Form K-33 - Kansas Agritourism Liability Insurance Credit - 2016
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2K-33
KANSAS
AGRITOURISM LIABILITY INSURANCE CREDIT
(Rev. 7/16)
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)
IMPORTANT: Do not send any enclosures with this schedule. A copy of the certificate issued by the Kansas Department of Wildlife, Parks
and Tourism must be kept with your records. The Kansas Department of Revenue reserves the right to request additional information as
necessary.
PART A – COMPUTATION OF CREDIT AVAILABLE FOR THIS YEAR’S EXPENDITURES
1. Cost of liability insurance paid during this taxable year (C Corporations only).
1.
________________
Insurance Agent’s Name __________________________________________ Phone Number ______________________
Insurance Company Name ________________________________________ Policy Number
______________________
I hereby certify that the amount of liability insurance entered on line 1 above is the total amount paid during this _________
tax year for the property that is actually utilized in the Taxpayer’s Registered Agritourism Operation and meets the eligibility
requirement for claiming this credit as set out in Kansas Administration Regulation 115-40-1 et seq.
______________________________________________________________
____________________________
Signature of Insurance Agent
Date
20%
2. Credit percentage allowed.
2.
________________
3. Credit for this year’s liability insurance (multiply line 1 by line 2).
3.
________________
4. Enter the amount of available carry forward from the prior year’s Schedule K-33.
4.
________________
5. Total credit available for this tax year (add line 3 and line 4).
5.
________________
$2,000
6. Maximum credit allowable per tax year.
6.
________________
7. Credit for this tax year (enter the lesser of line 5 or line 6).
7.
________________
PART B – COMPUTATION OF THIS YEAR’S CREDIT
8. Total Kansas tax liability for this year after all credits other than this credit.
8.
________________
9. Agritourism liability insurance credit for this year (enter the lesser of line 7 or line 8 here and on
the appropriate line of Form K-40, K-41 or K-120).
9.
________________
If line 8 is less than line 7, complete Part C.
PART C – COMPUTATION OF EXCESS CREDIT CARRY FORWARD
10. Subtract line 9 from line 7 and enter the result. This is the amount of carry forward available to
enter on next year’s Schedule K-33.
10.
________________
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