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2008
SCHEDULE S                                                                                                                                                         114308

(Rev. 7/08)
                                                      KANSAS SUPPLEMENTAL SCHEDULE

 Your First Name                                       Initial Last Name                                                      Enter the first four l

                                                                                                                                                    etters of your last name.



                                                                                                                                                                  --
                                                                                                                              Use ALL CAPITAL l
      etters.
                                                                                                                              Your Social
                                                                                                                              Security number
                                                                                                                              Enter the first four letters of your spouse's last
 Spouse's First Name                                   Initial Last Name



                                                                                                                                                                  --
                                                                                                                              name. Use ALL CAPITAL letters.
                                                                                                                              Spouse's Social
                                                                                                                              Security number




 PART A - MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME (See instructions, page 21)

 ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME:

 A1. State and municipal bond interest not specifically exempt from Kansas income tax

                                                                                                                                                              ,                 ,   .00
     (reduced by related expenses). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A2. Contributions to all KPERS (Kansas Public Employee's Retirement Systems) (See instructions). . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A3. Federal net operating loss carry forward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A4. Contributions to a Regional Foundation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A5. Other additions to Federal adjusted gross income (see instructions and enclose list) . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A6. Total additions to Federal adjusted gross income (add lines A1 through A5). . . . . . . . . . . . . . . . . . . . . . . . . 



SUBTRACTIONS FROM FEDERAL ADJUSTED GROSS INCOME:

                                                                                                                                                              ,                 ,   .00
  A7. Social Security benefits (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
   A8. KPERS lump sum distributions exempt from Kansas income tax (see instructions) . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
   A9. Interest on U.S. Government obligations (reduced by related expenses). . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A10. State or local income tax refund (if included on line 1 of Form K-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A11. Kansas net operating loss carry forward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A12. Retirement benefits specifically exempt from Kansas income tax (do not include Social Security benefits

      or KPERS lump sum distributions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A13. Military Compensation of a Nonresident Servicemember (nonresidents only; see instructions) . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A14. Qualified Long-Term Care (LTC) insurance premiums (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A15. Contributions to Learning Quest or other states' qualified tuition programs (see instructions). . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A16. Armed Forces Recruitment, Sign-up, or Retention Bonus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A17. Other subtractions from Federal adjusted gross income (see instructions and enclose list). . . . . . . . . . . . . 


                                                                                                                                                              ,                 ,   .00
 A18. Total subtractions from Federal adjusted gross income (add lines A7 through A17). . . . . . . . . . . . . . . . . . . 



NET MODIFICATIONS:

                                                                                -
 If amount is negative, shade minus (-) in box. Example:


                                                                                                                                              -               ,                 ,
 A19. Net modifications to Federal adjusted gross income (subtract line A18 from line A6). Enter on
                                                                                                                                                                                    .00
      line 2, Form K-40. If negative, shade minus (-) in box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
114408


PART B - NONRESIDENT ALLOCATION (See instructions, page 24)


                                                                              -
If amount is negative, shade minus (-) in box. Example:


INCOME:
                                                                                   Total From Federal Return:                    Amount From Kansas Sources:

                                                                                                                                    ,         ,          .00
 B1. Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
 B2. Interest and dividend income. . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
 B3. Refunds of state and local income taxes. . . . . . . . . . 


                                                                                                                                    ,         ,          .00
 B4. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
 B5. Business income or loss . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
 B6. Farm income or loss. . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
 B7. Capital gain or loss. . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
 B8. Other gains or losses. . . . . . . . . . . . . . . . . . . . . . . . . 



                                                                                                                                    ,         ,          .00
 B9. Pensions, IRA distributions, and annuities. . . . . . . . . 


                                                                                                                             -      ,         ,          .00
B10. Rental real estate, royalties, partnerships,
     S corporations, estates, trusts, etc. . . . . . . . . . . . . . .

                                                                                                                             -      ,         ,          .00
B11. Unemployment compensation, taxable Social
     Security benefits, and other income. . . . . . . . . . . . . .

                                                                                                                             -      ,         ,          .00
B12. Total income from Kansas sources (add lines B1 through B11). . . . . . . . . . . . . . . . . . . . . . . . . . . . .




ADJUSTMENTS AND MODIFICATIONS TO KANSAS SOURCE INCOME:

                                                                                   Total From Federal Return:                    Amount From Kansas Sources:

                                                                                                                                    ,         ,          .00
B13. IRA Retirement Deductions . . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
B14. Penalty on early withdrawal of savings. . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
B15. Alimony paid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
B16. Moving expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
B17. Other federal adjustments . . . . . . . . . . . . . . . . . . . . 


                                                                                                                                    ,         ,          .00
B18. Total federal adjustments to Kansas source income (add lines B13 through B17). . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
B19. Kansas source income after federal adjustments (subtract line B18 from line B12). . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
B20. Net modifications applicable to Kansas source income (see instructions) . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
B21. Modified Kansas source income (line B19 plus or minus line B20) . . . . . . . . . . . . . . . . . . . . . . . 


                                                                                                                             -      ,         ,          .00
B22. Kansas adjusted gross income (from line 3, Form K-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 


B23. Nonresident allocation percentage (divide line B21 by line B22 and round to the fourth decimal
                                                                                                                                             .
     place; not to exceed 100.0000). Enter result here and on line 9 of Form K-40. . . . . . . . . . . . . . .

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schs 08 ksrevenue.org

  • 1. 2008 SCHEDULE S 114308 (Rev. 7/08) KANSAS SUPPLEMENTAL SCHEDULE Your First Name Initial Last Name Enter the first four l etters of your last name. -- Use ALL CAPITAL l etters. Your Social Security number Enter the first four letters of your spouse's last Spouse's First Name Initial Last Name -- name. Use ALL CAPITAL letters. Spouse's Social Security number PART A - MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME (See instructions, page 21) ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME: A1. State and municipal bond interest not specifically exempt from Kansas income tax , , .00 (reduced by related expenses). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A2. Contributions to all KPERS (Kansas Public Employee's Retirement Systems) (See instructions). . . . . . . . . , , .00 A3. Federal net operating loss carry forward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A4. Contributions to a Regional Foundation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A5. Other additions to Federal adjusted gross income (see instructions and enclose list) . . . . . . . . . . . . . . . . . . , , .00 A6. Total additions to Federal adjusted gross income (add lines A1 through A5). . . . . . . . . . . . . . . . . . . . . . . . . SUBTRACTIONS FROM FEDERAL ADJUSTED GROSS INCOME: , , .00 A7. Social Security benefits (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A8. KPERS lump sum distributions exempt from Kansas income tax (see instructions) . . . . . . . . . . . . . . . . . . , , .00 A9. Interest on U.S. Government obligations (reduced by related expenses). . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A10. State or local income tax refund (if included on line 1 of Form K-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A11. Kansas net operating loss carry forward. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A12. Retirement benefits specifically exempt from Kansas income tax (do not include Social Security benefits or KPERS lump sum distributions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A13. Military Compensation of a Nonresident Servicemember (nonresidents only; see instructions) . . . . . . . . . , , .00 A14. Qualified Long-Term Care (LTC) insurance premiums (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A15. Contributions to Learning Quest or other states' qualified tuition programs (see instructions). . . . . . . . . . . , , .00 A16. Armed Forces Recruitment, Sign-up, or Retention Bonus. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 A17. Other subtractions from Federal adjusted gross income (see instructions and enclose list). . . . . . . . . . . . . , , .00 A18. Total subtractions from Federal adjusted gross income (add lines A7 through A17). . . . . . . . . . . . . . . . . . . NET MODIFICATIONS: - If amount is negative, shade minus (-) in box. Example: - , , A19. Net modifications to Federal adjusted gross income (subtract line A18 from line A6). Enter on .00 line 2, Form K-40. If negative, shade minus (-) in box. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
  • 2. 114408 PART B - NONRESIDENT ALLOCATION (See instructions, page 24) - If amount is negative, shade minus (-) in box. Example: INCOME: Total From Federal Return: Amount From Kansas Sources: , , .00 B1. Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . , , .00 B2. Interest and dividend income. . . . . . . . . . . . . . . . . . . , , .00 B3. Refunds of state and local income taxes. . . . . . . . . . , , .00 B4. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . - , , .00 B5. Business income or loss . . . . . . . . . . . . . . . . . . . . . . - , , .00 B6. Farm income or loss. . . . . . . . . . . . . . . . . . . . . . . . . . - , , .00 B7. Capital gain or loss. . . . . . . . . . . . . . . . . . . . . . . . . . . - , , .00 B8. Other gains or losses. . . . . . . . . . . . . . . . . . . . . . . . . , , .00 B9. Pensions, IRA distributions, and annuities. . . . . . . . . - , , .00 B10. Rental real estate, royalties, partnerships, S corporations, estates, trusts, etc. . . . . . . . . . . . . . . - , , .00 B11. Unemployment compensation, taxable Social Security benefits, and other income. . . . . . . . . . . . . . - , , .00 B12. Total income from Kansas sources (add lines B1 through B11). . . . . . . . . . . . . . . . . . . . . . . . . . . . . ADJUSTMENTS AND MODIFICATIONS TO KANSAS SOURCE INCOME: Total From Federal Return: Amount From Kansas Sources: , , .00 B13. IRA Retirement Deductions . . . . . . . . . . . . . . . . . . . , , .00 B14. Penalty on early withdrawal of savings. . . . . . . . . . . , , .00 B15. Alimony paid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 B16. Moving expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . , , .00 B17. Other federal adjustments . . . . . . . . . . . . . . . . . . . . , , .00 B18. Total federal adjustments to Kansas source income (add lines B13 through B17). . . . . . . . . . . . - , , .00 B19. Kansas source income after federal adjustments (subtract line B18 from line B12). . . . . . . . . . . - , , .00 B20. Net modifications applicable to Kansas source income (see instructions) . . . . . . . . . . . . . . . . . . - , , .00 B21. Modified Kansas source income (line B19 plus or minus line B20) . . . . . . . . . . . . . . . . . . . . . . . - , , .00 B22. Kansas adjusted gross income (from line 3, Form K-40) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . B23. Nonresident allocation percentage (divide line B21 by line B22 and round to the fourth decimal . place; not to exceed 100.0000). Enter result here and on line 9 of Form K-40. . . . . . . . . . . . . . .