114320
2020
KANSAS SUPPLEMENTAL SCHEDULE
SCHEDULE S
(Rev. 7-20)
DO NOT STAPLE
Your First Name Initial Last Name
Spouse’s First Name Initial Last Name
Enter the rst four letters of your last name.
Use ALL CAPITAL letters.
Your Social
Security number
Enter the rst four letters of your spouse’s
last name. Use ALL CAPIT
AL letters.
Spouse’s Social
Security number
IMPORTANT:
Refer to the Schedule S instructions before completing Parts A, B,
or C of this form. You must enclose all supportive documentation where indicated
in the instructions.
PART A - Modications to Federal Adjusted Gross Income
Additions
A1. State and municipal bond interest not specically exempt from Kansas income tax (reduced
by related expenses
A2. Contributions to all KPERS (Kansas Public Employee’s Retirement Systems)
A3. Kansas expensing recapture (enclose applicable schedules)
A4. Low income student scholarship contributions (enclose Schedule K-70)
A5. Other additions to federal adjusted gross income (see instructions and enclose list)
A6. Total additions to federal adjusted gross income (add lines A1 through A5)
Subtractions
A7. Social Security benets
A8. KPERS lump sum distributions exempt from Kansas income tax
A9. Interest on U.S. Government obligations (reduced by related expenses)
A10. State or local income tax refund (if included in line 1 of Form K-40)
A11. Retirement benets specically exempt from Kansas income tax (do NOT include social
security
benets or KPERS lump sum distributions)
A12. Military compensation of a nonresident servicemember (nonresidents only)
A13. Contributions to Learning Quest or other states’ qualied tuition program
A14. Armed forces recruitment, sign-up, or retention bonus
A15. Contributions to an ABLE savings account
A16. Other subtractions from federal adjusted gross income (see instructions and enclose list)
A17. Total subtractions from federal adjusted gross income (add lines A7 through A16)
Net
Modication
A18
A7
A8
A9
A10
A11
A12
A13
A14
A15
A16
A17
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A18. Net modication to federal adjusted gross income (subtract line A17 from line A6). Enter
total here and on line 2, Form K-40. If negative, shade minus box.............................
A1
A2
A3
A4
A5
A6
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PART B - Income Allocation for Nonresidents and Part-Year Residents
Income
Shade box
for negative
amounts.
Example:
Total from federal return: Amount from Kansas sources:
B1. Wages, salaries, tips, etc.
B2. Interest and dividend income
B3. Pensions, IRA distributions & annuities
Additional Income
B4. Refund of state & local income taxes
B5. Alimony received
B6. Business income or loss
B7. Capital gain or loss
B8. Other gains or losses
B9. Rental real estate,royalties, partnerships,
S corps, trusts, estates, REMICS etc
B10. Farm income or loss
B11. Unemployment compensation, taxable
social security benets & other income
B12. Total income from Kansas sources (add lines B1 through B11)
Adjustments
to Income
Shade box
for negative
amounts.
Example:
Total from federal return: Amount from Kansas sources:
B13. IRA retirement deductions
B14. Penalty on early withdrawal of savings
B15. Alimony paid
B16. Moving expenses for members of the armed
forces
B17. Other federal adjustments
B18. Total federal adjustments to Kansas source income (add lines B13 through B17)
B19. Kansas source income after federal adjustments (subtract line B18 from line B12)
B20. Net modications from Part A that are applicable to Kansas source income
B21. Modied Kansas source income (line B19 plus or minus line B20)
B22. Kansas adjusted gross income (from line 3, Form K-40)
Nonresident
Allocation
Percentage
B23. Nonresident allocation percentage (divide line B21 by line B22 and round to the fourth
decimal place, not to exceed 100.0000). Enter result here and on line 9 of Form K-40
PART C - Kansas Itemized Deductions
Itemized
Deduction
Computation
C1. Medical and dental expenses from line 4 of federal Schedule A
C2. Real estate taxes from line 5b of federal Schedule A
C3. Personal property taxes from line 5c of federal Schedule A
C4. Qualied residence interest you paid and reported on federal Schedule A (see instructions)
C5. Gifts to charity from line 14 of federal Schedule A
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B1
B2
B3
B4
B5
B6
B7
B8
B9
B10
B11
B12
B1
B2
B3
B4
B5
B6
B7
B8
B9
B10
B11
B13
B14
B15
B16
B17
B18
B19
B20
B21
B22
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B13
B14
B15
B16
B17
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B23
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C6. Kansas itemized deductions (add lines C1 through C5). Enter result here and line 4 of Form K-40.
C1
C2
C3
C4
C5
C6
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