Form K-59 - Kansas High Performance Incentive Program Credits (2011)

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K-59
KANSAS
HIGH PERFORMANCE INCENTIVE PROGRAM CREDITS
(Rev. 8/11)
For the taxable year beginning _________________ , 20____ ; ending _________________ , 20____
.
Name of taxpayer (as shown on return)
Social Security Number or Employer ID Number (EIN)
If partner, shareholder or member, enter name of partnership, S corporation, LLC or LLP
Employer ID Number (EIN)
PART A GENERAL INFORMATION
1. Enter the period for which you were HPIP certified by the Secretary of Commerce
1. _ _ / _ _ /_ _
thru
_ _ / _ _ /_ _
2. Enter your HPIP certification number
2. ________________________
PART B – HPIP TRAINING AND EDUCATION CREDIT
3. Total qualified cash investment in training and education
3. ________________________
4. Total amount expended for payroll during the period specified
4. ________________________
5. Multiply line 4 by 2%
5. ________________________
6. Amount of credit subject to limitation (subtract line 5 from line 3)
6. ________________________
7. Total credit for amount invested (the lesser of line 6 or $50,000)
7. ________________________
8. Enter your proportionate share percentage
8. ________________________
9. Amount of credit allowable for training and education
9. ________________________
PART C – HPIP INVESTMENT CREDIT
10. Address location of qualified business facility:
________________________________________________________________
____________________________________________
Street Address
City
11. Complete the following investment schedule for the 1st qualifying year:
INVESTMENT SCHEDULE FOR 1ST QUALIFYING YEAR
(1)
(2)
(3)
Enter Business Entity Tax
Base Year: __ __ __ __
1st Qualifying Year: __ __ __ __
Filing Period By Month
Monthly Base Investment
Monthly Qualifying Investment
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
l.
m. TOTAL
n. Average Investment
o.
Capitalized Rents
p. TOTAL
q.
Base
r.
Average Qualified Investment
$50,000
s.
Minimum Investment Allowed
t.
Qualified Business Facility Investment
u. INVESTMENT CREDIT (10% of line t.)

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