Fillable Form 2016: K-40 KANSAS INDIVIDUAL INCOME TAX

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Form 2016: K-40 KANSAS INDIVIDUAL INCOME TAX

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A. Had a dependent child who lived with you all year and was under the age of 18 all of 2016? ..............
B. Were you (or spouse) 55 years of age or older all of 2016 (born before January 1, 1961)? ..................
C. Were you (or spouse) totally and permanently disabled or blind all of 2016, regardless of age? ..........
If you answered NO to A, B, and C, STOP HERE; you do not qualify for this credit.
D. If you answered YES to A, B, or C, enter your federal adjusted gross income from line 1 of
this return. If it is more than $30,615, STOP HERE; you do not qualify for this credit.
E. Number of exemptions claimed on your federal income tax return ........................................................
F. Number of dependents that are 18 years of age or older (born before January 1, 1999) ......................
G. Total qualifying exemptions (subtract line F from line E) ........................................................................
H. Food Sales Tax Credit (multiply line G by $125). Enter the result here and on line 17 of this form.
Mail to: Kansas Income Tax, Kansas Dept. of Revenue
PO Box 750260, Topeka, KS 66675-0260
K-40
(Rev. 7/16)
2016
KANSAS INDIVIDUAL INCOME TAX
114516
If your name or address has changed since last year, mark an “X” in this box
Amended affects Kansas only Amended Federal tax return
Adjustment by the IRS
Enter the number of exemptions you claimed on your 2016 federal return. If no federal return is required,
enter total exemptions for you, your spouse (if applicable), and each person you claim as a dependent.
Name (please print) Date of Birth (MMDDYY) Relationship Social Security Number
Amended
Return
(Mark ONE)
You must have been a Kansas resident for ALL of 2016. Complete this section to determine your qualications and credit.
Your First Name Initial Last Name
Spouse’s First Name Initial Last Name
Mailing Address (Number and Street, including Rural Route)
School District No.
City, Town, or Post Ofce State Zip Code County Abbreviation
Enter the rst four letters of your last name.
Use ALL CAPITAL letters.
Enter the rst four letters of your last name.
Use ALL CAPITAL letters.
Your Social
Security Number
Spouse’s Social
Security Number
Daytime
Telephone
Number
If taxpayer (or spouse if ling joint) died during this tax year, mark an “X” in this box
If this is an AMENDED 2016 Kansas return mark one of the following boxes:
Filing Status
(Mark ONE)
Residency
Status
(Mark ONE)
Single
Married ling joint
(Even if only one had income)
Married ling separate
Head of household (Do not
mark if ling a joint return)
Resident
Part-year resident from ____________ to ____________
(Complete Sch. S, Part B)
Nonresident
(Complete Sch. S, Part B)
Exemptions
and
Dependents
If ling status above is Head of household, add one exemption.
Total Kansas exemptions.
Enter the requested information for all persons claimed as dependents. Do NOT include you or your spouse. Enclose separate schedule if necessary.
Food Sales
Tax Credit
{
Mark
ONE
box
YES NO
YES NO
YES NO
00
00
DO NOT STAPLE
114216
ENTER AMOUNTS IN WHOLE DOLLARS ONLY
1. Federal adjusted gross income (as reported on your federal income tax return) ................
2. Modications (from Schedule S, line A30; enclose Schedule S) ........................................
3. Kansas adjusted gross income (line 2 added to or subtracted from line 1) .........................
Income
Shade the box for
negative amounts.
Example:
1
2
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42
28
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Deductions
Tax
Computation
Credits
Use Tax
Withholding
and
Payments
If this is an
AMENDED return,
complete lines
26 and 27.
Balance
Due
Overpayment
You may donate
to any of the
programs on lines
36 through 41.
The amount you
enter will reduce
your refund or
increase the
amount you owe.
Signature(s)
I authorize the Director of Taxation or the Director’s designee to discuss my return and enclosures with my preparer.
I declare under the penalties of perjury that to the best of my knowledge this is a true, correct, and complete return.
Signature of taxpayer Date Signature of preparer other than taxpayer Phone number of preparer
Signature of spouse if Married Filing Joint Tax preparer’s EIN or SSN:
ENCLOSE any necessary documents with this form. DO NOT STAPLE.
4. Standard deduction OR itemized deductions (if itemizing, complete Part C of Schedule S) ..
5. Exemption allowance ($2,250 x number of exemptions claimed) .............................................
6. Total deductions (add lines 4 and 5) ............................................................................................
7. Taxable income (subtract line 6 from line 3; if less than zero, enter 0) ........................................
8. Tax (from Tax Tables or Tax Computation Schedule) .................................................................
9. Nonresident percentage (from Schedule S, line B23; or if 100%, enter 100.0000) .....................
10. Nonresident tax (multiply line 8 by line 9) ...................................................................................
11. Kansas tax on lump sum distributions (residents only - see instructions) ..................................
12. TOTAL INCOME TAX (residents: add lines 8 & 11; nonresidents: enter amount from line 10) ...
13. Credit for taxes paid to other states (see instructions; enclose return(s) from other states)
14. Other credits (enclose all appropriate credit schedules)
............................................................
15. Subtotal (subtract lines 13 and 14 from line 12) .........................................................................
16. Earned income tax credit (from worksheet on page 8 of instructions) ..................................
17. Food sales tax credit (from line H, front of this form) ..................................................................
18. Tax balance after credits (subtract lines 16 and 17 from line 15; cannot be less than zero) .......
19. Use tax due (out of state and internet purchases; see instructions) ...........................................
20. Total tax balance (add lines 18 and 19) .......................................................................................
29. Underpayment (if line 20 is greater than line 28, enter the difference here) ..............................
30. Interest (see instructions) ............................................................................................................
31. Penalty (see instructions) ............................................................................................................
32. Estimated Tax Penalty
33. AMOUNT YOU OWE (add lines 29 through 32 and any entries on lines 36 through 41) ...........
34. Overpayment (if line 20 is less than line 28, enter the difference here) ....................................
35. CREDIT FORWARD (enter amount you wish to be applied to your 2017 estimated tax) ..........
36. CHICKADEE CHECKOFF (Kansas Nongame Wildlife Improvement Program) ........................
37. SENIOR CITIZENS MEALS ON WHEELS CONTRIBUTION PROGRAM .................................
38. BREAST CANCER RESEARCH FUND .....................................................................................
39. MILITARY EMERGENCY RELIEF FUND ...................................................................................
40. KANSAS HOMETOWN HEROES FUND ...................................................................................
41. KANSAS CREATIVE ARTS INDUSTRY FUND ..........................................................................
42. REFUND (subtract lines 35 through 41 from line 34) .................................................................
Mark box if engaged in commercial farming or shing in 2016
21. Kansas income tax withheld from W-2s and/or 1099s ...............................................................
22. Estimated tax paid ......................................................................................................................
23. Amount paid with Kansas extension ...........................................................................................
24. Refundable portion of earned income tax credit (from worksheet, page 8 of instructions) ...
25. Refundable portion of tax credits ................................................................................................
26. Payments remitted with original return .......................................................................................
27. Overpayment from original return (this gure is a subtraction; see instructions) .................
28. Total refundable credits (add lines 21 through 26; then subtract line 27)
............................
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Form 2016: K-40 KANSAS INDIVIDUAL INCOME TAX

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Completed 24 February 2022

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