Form K-41 - Kansas Fiduciary Income Tax - 2001 Page 2

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Form K-41,
Page 2
PART I - KANSAS FIDUCIARY ADJUSTMENT
21.
Additions to federal taxable income:
State and local bond interest (Reduced by related expenses, enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
a.
21a
.
State or local taxes measured by income deducted on the federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
21b
.
Administrative expenses claimed as deductions on Kansas inheritance tax return. . . . . . . . . . . . . . . . . . . . . . . . . . .
c.
21c
.
Other additions (See instructions, enclose schedule) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d.
21d
Total additions to federal income (Add lines 21a through 21d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
e.
.
21e
22.
Subtractions from federal taxable income:
.
Interest on U.S. Government obligations (Reduced by related expenses, enclose schedule). . . . . . . . . . . . . . . . . . .
22a
a.
.
State income tax refunds reported as income on federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b.
22b
Exempt retirement benefits (Enclose all 1099Rs). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.
c.
22c
.
Other subtractions from federal adjusted gross income (See instructions, enclose schedule). . . . . . . . . . . . . . . . . .
d.
22d
Total subtractions from federal adjusted gross income (Add lines 22a through 22d). . . . . . . . . . . . . . . . . . . . . . . . .
.
e.
22e
23.
Kansas fiduciary adjustment (Subtract line 22e from line 21e) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
.
PART II - COMPUTATION OF SHARES OF THE KANSAS FIDUCIARY ADJUSTMENT
NOTE: The Kansas fiduciary adjustment is to be allocated among the beneficiaries and the fiduciary in proportion to their share of the sum of
the federal distributable net income and the amount distributed or required to be distributed from current income.
(A)
(B)
(C)
(D)
Name and Address
Social Security No.
Percent of
Share of fiduciary adjustment (line 23,
Distribution
Part I, multiplied by column C)
RESIDENT BENEFICIARIES
%
(a)
%
(b)
%
(c)
%
(d)
NONRESIDENT BENEFICIARIES
%
(e)
%
(f)
%
(g)
%
(h)
%
(i) Charitable beneficiaries’ portion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(i)
Subtotal . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
%
%
(j) Fiduciary’s portion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(j)
Total. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
100%
Page 6

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