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2021
KANSAS FIDUCIARY INCOME TAX
K-41
(Rev. 7-21)
DO NOT STAPLE
For the taxable year beginning
2 0 2 1
__ ; ending
Filing Information
Name of Estate or Trust
Name of Fiduciary
Mailing Address (Number and Street, including Rural Route)
City, Town or Post Oce State Zip Code
Employer ID Number (EIN)
Telephone Number
School District Number County Abbreviation
If your name or address has changed since last year, mark an “X” in this box.
If this is an amended return, mark an “X” in this box.
Filing Status (Mark ONE)
Estate
Trust
Bankruptcy Estate
Residency Status (Mark ONE)
Resident
Nonresident (See instructions)
Date Established
Date of decedent’s death or date trust established:
MONTH DAY YEAR
Income
1. Federal taxable income (Residents: Federal Form 1041; Nonresidents: Part III, line 48, column D)
2. Resident duciary’s share of modications to federal taxable income (residents only)
Part I, line 26 or Part II, line (j)
3. Kansas taxable income (Line 1 plus or minus line 2. See instructions)
Tax Computation
4. Tax (from tax computation schedule on the last page of this form)
5. Kansas tax on lump sum distributions (see instructions)
6. Nonresident beneciary tax (Part IV total of column E)
7. TOTAL KANSAS TAX (add lines 4, 5 and 6)
Credits
8. Credit for taxes paid to other states (resident estates or trusts only; see instructions)
9. Other nonrefundable credits (enclose all appropriate schedules)
10. Total credits (add lines 8 and 9)
11. Balance (subtract line 10 from line 7; cannot be less than zero)
Withholding & Payments
12. Kansas income tax withheld
13. Kansas estimated tax paid
14. Amount paid with Kansas extension
15. Refundable portion of tax credits
16. Amended lers: Payments remitted with original return
17. Amended lers: Overpayment from original return (this gure is a subtraction; see instructions)
18. Total refundable credits (add lines 12 through 16 and subtract line 17)
Refund or Balance Due
19. UNDERPAYMENT (if line 11 is greater than line 18)
20. INTEREST (see instructions)
21. PENALTY (see instructions)
22. BALANCE DUE (add lines 19, 20 and 21)
Write your EIN on your check or money order
and make payable to: Kansas Fiduciary Tax
NOTE:
If both the “TOTAL line in Part IV, Column E” and “amount on line 22” are zero, DO NOT FILE this return.
23. REFUND (if line 18 is greater than line 11) ........................................................................................................
PLEASE COMPLETE THE BACK OF THIS FORM
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