Form K-41 - Kansas Fiduciary Income Tax - 2001
ADVERTISEMENT
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4KANSAS
K-41
2001
FIDUCIARY INCOME TAX
FOR OFFICE USE
Rev. (9/01)
ONLY
For the year January 1 to December 31, 2001 or other taxable year beginning _______________, 20____, ending ______________, 20____
Name of Estate or Trust
Name of Fiduciary
Employer ID Number (EIN)
Mailing Address (Number and Street, including Rural Route)
Telephone Number
Zip Code
School District Number
County Abbreviation
City, Town, or Post Office
State
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 (Check ONE)
Residency Status (Check ONE)
Date Established
Estate
Resident
Date of decedent’s death or date trust established:
Trust
Nonresident (See instructions)
Month
Year
Day
Bankruptcy Estate
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.
Federal taxable income (Residents: Federal Form 1041; Nonresidents: Part III, line 45, column D). . . . . . . . . . .
1.
1
2.
Resident fiduciary’s share of modifications to federal taxable income (residents only).
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.
2
Part I, line 23 or Part II, line (j). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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3
3.
Kansas taxable income (Line 2 plus or minus line 1. See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Tax (Tax computation schedule, page 4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
4
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Kansas tax on lump sum distributions (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
5
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Nonresident beneficiary tax (Part IV total of column E). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6.
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TOTAL KANSAS TAX (Add lines 4, 5 and 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
7
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Credit for taxes paid to other states (Resident estates or trusts only; See instructions). . . . . . . . . . . . . . . . . . . . .
8.
8
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Other nonrefundable credits (Enclose all appropriate schedules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
9
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Total nonrefundable credits (Add lines 8 and 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10.
10
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Balance (Subtract line 10 from line 7; cannot be less than zero) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11.
11
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Kansas income tax withheld (Enclose Kansas copies of Form W-2 and/or 1099R) . . . . . . . . . . . . . . . . . . . . . . . .
12.
12
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Amount paid with Kansas extension. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13.
13
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Other refundable credits (Enclose all appropriate schedules). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
14
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Total refundable credits (Add lines 12, 13 and 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
15.
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UNDERPAYMENT (If line 11 is greater than line 15). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.
16
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INTEREST (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17.
17
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PENALTY (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18.
18
Write your EIN on your check or money order
. .
BALANCE DUE (Add lines 16, 17 and 18). . . . . . . . . . . .
19.
19
and make payable to: Kansas Fiduciary Tax
NOTE:
If page 3, Part IV, Column E, total line is zero AND page 1, line 19 is zero, DO NOT FILE THIS RETURN. Both entries must be zero.
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REFUND (If line 15 is greater than line 11). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20.
20
I authorize the Director of Taxation or the Director’s designee to discuss my return and attachments with my preparer.
I declare under the penalties of perjury that to the best of my knowledge and belief this is a true, correct, and complete return.
Title
Signature of fiduciary
Date
Signature of preparer other than fiduciary
Address/Telephone Number
Date
MAIL TO:
Fiduciary Tax, Kansas Department of Revenue, 915 SW Harrison St., Topeka, KS 66699-3000
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