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FORM K-40V INSTRUCTIONS

   Print your name(s), address, Social Security number(s), and the                                If you are filing an extension of time to file your return, mark an
   first four letters of your last name in the space provided. If you                             quot;Xquot; in appropriate box. Note that an extension of time is NOT an
   are filing a joint return, print your spouse’s name, Social Security                           extension to pay.
   number, and first four letters of their last name in the space
   provided. If name or address information has changed since                                     Do not attach the payment voucher or payment to your
   last year, check the name/address change checkbox.                                             return or to each other. Place them in the envelope with your
                                                                                                  return. If you have already mailed your return, or you filed
   The total amount of tax due must be paid in full by check or                                   electronically, mail your payment and the voucher to:
   money order. Make sure your Social Security number is printed
   on your check or money order. If payment is not made on or                                       KANSAS INCOME TAX
   before April 15, 2003, the tax due is subject to penalty and                                     KANSAS DEPARTMENT OF REVENUE
   interest.                                                                                        915 SW HARRISON ST.
                                                                                                    TOPEKA, KS 66699-1000
   If you are paying for an amended return, mark an quot;Xquot; in
   appropriate box.




                                                                                   FOR OFFICE USE ONLY


K-40V                                    2002 KANSAS                                                                                  Please use UPPER CASE letters
                                                                                                                                        to print the first four letters of
                                         INDIVIDUAL INCOME TAX
                                                                                                                                Your last name                 Spouse’s last name
                                           PAYMENT VOUCHER
 (Rev. 7/02)


                                                         Last Name
                                               Initial
Taxpayer’s First Name


                                                                                                                                             --
                                                                                                              Your Social
                                                                                                              Security number
                                               Initial   Last Name
Spouse’s First Name


                                                                                                                                             --
                                                                                                              Spouse’s Social
                                                                                                              Security number
Mailing Address (Number and Street, including Rural Route)
                                                                                             Name or
                                                                                             Address
                                                                                             Change           Write your Social Security number on check or money order
City, Town, or Post Office                                           State   Zip Code
                                                                                                              and make payable to Kansas Income Tax.

Daytime Phone Number


                                                                                                                                                                        .
                                                                                                                                                        ,
                                                                                                                                         ,
                                                                        Amended                Extension       PAYMENT
                                                                                                                                $
                                                                        Return                 Return          AMOUNT

DO NOT SUBMIT PHOTOCOPIES OF THIS FORM

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INSTRUCTIONS

  • 1. FORM K-40V INSTRUCTIONS Print your name(s), address, Social Security number(s), and the If you are filing an extension of time to file your return, mark an first four letters of your last name in the space provided. If you quot;Xquot; in appropriate box. Note that an extension of time is NOT an are filing a joint return, print your spouse’s name, Social Security extension to pay. number, and first four letters of their last name in the space provided. If name or address information has changed since Do not attach the payment voucher or payment to your last year, check the name/address change checkbox. return or to each other. Place them in the envelope with your return. If you have already mailed your return, or you filed The total amount of tax due must be paid in full by check or electronically, mail your payment and the voucher to: money order. Make sure your Social Security number is printed on your check or money order. If payment is not made on or KANSAS INCOME TAX before April 15, 2003, the tax due is subject to penalty and KANSAS DEPARTMENT OF REVENUE interest. 915 SW HARRISON ST. TOPEKA, KS 66699-1000 If you are paying for an amended return, mark an quot;Xquot; in appropriate box. FOR OFFICE USE ONLY K-40V 2002 KANSAS Please use UPPER CASE letters to print the first four letters of INDIVIDUAL INCOME TAX Your last name Spouse’s last name PAYMENT VOUCHER (Rev. 7/02) Last Name Initial Taxpayer’s First Name -- Your Social Security number Initial Last Name Spouse’s First Name -- Spouse’s Social Security number Mailing Address (Number and Street, including Rural Route) Name or Address Change Write your Social Security number on check or money order City, Town, or Post Office State Zip Code and make payable to Kansas Income Tax. Daytime Phone Number . , , Amended Extension PAYMENT $ Return Return AMOUNT DO NOT SUBMIT PHOTOCOPIES OF THIS FORM