K-33
KANSAS
AGRITOURISM LIABILITY INSURANCE CREDIT
(Rev. 9/13)
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. KDOR (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 Administrative 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 tax 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. ______________