740-X
*1500030008*
42A740-X (11-15)
A
MENDED
Department of Revenue
K
I
ENTUCKY
NDIVIDUAL
I
T
R
20___
NCOME
AX
ETURN
For calendar year or
__________ , ______ ,
__________ , ______
For fiscal year beginning
and ending
Spouse’s Social Security No.
Your Social Security No.
Filing Status: Check only one block.
Original Amended
1.
Single
Last Name
First Name (Joint or combined return, give both names and initials.)
2.
Married, filing separately
on this combined return
3.
Married, filing joint return
Mailing Address
Number and Street including Apartment Number or P .O. Box
4.
Married, filing separate
returns. Enter spouse’s
name and Social Security
City, Town or Post Office
State
ZIP Code
number as it appears on
➤
separate return.
I—As Originally
II—Net Change Increase
III
INCOME AND DEDUCTIONS
Reported or Adjusted
or Decrease (see p. 2)
Correct Amount
1. KENTUCKY ADJUSTED GROSS INCOME (Form 740 or 740-EZ)
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
2. ITEMIZED DEDUCTIONS / STANDARD DEDUCTION
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
3. TAXABLE INCOME
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
TAX LIABILITY
4. Enter tax from Form 740, line 14 or Form 740-EZ, line 4.
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
5. Business Incentive Credits. Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
6. Personal Tax Credits.
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
7. Subtract lines 5 and 6
Column A, Spouse ..............................
Column B, Yourself (or Joint) .............
from line 4.
8. Add line 7, Columns A and B and enter here .....................................
9. Family Size Tax Credit ..........................................................................
10. Education Tuition Tax Credit .................................................................
11. Child and Dependent Care Credit .......................................................
12. New Home Tax Credit (2009 and 2010 Only) ......................................
13. Income Tax Liability. Subtract lines 9, 10, 11 and 12 from line 8 .......
14. Kentucky Use Tax ..................................................................................
15. Total Tax Liability ..................................................................................
PAYMENTS AND CREDITS
16. Kentucky Income Tax Withheld ............................................................
17. Kentucky Estimated Tax Payments ......................................................
18. Refundable Kentucky Corporation Tax Credit (KRS 141.420(3)(c)) ....
19. Refundable certified rehabilitation credit (KRS 141.382(1)(b)) ..........
20. Film industry tax credit (KRS 141.383) ................................................
21. Amount paid with original return, plus additional payments made after it was filed ..........................................
22. Total of lines 16 through 21, Column III ....................................................................................................................
REFUND OR AMOUNT DUE
23. Overpayment, if any, shown on original return, Form 740 or Form 740-EZ ...........................................................
24. Subtract line 23 from line 22 and enter the result ....................................................................................................
25. If line 15, Column III, is more than line 24, enter amount due ................................................................................
26. Compute interest on the amount due from the due date until paid. Use Interest Rate
Chart on Page 2, Part IV when calculating interest..................................................................................................
27. Add lines 25 and 26. Pay in full with this return .......................................................................................................
28. If line 15, Column III, is less than line 24, enter refund to be received ...................................................................
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F