Schedule K-30 - Kansas Angel Investor Credit

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K-30
KANSAS
ANGEL INVESTOR CREDIT
(Rev. 9/13)
For the taxable year beginning, _________________ , 20____ ; ending _________________ , 20____ .
Name of taxpayer (as shown on return)
Social Security Number
If partner, shareholder or member, enter name of partnership, S corporation, LLC or LLP
Employer ID Number (EIN)
PART A – GENERAL INFORMATION
1. Date the investment was made (mm/dd/yyyy): ___ ___ ___ ___ ___ ___ ___ ___
2. Name of the qualified Kansas business in which the investment was made:
________________________________________________________________________________________________________
3. Employer Identification Number (EIN) of the qualified Kansas business in which the investment was made: __________________
4.
Check here if this credit is the result of a transfer of credit from another investor in a qualified business.
5. Name and address of the original investor: _____________________________________________________________________
_______________________________________________________________________________________________________
6. Social Security Number (SSN) of the original investor: ____________________________________________________________
PART B – COMPUTATION OF CREDIT FOR THIS YEAR’S INVESTMENT
7. Total amount of cash investment this tax year.
7. ________________
50%
8. Maximum percentage allowed.
8. ________________
9. Maximum allowable credit for the amount invested this tax year (multiply line 7 by line 8).
9. ________________
0%
10. Proportionate share percentage (see instructions).
10. ________________
11. Your share of the credit for this year’s investment (multiply line 9 by line 10).
11. ________________
PART C – COMPUTATION OF TOTAL CREDIT CLAIMED THIS TAX YEAR
12. Amount of available carry forward from the prior year’s Schedule K-30.
12. ________________
13. Total credit available this tax year (add lines 11 and 12).
13. ________________
14. Amount of your Kansas tax liability for current taxable after all previously claimed credits.
14. ________________
15. Amount of credit allowable this tax year (enter the lesser of line 13 or line 14).
15. ________________
Enter this amount on the appropriate line of Form K-40.
PART D – COMPUTATION OF CREDIT CARRY FORWARD
16. Amount of credit to carry forward to next year’s Schedule K-30 (subtract line 15 from line 13).
16. ________________

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