                                                                    sole owner, enter 1000000. If 75.1234%
                                                                    ownership, enter 0751234


0060 Share of Credit                            5a        12   N    Multiply line 3 by line 4
0065 Tax liability for this tax year to be      6a        12   N
     applied against this tax credit
0070 Credit allowable for this tax year         7         12   N    Lesser of line 5b or line 6b
0075 Refundable portion of credit               8         12   N    Subtract line 7 from line 5b. Enter this amount
                                                                    on line for refundable tax credits.




                                                                                                              60
0080 Certificate ID Number                         Header    14   AN   Enter tax credit certificate number from
                                                                       certificate issued by Kansas DOR. DO NOT
                                                                       INCLUDE DASHES
0085 Share of Credit, Reduced                      5b        12   N    Muliply line 5a by 90%
0090 Tax liability, Reduced                        6b        12   N    Multiply line 6a by 90%
     Record Terminus                                         1         "$"

       K-85 Kansas University Deferred                                 This credit can only be claimed
       Maintenance Credit                                              electronically. If the tax return is mailed,
                                                                       and claims this credit, the credit will be
                                                                       denied. If the tax return is e-filed, but the
                                                                       credit is mailed or faxed, the credit will be
                                                                       denied.

       Byte Count                                            4         "nnnn"
       Start of Record Sentinel                              4         "!!!!"
0000   Record ID Type                                        6    AN   "STbbbb"
0001   Form Number                                           6    AN   "FRMK85"
0002   Page Number                                           5    AN   "PG01b"
0003   Taxpayer Identification Number                        9    N    Primary SSN. Must match federal return.
0004   Filler                                                1         blank
0005   Form/Schedule Number                                  7    N    "0000001" to "0000025"
0020   Taxable Year Beginning Date                           8    N    YYYYMMDD
0025   Taxable Year Ending Date                              8    N    YYYYMMDD
0030   Primary Taxpayer Last Name                            35   AN   Last Name as entered on K40.
0035   Name of Partnership, S Corp, LLC or                   35   AN   If pass-through credit, enter name of where
       LLP                                                             credit is passing from
0040   EIN                                                   9    N
0045   Total amount contributed this tax year      1         12   N

0050 Maximum allowable credit                      3         12   N    Multiply line 1 by 50%
0055 Proportionate share percentage                4         7    N    Enter percentage that represents proportionate
                                                                       ownership share. Round percentage to the 4th
                                                                       decimal point. Do not enter the decimal. If
                                                                       sole owner, enter 1000000. If 75.1234%
                                                                       ownership, enter 0751234


0060 Share of Credit                               5         12   N    Multiply line 3 by line 4
0065 Amount of Carryforward available from         6         12   N    (not applicable to 2008)
     prior year
0070 Total credit available this tax year          Line 7a   12   N    Add lines 5 and 6.
0075 Total tax liability for this tax year to be   Line 8a   12   N
     applied against this tax credit
0080 Credit allowable for this tax year            9         12   N    Lesser of line 7b or line 8b
0085 Credit carryforward                           10        12   N    Subtract line 8a from line 7a. This is the
                                                                       amount of credit to carryforward to next year's
                                                                       K-85
0090 Certificate ID Number                         Header    14   AN   Enter tax credit certificate number from
                                                                       certificate issued by Kansas DOR. DO NOT
                                                                       INCLUDE DASHES
0095 Total credit available reduced                7b        12   N    Multiply the amount on line 7a by 90%
0100 Tax liability reduced                         8b        12   N    Multiply the amount on line 8a by 90%.
     Record Terminus                                         1         "$"

       K-40H Kansas Homestead Claim                                    Claimant cannot file both the Homestead
                                                                       (K40H) and the Safe Senior (K40PT).
                                                                       Claimant should first see if they qualify for
                                                                       Safe Senior. Safe Senior claimant must be
                                                                       age 65 or older, home owner, and resident of
                                                                       KS entire year.
     Byte Count                                              4         "nnnn"
     Start of Record Sentinel                                4         "!!!!"
0000 Record ID Type                                          6    AN   "STbbbb"
0001 Form Number                                             6    AN   "FRM40H"

                                                                                                                61
           0002 Page Number                                     5     AN   "PG01b"
           0003 Taxpayer Identification Number                  9     N    REQUIRED. Claimant SSN. Claimant must
                                                                           be Kansas resident for entire year. Must be
                                                                           primary taxpayer from the K-40.
           0004 Filler                                          1          blank
           0005 Form/Schedule Number                            7     N    "0000001"
Changed    0020 Tax Year                                        4     N    YYYY Must equal 2010, REQUIRED
business
rule
           0025 First Four Char of Claimant Last name           4     AN   REQUIRED

           0030   Claimant First Name                           16    AN   REQUIRED
           0035   Claimant Middle Initial                       1     AN   REQUIRED
           0040   Claimant Last Name                            35    AN   REQUIRED
           0045   Street Address                                100   AN   REQUIRED
           0050   City                                          40    AN   REQUIRED
           0055   State                                         2     AN   REQUIRED
           0060   Zip                                           9     N    no hyphen, REQUIRED
           0065   County                                        2     AN   2- char KS county abbreviation, REQUIRED
           0070   Telephone Number                              10    N
           0075   Decedent Indicator                            1     AN   Y=deceased, N=alive. If deceased, RF-9
                                                                           decedent refund claim form and supp docs
                                                                           required.
           0080 Date of Death                                   8     N    YYYYMMDD
           0085 Address changed                                 1     AN   Y=address has changed, N=address has not
                                                                           changed from last year.
           0090 Amended Return Indicator                        1     AN   BLANK. not available for legacy efile
                At least one of next three fields must
                     be populated, or Field 0745:

           0095 If Age 55 or older for entire year, enter 1     8     N    YYYYMMDD
                date of birth
           0100 If Disabled or blind for entire year, enter 2   8     N    YYYYMMDD, Mail or Fax Form DIS (cerfiticate
                date became blind or disabled                              of disability) if first year to establish disability
                                                                           with KDOR
           0105 If Dependent child under age of 18 for     3    8     N    YYYYMMDD
                entire year and resided with claimant
                for entire year, enter date of birth

           0110 Dependent Child's First Name               3    20    AN   Required if Field 0105 is present
           0115 Dependent Child's Last Name                3    35    AN   Required if Field 0105 is present
           0120 Wages or KS Adjusted Gross Income          4a   12    N    If filing K40, enter amount from line 3 (adding
                                                                           back any losses). If not filing K40, enter total
                                                                           of all wages, salaries, commissions, fees,
                                                                           bonuses and tips received in tax year from
                                                                           claimant and spouse. CANNOT BE NEGATIVE


           0125 Federal EIC                                4b   12    N    Enter amount received for Fed EIC (generally
                                                                           amount shown from prior yr fed return), but
                                                                           also include an EIC for a prior year that was
                                                                           received during this tax year. CANNOT BE
                                                                           NEGATIVE
           0130 Total of Wages or KS Adjusted Gross        4c   12    N    CANNOT BE NEGATIVE
                Income + Federal EIC
           0135 All taxable income other than wages        5    12    N    CANNOT BE NEGATIVE. Do not subtract net
                and pensions not included in Line 4.                       operating losses and capital losses.

           0140 Total Social Security and SSI benefits 6a       12    N    CANNOT BE NEGATIVE. Do not include
                including Medicare deductions received                     disability payments from Social Security or SSI
                in tax year
           0145 50% of total Social Security and SSI       6    12    N    CANNOT BE NEGATIVE.
                benefits including Medicare deductions




                                                                                                                        62
                0150 Railroad retirement and all other       7     12   N    CANNOT BE NEGATIVE. Do not include
                     pensions, annuities and Veteran                         disability payments from Railroad retirement
                     benefits                                                and Veterans.
                0155 TAF payments, general assistance,       8     12   N    CANNOT BE NEGATIVE.
                     worker's compensation, grants and
                     scholarships
                0160 All other income of others who resided 9      12   N    CANNOT BE NEGATIVE.
                     with claimant at any time during tax year

Changed         0165 Total Household Income                  10    12   N    CANNOT BE NEGATIVE Add lines 4
threshold                                                                    through 9. If line 10 is > than $30,800,
amount                                                                       claimant does not qualify for a refund.
                                                                             REQUIRED
                0170 Owner: Total general property taxes     11a   12   N    CANNOT BE NEGATIVE. If deceased
                     paid or will pay in tax year.                           checkbox is populated, multiply the total
                                                                             property taxes by the following percentages for
                                                                             the month of the decedent's death: Jan .083,
                                                                             Feb .167, Mar .250, Apr .333, May .417, Jun
                                                                             .500, July .583, Aug .667, Sep .750, Oct .833,
                                                                             Nov .917, Dec 1.00


                0175 Owner: delinquent property tax          11    1    AN   Y=claimant has delinquent property tax.
                                                                             N=claimant does not have delinquent property
                                                                             tax.
                0180 Renter: Enter total of line 5 amounts   12    12   N    Must complete RNT schedules, up to a max of
                     from RNT schedules.                                     6. Schedules in total must show residence for
                                                                             full 12 months of tax year. If more than 6
                                                                             schedules, claimant cannot file electronically.
                                                                             If deceased box is checked, enter only the rent
                                                                             paid through the date of death, then multiply
                                                                             the rent paid by the following percentages for
                                                                             the month of the decedent's death: Jan .083,
                                                                             Feb .167, Mar .250, Apr .333, May .417, Jun
                                                                             .500, July .583, Aug .667, Sep .750, Oct .833,
                                                                             Nov .917, Dec 1.00


                0185 Total                                   13    12   N    Add lines 11 and 12, if > than $700, enter
                                                                             $700., REQUIRED
Changed         0190 Refund percentage                       14    7    N    Using total household income from line 10
threshold                                                                    and Refund Percentage Table in K-40H
percentages                                                                  booklet, enter refund percentage. Do not
in table                                                                     enter decimal. (ex. if 60% enter as 0600000)

                0195 Homestead Refund                        15    12   N    Multiply line 13 by percentage on line 14. If
                                                                             deceased and was a homeowner, refund
                                                                             should be pro-rated as follows: multiply the
                                                                             refund by the following percentages for the
                                                                             month of the decedent's death: Jan .083, Feb
                                                                             .167, Mar .250, Apr .333, May .417, Jun .500,
                                                                             July .583, Aug .667, Sep .750, Oct .833, Nov
                                                                             .917, Dec 1.00


Changed         0200 Homestead Refund Advancement                  1    AN   Y=claimant requests KDOR to send next
business rule        Program checkbox (ELG)                                  year's advancement information directly to
                                                                             County Treasurer. RENTERS should leave
                                                                             blank.
                       Excluded Income:
                0205   Food Stamps                                 12   N
                0210   Child Support                               12   N
                0215   Personal and Student Loans                  12   N
                0220   Nongovernmental Gifts                       12   N
                0225   Settlements (lump sum)                      12   N
                0230   SSI, Social Security, Veterans, or          12   N
                       Railroad Retirement Benefits

                                                                                                                     63
0235 Other Source                               30   AN   If populated, must include amount on next line

0240 Other Amount                               12   N    If populated, must include source description
                                                          on previous line
     Owner Statement:
0245 Property was owned by someone other        1    AN   Y=Yes, N=No
     than you or spouse
0250 Did that other person reside with you in   1    AN   Y=Yes, N=No
     tax year?
0255 Did that other person pay any part of      1    AN   Y=Yes, N=No
     the taxes?
0260 If yes, what amount of taxes did they      12   N    The amount of taxes paid by someone other
     pay?                                                 than claimant should not be included in Line
                                                          11a of the K40H.
0265 Percentage of homestead property           7    N    Do not enter decimal. (ex. if 25% enter as
     rented or used for business                          0250000). Divide number of rooms rented or
                                                          used for business by the total number of
                                                          rooms in homestead = % of rental or business
                                                          use. Multiply total property tax by % of
                                                          rental/business use; subtract this amount from
                                                          total property tax. Enter this amount on line
                                                          11a.

       Direct Deposit Refund Data
0270   Direct Deposit Indicator                 1    N    1=Direct Deposit, blank=paper check
0275   Deposit Account Number                   17   AN   Blank if no State DD
0280   Checking Account Indicator               1    AN   "X" or blank
0285   Savings Account Indicator                1    AN   "X" or blank
0290   Routing Transit Number                   9    N    Blank if no State DD. Reject Code 0003 if
                                                          RTN is not valid, and this will cause entire K40
                                                          and K40H transmission to reject.
     Members of Household:
0295 Household Member Name #1                   40   AN
0300 Household Member Date of Birth             8    N    YYYYMMDD
0305 Household Member Relationship              25   AN
0310 Household Member Months resided in         2    N
     household
0315 Household Member income included           1    AN   Y=yes, N=no
     on lines 4-9
0320 Household Member SSN                       9    N    Must be valid SSN, if household member does
                                                          not have an SSN, K40H cannot be filed.

0325 Household Member Name #2                   40   AN
0330 Household Member Date of Birth             8    N    YYYYMMDD
0335 Household Member Relationship              25   AN
0340 Household Member Months resided in         2    N
     household
0345 Household Member income included           1    AN   Y=yes, N=no
     on lines 4-9
0350 Household Member SSN                       9    N    Must be valid SSN, if household member does
                                                          not have an SSN, K40H cannot be filed.

0355 Household Member Name #3                   40   AN
0360 Household Member Date of Birth             8    N    YYYYMMDD
0365 Household Member Relationship              25   AN
0370 Household Member Months resided in         2    N
     household
0375 Household Member income included           1    AN   Y=yes, N=no
     on lines 4-9
0380 Household Member SSN                       9    N    Must be valid SSN, if household member does
                                                          not have an SSN, K40H cannot be filed.

0385 Household Member Name #4                   40   AN
0390 Household Member Date of Birth             8    N    YYYYMMDD
0395 Household Member Relationship              25   AN

                                                                                                   64
0400 Household Member Months resided in   2    N
     household
0405 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0410 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0415 Household Member Name #5             40   AN
0420 Household Member Date of Birth       8    N    YYYYMMDD
0425 Household Member Relationship        25   AN
0430 Household Member Months resided in   2    N
     household
0435 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0440 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0445 Household Member Name #6             40   AN
0450 Household Member Date of Birth       8    N    YYYYMMDD
0455 Household Member Relationship        25   AN
0460 Household Member Months resided in   2    N
     household
0465 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0470 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0475 Household Member Name #7             40   AN
0480 Household Member Date of Birth       8    N    YYYYMMDD
0485 Household Member Relationship        25   AN
0490 Household Member Months resided in   2    N
     household
0495 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0500 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0505 Household Member Name #8             40   AN
0510 Household Member Date of Birth       8    N    YYYYMMDD
0515 Household Member Relationship        25   AN
0520 Household Member Months resided in   2    N
     household
0525 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0530 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0535 Household Member Name #9             40   AN
0540 Household Member Date of Birth       8    N    YYYYMMDD
0545 Household Member Relationship        25   AN
0550 Household Member Months resided in   2    N
     household
0555 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9
0560 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40H cannot be filed.

0565 Household Member Name #10            40   AN
0570 Household Member Date of Birth       8    N    YYYYMMDD
0575 Household Member Relationship        25   AN
0580 Household Member Months resided in   2    N
     household
0585 Household Member income included     1    AN   Y=yes, N=no
     on lines 4-9

                                                                                         65
0590 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0595 Household Member Name #11                   40   AN
0600 Household Member Date of Birth              8    N    YYYYMMDD
0605 Household Member Relationship               25   AN
0610 Household Member Months resided in          2    N
     household
0615 Household Member income included            1    AN   Y=yes, N=no
     on lines 4-9
0620 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0625 Household Member Name #12                   40   AN
0630 Household Member Date of Birth              8    N    YYYYMMDD
0635 Household Member Relationship               25   AN
0640 Household Member Months resided in          2    N
     household
0645 Household Member income included            1    AN   Y=yes, N=no
     on lines 4-9
0650 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0655 Household Member Name #13                   40   AN
0660 Household Member Date of Birth              8    N    YYYYMMDD
0665 Household Member Relationship               25   AN
0670 Household Member Months resided in          2    N
     household
0675 Household Member income included            1    AN   Y=yes, N=no
     on lines 4-9
0680 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0685 Household Member Name #14                   40   AN
0690 Household Member Date of Birth              8    N    YYYYMMDD
0695 Household Member Relationship               25   AN
0700 Household Member Months resided in          2    N
     household
0705 Household Member income included            1    AN   Y=yes, N=no
     on lines 4-9
0710 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0715 Household Member Name #15                   40   AN
0720 Household Member Date of Birth              8    N    YYYYMMDD
0725 Household Member Relationship               25   AN
0730 Household Member Months resided in          2    N
     household
0735 Household Member income included            1    AN   Y=yes, N=no
     on lines 4-9
0740 Household Member SSN                        9    N    Must be valid SSN, if household member does
                                                           not have an SSN, K40H cannot be filed.

0745 Surviving Spouse of Diabled Veteran or 2a   1    AN   Y=Yes, N=No
     Surviving Spouse of an active military
     member that died in the line of duty



       Kansas Schedule RNT (Certification                  Maximum of 6 RNT schedules allowed, dates
       of Rent Paid on Homestead Return)                   cannot overlap. This form must be
                                                           accompanied by a K-40H
     Byte Count                                  4         "nnnn"
     Start of Record Sentinel                    4         "!!!!"
0000 Record ID Type                              6    AN   "STbbbb"

                                                                                                66
              0001   Form Number                                  6     AN   "FRMRNT"
              0002   Page Number                                  5     AN   "PG01b"
              0003   Taxpayer Identification Number               9     N    Claimant SSN. REQUIRED
              0004   Filler                                       1          blank
              0005   Form/Schedule Number                         7     N    "0000001" to "0000006"
Changed       0020   Tax Year                                     4     N    YYYY MUST = 2010, REQUIRED
business
rule
              0025 Claimant First Name                            16    AN   REQUIRED
              0030 Claimant Last Name                             35    AN   REQUIRED
              0035 Rental Period From Date                        8     N    REQUIRED. If more than one RNT filed the
                                                                             to/from dates cannot overlap
              0040   Rental Period To Date                        8     N    YYYYMMDD, REQUIRED
              0045   Street Address of Rental Property            100   AN   REQUIRED
              0050   City of Rental Property                      40    AN   REQUIRED
              0055   State of Rental Property                     2     AN   Must = 'KS', REQUIRED
              0060   Zip of Rental Property                       9     AN   no hyphen, REQUIRED
              0065   Apartment Complex Name                       35    AN   REQUIRED
                     Landlord or Property Owner Information

              0070 Landlord or Property Owner Name                50    AN   REQUIRED, First and last name of individual,
                                                                             or name of business
deleted in    0075                                                35    AN
ty2009,
combined
with Field
0070 for 50
char string
              0080 Landlord or Property Owner Mailing             100   AN   REQUIRED
                   Address
              0085 Landlord or Property Owner City                40    AN   REQUIRED
              0090 Landlord or Property Owner State               2     AN   Valid state abbreviation, REQUIRED
              0095 Landlord or Property Owner Zip                 9     AN   no hyphen, REQUIRED
                   Type of Rental Property                                   Check all that apply: (ONE IS REQUIRED)
              0100 Low Income Housing                             1     AN   Y=Yes, N=No
              0105 Section Eight Housing                          1     AN   Y=Yes, N=No
              0110 Apartment                                      1     AN   Y=Yes, N=No
              0115 House                                          1     AN   Y=Yes, N=No
              0120 Duplex or similar facility                     1     AN   Y=Yes, N=No
              0125 Nursing home or assisted living facility       1     AN   Y=Yes, N=No
                   or Boarding Home
              0130 Hotel                                          1     AN   Y=Yes, N=No
              0135 Housing Authority                              1     AN   Y=Yes, N=No
              0140 Live with Landlord                             1     AN   Y=Yes, N=No
              0145 Mobile Home                                    1     AN   Y=Yes, N=No
              0150 Mobile Home Lot                                1     AN   Y=Yes, N=No
              0155 Manufactured Home                              1     AN   Y=Yes, N=No
              0160 Other                                          1     AN   Y=Yes, N=No
              0165 Explanation for Other                          30    AN   required if 'other' checkbox is marked
                   Financial Information
              0170 Rental property subject to tax             1   1     AN   Y=Yes, N=No.
              0175 Total rent paid                            2   12    N    REQUIRED, if this RNT is reporting rent paid
                                                                             for the period on this RNT.
              0180 Value of items included in rent            3   12    N    Calculated from fields 0195-0345. This amount
                                                                             should = total expenses in field 0350. If
                                                                             nursing home or assisted living facility is
                                                                             checked, 25% of the total rent paid should be
                                                                             entered on line 4.
              0185 Rent paid for occupancy                    4   12    N    Subtract line 3 from line 2 REQUIRED
              0190 Refund amount                              5   12    N    Multiply line 4 by 15%. Enter this amount on
                                                                             K40H line 12 and include any other RNT
                                                                             amounts in that line 12 total. REQUIRED

                     Items included in rent

                                                                                                                      67
0195 Furniture (other than appliances)      A    2    N   Enter number of months rented. If entered,
     number of months                                     cannot be greater than 12 and cannot be a
                                                          negative number.
0200 Furniture (other than appliances)      A    12   N   Multiply the number of months X $20
     amount
0205 Stove, number of months                B    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0210 Stove, amount                          B    12   N   Multiply the number of months X $10
0215 Refrigerator, number of months         C    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0220 Refrigerator, amount                   C    12   N   Multiply the number of months X $10
0225 Dishwasher, number of months           D    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0230 Dishwasher, amount                     D    12   N   Multiply the number of months X $6
0235 Washer and Dryer, number of months     E    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0240 Washer and Dryer, amount               E    12   N   Multiply the number of months X $10
0245 Heat, number of months used            F    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0250 Heat, amount                           F    12   N   Multiply the number of months X $46
0255 Electricity, number of months (other   G    2    N   Enter number of months rented. If entered,
     than heat)                                           cannot be greater than 12 and cannot be a
                                                          negative number.
0260 Electricity, amount                    G    12   N   Multiply the number of months X $40
0265 Gas, number of months (other than      H    2    N   Enter number of months rented. If entered,
     heat)                                                cannot be greater than 12 and cannot be a
                                                          negative number.
0270 Gas, amount                             H   12   N   Multiply the number of months X $18
0275 Air conditioning, number of months (for I   2    N   Enter number of months rented. If entered,
     months used)                                         cannot be greater than 12 and cannot be a
                                                          negative number.
0280 Air conditioning, amount               I    12   N   Multiply the number of months X $20
0285 Cable, number of months                J    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0290 Cable, amount                          J    12   N   Multiply the number of months X $30
0295 Water and sewer, number of months      K    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0300 Water and sewer, amount                K    12   N   Multiply the number of months X $20
0305 Trash, number of months                L    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0310 Trash, amount                          L    12   N   Multiply the number of months X $10
0315 Laundry, number of months              M    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0320 Laundry, amount                        M    12   N   Multiply the number of months X $25
0325 Meals, number of months                N    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0330 Meals, amount                          N    12   N   Multiply the number of months X $300
0335 Other monthly charge amount            O    12   N
0340 Other, number of months                O    2    N   Enter number of months rented. If entered,
                                                          cannot be greater than 12 and cannot be a
                                                          negative number.
0345 Other, amount                          O    12   N   Multiply the number of months X monthly
                                                          charge amount



                                                                                                 68
              0350 Total Expenses                          P    12    N    Add items A through O and enter this result on
                                                                           line 3 of rent schedule.
                     Record Terminus                            1          "$"

                     K-40PT Kansas Safe Senior Claim                       Claimant cannot file both the Homestead
                                                                           (K40H) and the Safe Senior (K40PT).
                                                                           Claimant should first see if they qualify for
                                                                           Safe Senior. Safe Senior claimant must be
                                                                           age 65 or older, home owner, and resident of
                                                                           KS entire year.
                     Byte Count                                 4          "nnnn"
                     Start of Record Sentinel                   4          "!!!!"
              0000   Record ID Type                             6     AN   "STbbbb"
              0001   Form Number                                6     AN   "FRM40P"
              0002   Page Number                                5     AN   "PG01b"
              0003   Taxpayer Identification Number             9     N    Claimant SSN. Must be primary taxpayer from
                                                                           the K-40. REQUIRED
              0004 Filler                                       1          blank
              0005 Form/Schedule Number                         7     N    "0000001"
Changed       0020 Tax Year                                     4     N    YYYY, MUST = 2010, REQUIRED
business
rule
              0025 First Four Char of Claimant Last name        4     AN   REQUIRED

              0030   Claimant First Name                        16    AN   REQUIRED
              0035   Claimant Middle Initial                    1     AN   REQUIRED
              0040   Claimant Last Name                         35    AN   REQUIRED
              0045   Street Address                             100   AN   REQUIRED
              0050   City                                       40    AN   REQUIRED
              0055   State                                      2     AN   REQUIRED
              0060   Zip                                        9     N    no hyphen, REQUIRED
              0065   County                                     2     AN   2- char KS county abbreviation, REQUIRED
              0070   Telephone Number                           10    N
              0075   Decedent Indicator                         1     AN   Y=deceased, N=alive. If deceased, RF-9
                                                                           decedent refund claim form and supp docs
                                                                           required.
              0080 Date of Death                                8     N    YYYYMMDD
              0085 Address changed                              1     AN   Y=address has changed, N=address has not
                                                                           changed from last year.
              0090 Amended Return Indicator                     1     AN   BLANK. not available for legacy efile
              0095 Age 65 or older date of birth           3    8     N    YYYYMMDD. Claimant must be 65 or older.
                                                                           REQUIRED
Changed       0100 Total of Wages or KS Adjusted Gross     4c   12    N    CANNOT BE NEGATIVE. REQUIRED
line number        Income + prior year Federal EIC

              0105 All taxable income other than wages     5    12    N    CANNOT BE NEGATIVE. Do not subtract net
                   and pensions not included in Line 4.                    operating losses and capital losses.

              0110 Total Social Security and SSI benefits 6     12    N    CANNOT BE NEGATIVE. Do not include
                   including Medicare deductions received                  disability payments from Social Security or SSI
                   in tax year
              0115 Railroad retirement and all other       7    12    N    CANNOT BE NEGATIVE. Do not include
                   pensions, annuities and Veteran                         disability payments from Railroad retirement
                   benefits                                                and Veterans.
              0120 TAF payments, general assistance,       8    12    N    CANNOT BE NEGATIVE.
                   worker's compensation, grants and
                   scholarships
              0125 All other income of others who resided 9     12    N    CANNOT BE NEGATIVE.
                   with claimant at any time during tax year

              0130 Total Household Income                  10   12    N    CANNOT BE NEGATIVE. Add lines 4 through
                                                                           9. If line 10 is > than $17,500, claimant does
                                                                           not qualify for a refund. REQUIRED



                                                                                                                   69
0135 General property taxes timely paid in   11   12   N    REQUIRED. CANNOT BE NEGATIVE. If
     tax year                                               deceased checkbox is populated, multiply the
                                                            total property taxes by the following
                                                            percentages for the month of the decedent's
                                                            death: Jan .083, Feb .167, Mar .250, Apr .333,
                                                            May .417, Jun .500, July .583, Aug .667, Sep
                                                            .750, Oct .833, Nov .917, Dec 1.00


0140 Property tax refund                     12   12   N    Multiply the amount on line 11 by 45%.
                                                            REQUIRED
0145 Homestead Refund Advancement                 1    AN   Y=claimant requests KDOR to send next
     Program checkbox                                       year's advancement information directly to
                                                            County Treasurer
     Excluded Income:
0150 Food Stamps                                  12   N
0155 Child Support                                12   N
0160 Personal and Student Loans                   12   N
0165 Nongovernmental Gifts                        12   N
0170 Settlements (lump sum)                       12   N
0175 SSI, Social Security, Veterans, or           12   N
     Railroad Retirement Benefits
0180 Other Source                                 30   AN   If populated, must include amount on next line

0185 Other Amount                                 12   N    If populated, must include source description
                                                            on previous line
       Direct Deposit Refund Data
0190   Direct Deposit Indicator                   1    N    1=Direct Deposit, blank=paper check
0195   Deposit Account Number                     17   AN   Blank if no State DD
0200   Checking Account Indicator                 1    AN   "X" or blank
0205   Savings Account Indicator                  1    AN   "X" or blank
0210   Routing Transit Number                     9    N    Blank if no State DD. Reject Code 0004 if
                                                            RTN is not valid, and this will cause entire K40
                                                            and K40P transmission to reject.
     Members of Household:
0215 Household Member Name #1                     40   AN
0220 Household Member Months resided in           2    N
     household
0225 Amount of Household Member income            12   N
     included on line 10
0230 Household Member SSN                         9    N    Must be valid SSN, if household member does
                                                            not have an SSN, K40P cannot be
                                                            electronically filed.
0235 Household Member Name #2                     40   AN
0240 Household Member Months resided in           2    N
     household
0245 Amount of Household Member income            12   N
     included on line 10
0250 Household Member SSN                         9    N    Must be valid SSN, if household member does
                                                            not have an SSN, K40P cannot be
                                                            electronically filed.
0255 Household Member Name #3                     40   AN
0260 Household Member Months resided in           2    N
     household
0265 Amount of Household Member income            12   N
     included on line 10
0270 Household Member SSN                         9    N    Must be valid SSN, if household member does
                                                            not have an SSN, K40P cannot be
                                                            electronically filed.
0275 Household Member Name #4                     40   AN
0280 Household Member Months resided in           2    N
     household
0285 Amount of Household Member income            12   N
     included on line 10


                                                                                                     70
0290 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0295 Household Member Name #5             40   AN
0300 Household Member Months resided in   2    N
     household
0305 Amount of Household Member income    12   N
     included on line 10
0310 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0315 Household Member Name #6             40   AN
0320 Household Member Months resided in   2    N
     household
0325 Amount of Household Member income    12   N
     included on line 10
0330 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0335 Household Member Name #7             40   AN
0340 Household Member Months resided in   2    N
     household
0345 Amount of Household Member income    12   N
     included on line 10
0350 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0355 Household Member Name #8             40   AN
0360 Household Member Months resided in   2    N
     household
0365 Amount of Household Member income    12   N
     included on line 10
0370 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0375 Household Member Name #9             40   AN
0380 Household Member Months resided in   2    N
     household
0385 Amount of Household Member income    12   N
     included on line 10
0390 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0395 Household Member Name #10            40   AN
0400 Household Member Months resided in   2    N
     household
0405 Amount of Household Member income    12   N
     included on line 10
0410 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0415 Household Member Name #11            40   AN
0420 Household Member Months resided in   2    N
     household
0425 Amount of Household Member income    12   N
     included on line 10
0430 Household Member SSN                 9    N    Must be valid SSN, if household member does
                                                    not have an SSN, K40P cannot be
                                                    electronically filed.
0435 Household Member Name #12            40   AN
0440 Household Member Months resided in   2    N
     household
0445 Amount of Household Member income    12   N
     included on line 10

                                                                                         71
      0450 Household Member SSN                      9    N    Must be valid SSN, if household member does
                                                               not have an SSN, K40P cannot be
                                                               electronically filed.
      0455 Household Member Name #13                 40   AN
      0460 Household Member Months resided in        2    N
           household
      0465 Amount of Household Member income         12   N
           included on line 10
      0470 Household Member SSN                      9    N    Must be valid SSN, if household member does
                                                               not have an SSN, K40P cannot be
                                                               electronically filed.
      0475 Household Member Name #14                 40   AN
      0480 Household Member Months resided in        2    N
           household
      0485 Amount of Household Member income         12   N
           included on line 10
      0490 Household Member SSN                      9    N    Must be valid SSN, if household member does
                                                               not have an SSN, K40P cannot be
                                                               electronically filed.
      0495 Household Member Name #15                 40   AN
      0500 Household Member Months resided in        2    N
           household
      0505 Amount of Household Member income         12   N
           included on line 10
      0510 Household Member SSN                      9    N    Must be valid SSN, if household member does
                                                               not have an SSN, K40P cannot be
                                                               electronically filed.
New   0515 Wages or Ks AGI                      4a   12   N    Enter wages or KS adjusted gross income
                                                               from Line 3 of K40
New   0520 Federal EIC                          4b   12   N    Enter Federal EIC from prior year
           Record Terminus                           1         "$"




                                                                                                    72
KANSAS REJECT CODES:

0001 Duplicate Return

0002 Invalid Routing
Transit Number on K-40
Return
0003 Invalid Routing
Transit Number on K40H
(Homestead) Return
0004 Invalid Routing
Transit Number on K40PT
(Property Relief) Return




                           75
Field No. Field Description               Length        Type From     -   To
          Byte Count, Page 1                        4      N      1          4
          Record Start Sentinel                     4     AN      5          8
    0000 Record Identification                     34     AN      9         42
          Form ID                                   6     AN      9         14
          Form Number                               6      N     15         20
          Page Number                               5     AN     21         25
          Primary SSN                               9      N     26         34
          Filler                                    1     AN     35         35
          Form/Schedule Number                      7     AN     36         42
    0010 State Code                                 2      A     43         44
    0011 City Code                                  2      A     45         46
    0015 Imperfect Return Indicator                 1      A     47         47
    0016 Mis-match of ITIN/SSN                      1      A     48         48
    0019 State Only-Indicator                       2      A     49         50
    0020 Declaration Control Number                14      N     51         64
    0023 Return Sequence Number                    16      N     65         80
    0024 State Return Indicator                     1     AN     81         81
    0025 Reserved RTN Flag                          1      N     82         82
    0027 Direct Debit Date                          8      N     83         90
    0028 Direct Debit Amount                       12      N     91        102
    0030 State - Routing Transit                    9      N    103        111
    0032 State – RTN - Indicator                    1      N    112        112
    0035 State - Deposit Acct No                   17     AN    113        129
    0040 State-Checking-Acct                        1     AN    130        130
    0048 State-Savings-Acct                         1     AN    131        131
    0049 On-Line-State-Return                       1      A    132        132
    0050 State Transmitter Section                 27     AN    133        159
        a Preparer PTIN                             9     AN    133        141
        b Preparer EIN                              9      N    142        150
        c Preparer Zip                              5      N    151        155
        d Preparer Zip+4                            4      N    156        159
    0052 State Alphanumeric Area                   93     AN    160        252
        a Mailbox ID                                5     AN    160        164
        b Preparer Firm Name                       35     AN    165        199
        c Preparer Address                         30     AN    200        229
        d Preparer City                            20     AN    230        249
        e Preparer State                            2     AN    250        251
        f Preparer Self-Empl Ind                    1     AN    252        252
    0055 Spouse's SSN                               9      N    253        261
    0060 Name Line 1                               35     AN    262        296
        a Primary Last Name                        32     AN    262        293
        b Primary Suffix                            3     AN    294        296
    0062 Date of Death Primary                      8      N    297        304
    0065 Name Line Two                             35     AN    305        339
        a Secondary Last Name                      32     AN    305        336
        b Secondary Suffix                          3     AN    337        339
    0068 Date of Death Secondary                    8      N    340        347
    0070 Name Line Three                           35     AN    348        382
        a Primary First Name                       16     AN    348        363
        b Primary Middle Name                       1     AN    364        364
        c Secondary First Name                     16     AN    365        380
        d Secondary Middle Initial                  1     AN    381        381
        e IAT Indicator                             1     AN    382        382
    0074 C/O Address                               35     AN    383        417
    0075 Address Line One                          35     AN    418        452
    0077 Foreign Street Address                    35     AN    453        487
    0080 Address Line Two                          35     AN    488        522
    0085 City                                      22      A    523        544
    0087 Foreign City State or Province            35     AN    545        579
    0090 City Code                                  5      N    580        584
    0095 State Abbreviation                         2      A    585        586
    0098 Foreign Country                           22      A    587        608
    0100 Zip Code                                  12      N    609        620

                                                                                 76
0105     County                                 20    A    621    640
   a     County Abbreviation                     2    A    621    622
   b     Blank Filler                           18    A    623    640
0110     County Code                             5    N    641    645
0115     Telephone Number                       12   AN    646    657
0120     Primary TP Signature                    5    N    658    662
0125     Spouse Signature                        5    N    663    667
0126     ERO EFIN/PIN                           11    N    668    678
0150     Federal Filing Status                   1    N    679    681
0155     Total Federal Exemptions                2    N    682    683
0160     Wages, Salaries, Tips                  12    N    684    693
0165     Taxable Interest                       12    N    694    705
0170     Tax Exempt Interest                    12    N    706    717
0175     Dividends                              12    N    718    729
0180     State Refund                           12    N    730    741
0185     Taxable Social Security Benefits       12    N    742    753
0190     Keogh Plan and SEP Deductions          12    N    754    765
0195     Adjusted Gross Income                  12    N    766    777
0200     Standard / Itemized Deductions         12    N    778    789
0205     Earned Income Credit                   12    N    790    801
0300     Alphanumeric Field 1                   80   AN    802    881
   a     Software Developer Code                10   AN    802    811
   b     Paid Preparer Name                     31   AN    823    842
    c    Preparer Phone Number                  10   AN    843    852
   d     Non-paid Preparer                      13   AN    853    865
   e     Preparer State EIN                     16   AN    866    881
0305     Alphanumeric Field 2                   80   AN    882    961
0310     Alphanumeric Field 3                   80   AN    962   1041
   a     Return Type                             1    A    962    962
   b     Kansas Filing Status                    1    A    963    963
    c    Residency Status                        1    A    964    964
   d     Kansas School District                  3    N    965    967
   e     Total Kansas Exemptions                 2    N    968    969
    f    Discuss with preparer                   1    A    970    970
   g     Taxable year beginning                  8    N    971    978
   h     Taxable year ending                     8    N    979    986
     i   Credit for taxes paid to state #1       2    A    987    988
     j   Credit for taxes paid to state #2       2    A    989    990
    k    Credit for taxes paid to state #3       2    A    991    992
     l   Credit for taxes paid to state #4       2    A    993    994
  m      Commercial farming or fishing           1    A    995    995
   n     Deceased Indicator (Primary)            1    A    996    996
   o     Deceased Indicator (Secondary)          1    A    997    997
  p.     State of Legal Residence                2    A    998    999
  q.     Residency Dates (from)                  8    N   1000   1007
   r.    Residency Dates (to)                    8    N   1008   1015
   s.    Blank Filler                           26   AN   1016   1041
0315     Alphanumeric Field 4                   80   AN   1042   1121
0320     Alphanumeric Field 5                   80   AN   1122   1201
0325     Alphanumeric Field 6                   80   AN   1202   1281
0330     Alphanumeric Field 7                   80   AN   1282   1361
0350     Federal Adjusted Gross Income,Line 1   12    N   1362   1373
0355     Modifications to FAGI, Line 2          12    N   1374   1385
0360     Kansas Adjusted Gross Income, Line 3   12    N   1386   1397
0365     Standard/Itemized Deductions, Line 4   12    N   1398   1409
0370     Exemption Allowance, Line 5            12    N   1410   1421
0375     Total Deductions, Line 6               12    N   1422   1433
0380     Taxable Income, Line 7                 12    N   1434   1445
0385     Tax, Line 8                            12    N   1446   1457
0390     NR Allocation percentage, Line 9       12    N   1458   1469
0395     Nonresident Tax, Line 10               12    N   1470   1481
0400     KS Tx-Lump Sum Distributions,Line 11   12    N   1482   1493
0405     Total Kansas Tax, Line 12              12    N   1494   1505
0410     Credit-taxes pd to other states,Ln13   12    N   1506   1517

                                                                        77
0415   Credit for Child Care, Line 14               12   N   1518   1529
0420   Other Credits, Line 15                       12   N   1530   1541
0425   Total Credits, Line 16                       12   N   1542   1553
0430   Balance after credits, Line 17               12   N   1554   1565
0435   Use tax due, Line 18                         12   N   1566   1577
0440   Total tax balance, Line 19                   12   N   1578   1589
0445   Kansas Income Tax Withheld, Line 20          12   N   1590   1601
0450   Estimated Tax Paid, Line 21                  12   N   1602   1613
0455   Amount paid with Extension, Line 22          12   N   1614   1625
0460   Earned Income Credit, Line 23                12   N   1626   1637
0465   Refundable portion of Tax Credits, Line 24   12   N   1638   1649
0470   Food Sales Tax Refund, Line 25               12   N   1650   1661
0475   Total refundable Credits, Line 28            12   N   1662   1673
0480   Underpayment, Line 29                        12   N   1674   1685
0485   Interest, Line 30                            12   N   1686   1697
0490   Penalty, Line 31                             12   N   1698   1709
0495   Penalty-Estimated Tax, Line 32               12   N   1710   1721
0500   Amount owed, Line 33                         12   N   1722   1733
0505   Overpayment, Line 34                         12   N   1734   1745
0510   Credit Forward, Line 35                      12   N   1746   1757
0515   Chickadee Check-off, Line 36                 12   N   1758   1769
0520   Meals on Wheels Cont., Line 37               12   N   1770   1781
0525   Breast Cancer Research Fund, Line 38         12   N   1782   1793
0530   Military Emergency Relief Fund, Line 39      12   N   1794   1805
0535   Refund, Line 40                              12   N   1806   1817
0540   State and Municipal Int., Line A1            12   N   1818   1829
0545   Con. to Pub. Emp. Ret. Sys., Line A2         12   N   1830   1841
0550   Federal NOL Carry Forward, Line A3           12   N   1842   1853
0555   Con. to a Regional Foundation, Line A4       12   N   1854   1865
0560   Other Additions, Line A5                     12   N   1866   1877
0565   Total Additions, Line A6                     12   N   1878   1889
0570   Int. on U.S. Obligations, Line A9            12   N   1890   1901
0575   State Income Tax Refund, Line A10            12   N   1902   1913
0580   Kansas NOL Carry Forward, Line A11           12   N   1914   1925
0585   Retirement Benefits, Line A12                12   N   1926   1937
0590   Military Compensation, Line A13              12   N   1938   1949
0595   Qualified Long Term Care Ins, Line A14       12   N   1950   1961
0600   Learning Quest Contributions, Line A15       12   N   1962   1973
0605   Armed Forces Recruitment, Line A16           12   N   1974   1985
0610   Other Subtractions, Line A17                 12   N   1986   1997
0615   Total Subtractions, Line A18                 12   N   1998   2009
0620   Net Modifications, Line A19                  12   N   2010   2021
0625   Wages, Salaries, Etc, Line B1 (Fed)          12   N   2022   2033
0630   Wages, Salaries, Etc, Line B1 (St)           12   N   2034   2045
0635   Int. and Div. Income, Line B2 (Fed)          12   N   2046   2057
0640   Int. and Div. Income, Line B2 (St)           12   N   2058   2069
0645   Rf. St.& Loc. In. Tx., Line B3 (Fed)         12   N   2070   2081
0650   Rf. St.& Loc. In. Tx., Line B3 (St)          12   N   2082   2093
0655   Alimony Received, Line B4 (Fed)              12   N   2094   2105
0660   Alimony Received, Line B4 (St)               12   N   2106   2117
0665   Bus. Income or Loss, Line B5 (Fed)           12   N   2118   2129
0670   Bus. Income or Loss, Line B5 (St)            12   N   2130   2141
0675   Farm Income or Loss, Line B6 (Fed)           12   N   2142   2153
0680   Farm Income or Loss, Line B6 (St)            12   N   2154   2165
0685   Capital Gain or Loss, Line B7 (Fed)          12   N   2166   2177
0690   Capital Gain or Loss, Line B7 (St)           12   N   2178   2189
0695   Other Gains or Losses, Line B8 (Fed)         12   N   2190   2201
0700   Other Gains or Losses, Line B8 (St)          12   N   2202   2213
0705   Pensions, IRA & Ann., Line B9 (Fed)          12   N   2214   2225
0710   Pensions, IRA & Ann., Line B9 (St)           12   N   2226   2237
0715   Rental etc, Line B10 (Fed)                   12   N   2238   2249
0720   Rental etc, Line B10 (St)                    12   N   2250   2261
0725   Unemployment etc, Line B11 (Fed)             12   N   2262   2273
0730   Unemployment etc, Line B11 (St)              12   N   2274   2285

                                                                           78
0735   Total Inc From Ks Sources, Line B12                12   N   2286   2297
0740   IRA, Keogh etc, Line B13 (Fed)                     12   N   2298   2309
0745   IRA, Keogh etc, Line B13 (St)                      12   N   2310   2321
0750   Penalty on savings, Line B14 (Fed)                 12   N   2322   2333
0755   Penalty on savings, Line B14 (St)                  12   N   2334   2345
0760   Alimony Paid, Line B15 (Fed)                       12   N   2346   2357
0765   Alimony Paid, Line B15 (St)                        12   N   2358   2369
0770   Moving Expenses, Line B16 (Fed)                    12   N   2370   2381
0775   Moving Expenses, Line B16 (St)                     12   N   2382   2393
0780   Self Emp Hlth Ins, Line B17 (Fed)                  12   N   2394   2405
0785   Self Emp Hlth Ins, Line B17 (St)                   12   N   2406   2417
0790   Total Fed Adjustments, Line B18                    12   N   2418   2429
0795   Ks Source Income, Line B19                         12   N   2430   2441
0800   Net Modifications, Line B20                        12   N   2442   2453
0805   Modified Ks Source Income, Line B21                12   N   2454   2465
0810   KAGI, Line B22                                     12   N   2466   2477
0815   Nonres. Allocat. Percent., Line B23                12   N   2478   2489
0820   Social Security benefits, A7                       12   N   2490   2501
0825   KPERS Lump Sum Distributions, A8                   12   N   2502   2513
0830   Blank Filler                                       12   N   2514   2525
0835   Blank Filler                                       12   N   2526   2537
0840   Blank Filler                                       12   N   2538   2549
0845   Blank Filler                                       12   N   2550   2561
0850   Blank Filler                                       12   N   2562   2573
0855   Blank Filler                                       12   N   2574   2585
0860   Blank Filler                                       12   N   2586   2597
0865   Blank Filler                                       12   N   2598   2609
0870   Blank Filler                                       12   N   2610   2621
0875   Blank Filler                                       12   N   2622   2633
0880   Blank Filler                                       12   N   2634   2645
0885   Blank Filler                                       12   N   2646   2657
0890   Blank Filler                                       12   N   2658   2669
0895   Blank Filler                                       12   N   2670   2681
0900   Blank Filler                                       12   N   2682   2693
0905   Blank Filler                                       12   N   2694   2705
0910   Blank Filler                                       12   N   2706   2717
0915   Blank Filler                                       12   N   2718   2729
0920   Blank Filler                                       12   N   2730   2741
0925   Blank Filler                                       12   N   2742   2753
       Record Terminus                                     1   #   2754   2754
       In House Name Code added AFTER we receive           4   A   2755   2758
       and do initial processing, before sending to ATP




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