1. DEPARTMENT OF REVENUE STATE OF KANSAS
Tax Operations Phone: (785) 296-4937
Forms/Correspondence FAX: (785) 296-2736
915 SW Harrison St. Hearing Impaired TTY: (785) 296-6461
Topeka, KS 66625-1712 http://www.ksrevenue.org
If this name or address is
incorrect, please make the
necessary correction(s) using
the space provided below.
The Kansas Department of Revenue produces a Kansas Package XK at a charge of $15.00 each. The
Package XK contains most of the tax forms used by the Kansas Department of Revenue as well as
some business forms from the Department of Labor.
If you wish to receive this publication, indicate the number of copies desired in the box indicated. If your
name and address are not pre-printed at the top of this form or if the pre-printed information is
incorrect, furnish your name and mailing address (no PO Box) in the space provided below.
Kansas Package XK will be available for distribution by late December. Tax preparers that order
Package XK publications this year will receive an order blank to purchase a publication next year.
Quantity of Package XK @ $15.00 each
(This amount includes Kansas Retailers' Sales Tax)
Total amount enclosed $
MAILING ADDRESS: (Complete mailing address information required. Do not use a PO Box, only a street address can be used for
mailing bulk orders.)
Business Name:
Contact Name:
Street Address:
City State Zip Code:
Telephone Number:
Email Address:
You MUST include with this request, a check or money order payable to quot;Kansas Publication Fee
Fundquot;. NO refunds will be allowed for overpayment. Return this request and payment to:
Publication Fee Fund
Kansas Department of Revenue
915 SW Harrison St.
Topeka, KS 66625-2898
NOTE: RETURN THIS FORM WITH PAYMENT
EDU-20
(Rev. 10/05)