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NONRESIDENT MILITARY KANSAS INCOME TAX On December 19 23 President Bush signed into law the Servicemembers Civil Relief Act (HB 1; Public Law 108189) Among other provisions the new law prohibits states from utilizing a nonresident servicemember s military compensation to determine the rate of tax to be applied to that state s source income: A tax jurisdiction may not use the military compensation of a nonresident servicemember to increase the tax liability imposed on other income earned by the nonresident servicemember or spouse subject to tax by the jurisdiction PL 108189 Section 511(d) *The term servicemember means a member of the uniformed services as that term is defined in section 101(a)(5) of title 10 United States Code This law is effective for Tax Year 23 and all tax years thereafter For Kansas Income Tax purposes a nonresident military service member s compensation for military service as defined above will be a subtraction modification on the Kansas Income Tax Return The nonresident military service member s compensation for military service will be subtracted out of Federal Adjusted Income on Schedule S line A11 Nonresident military service members will continue to complete Part B of Schedule S to determine the Nonresident Allocation Percentage Line 9 of the K40 EXAMPLE: Fred and Janice Wilson are a married couple Fred is an active duty servicemember in the USAF stationed at McConnell AFB in Wichita Kansas since July 23 They are residents of the State of Texas Janice is a social worker employed by the State of Kansas They have one dependent Income is as follows: Fred: Both: W2 Box 1 USAF Wages $450 24 Interest from a Kansas Bank $1 W2 Box 17 KS Tax Withheld $0 1099G State of Kansas (Income Tax refund) $80 1099 Kansas Unemployment Compensation $620 Janice: W2 Box 1 Wages $150 W2 Box 14 KPERS Contributions $5 W2 Box 17 Kansas Tax Withheld $3 A completed K40 and Schedule S follow on next page

K40 114504 (Rev 8/04) DO NOT STAPLE KANSAS INDIVIDUAL INCOME TAX and/or FOOD SALES TAX REFUND Filing Information Your First Name Spouse's First Name City Town or Post Office Initial Initial Last Name FRED M WILSON Mailing Address (Number and Street including Rural Route) If your name or address has changed since last year mark an "X" in this box Last Name JANICE M WILSON Mark this box if you are filing this as an AMENDED 24 Kansas return: State Zip Code School District No 1410 MARKET 260 County Abbreviation DERBY KS 67037 SG NOTE: This form cannot be used for tax years prior to 24 If taxpayer (or spouse if filing joint) died during this tax year mark an "X" in this box Enter the first four letters of your last name Use ALL CAPITAL letters Your Social Enter the first four letters of your spouse's last name Use ALL CAPITAL letters Spouse's Social Daytime telephone number Reason for amending your 24 original Kansas return: Amended affects Kansas only Amended Federal tax return 4 0 0 2 5 6 7 8 9 5 0 0 0 0 2 0 0 0 3 1 6 7 8 8 2 2 2 2 Adjustment by the IRS Tax Computation Deductions Income Filing Status (Mark ONE) x Single Married filing joint (Even if only one had income) Married filing separate Head of household Residency Status (Mark ONE) Resident Nonresident or Partyear resident from / / to / / (Complete Schedule S Part B) If amount is negative shade the minus () in box Example: 1 Federal adjustedgross income 2 Modifications to Federal adjusted gross income (From Schedule S Part A line A15) 3 Kansas adjusted gross income (Line 2 added to or subtracted from line 1; see instructionspage 14) x 7 Taxable income (Subtract line 6 from line 3 If less than zero enter 0) 8 Tax (From Tax Tables or Tax Computation Schedules beginning on page 25) 9 Nonresident allocation percentage (From Schedule S Part B line B23) 4 Standard deduction OR itemized deductions (See instructions page 15) 5 Exemption allowance ($2250 x number of exemptions claimed) 6 Totaldeductions (Add lines 4 and 5) 10 Nonresident tax (Multiply line 8 by line 9) 11 Kansas tax on lump sum distributions (Residents only see instructions page 16) 12 TOTAL INCOME TAX (Residents: add lines 8 & 11; Nonresidents: enter amount from line 10) Exemptions Number of exemptions claimed on your 24 federal return If filing status is head of household add one exemption TotalKansas exemptions 6 0 8 0 0 4 4 5 8 0 1 6 2 2 0 6 0 0 0 6 7 5 0 1 2 7 5 0 3 4 7 0 1 0 0 0 3 3 % PLEASE COMPLETE REVERSE SIDE

TAX: Enter the income tax amount from line 12 122 Credits Signatures Overpayment Balance Due Withholding and Payments Use Tax 13 Credit for taxes paid to other states (See instructions page 16) 14 Credit for child & dependent care expenses (See instructions page 17) 15 Othercredits (Encloseallappropriatecreditschedules) 16 Totaltaxcredits (Addlines1314and15) 17 Income tax balance after credits (Subtract line 16 from line 12; cannot be less than zero) 114204 18 Usetaxdue(Seeinstructionsonpage18) 19 TotalTaxBalance(Addlines17and18) 20 Kansas income tax withheld from W2 1099 or K19 (Enclose K19; see instructions) 21 Estimatedtaxpaid 22 AmountpaidwithKansasextension 23 Earnedincomecredit (Seeinstructionspage18) 24 Refundable portion of tax credits (Enclose all appropriate credit schedules) 25 FOOD SALES TAX REFUND (You must meetthequalificationslistedonpage14) 3 0 0 For an ORIGINAL return skip to line 28 For an AMENDED return complete lines 26 and/or 27 before continuing to line 28 26 Paymentsremittedwithoriginalreturn 27 Overpayment from original return (This figure is a subtraction; see instructions page 18) 28 Total refundable credits (Add lines 20 through 26 and subtract line 27) 29 UNDERPAYMENT (Ifline19isgreaterthanline28) 30 Interest(Seeinstructionspage18) 31 Penalty(Seeinstructionspage18) Check here if you were engaged in 32 Estimated Tax Penalty (See instructions page 18) commercial farming or fishing in 24 33 AMOUNT YOU OWE (Add lines 29 through 32 Include amounts from lines 36 and 37 if applicable) Seepaymentoptionsonpage19 34 OVERPAYMENT (Ifline19islessthanline28) 35 CREDIT FORWARD (Enter the amount of line 34 you wish to be applied to your 25 estimated tax) 3 0 0 1 7 8 If you wish to donate to either the Chickadee Checkoff or the Senior Citizens Meals on Wheels Program enter the amount of your donation on the appropriate line This donation will reduce your refund or increase the amount you owe 36 CHICKADEE CHECKOFF (Kansas Nongame Wildlife Improvement Program) 37 SENIOR CITIZENS MEALS ON WHEELS CONTRIBUTION PROGRAM 38 REFUND (Subtractlines3536and37fromline34) 1 7 8 I authorize the Director of Taxation or the Director's designee to discuss my return and enclosures with my preparer I declare under the penalties of perjury that to the best of my knowledge and belief this is a true correct and complete return )UHG :LOVRQ DQLFH :LOVRQ Signature of taxpayer Date Signature of preparer other than taxpayer Phone number of preparer If joint return BOTH taxpayer and spouse must sign even if only one had income Tax preparer's EIN (Employer Identification Number) OR SSN (Social Security Number) ENCLOSE any necessary documents MAIL TO: KANSAS INCOME TAX KANSAS DEPARTMENT OF REVENUE with this form DO NOT STAPLE 915 SW HARRISON ST TOPEKA KS 6669910

SCHEDULE S 24 KANSAS 114304 (Rev 8/04) SUPPLEMENTAL SCHEDULE Enter the first four letters of your last name Your First Name Initial Last Name Use ALL CAPITAL letters FRED M WILSON Your Social 4 0 0 2 5 6 7 8 9 Enter the first four letters of your spouse's last Spouse's First Name Initial Last Name name Use ALL CAPITAL letters JANICE M WILSON Spouse's Social 5 0 0 0 0 2 0 0 0 PART A MODIFICATIONS TO FEDERAL ADJUSTED GROSS INCOME (See instructions page 22) ADDITIONS TO FEDERAL ADJUSTED GROSS INCOME: A1 State and municipal bond interest not specifically exempt from Kansas Income Tax (Reduced by related expenses) A2 Contributions to all Kansas public employee's retirement systems (See instructions) A3 Federal net operating loss carry forward A4 Contributions to a Regional Foundation (See instructions) A5 Other additions to federal adjusted gross income (See instructions and enclose list) A6 Total additions to federal adjusted gross income (Add lines A1 through A5) 5 0 0 5 0 0 SUBTRACTIONS FROM FEDERAL ADJUSTED GROSS INCOME: A7 Interest on US Government obligations (Reduced by related expenses) A8 State income tax refund (If included on line 1 of Form K40 or the Telefile worksheet) A9 Kansasnetoperatinglosscarryforward A10 Retirement benefits specifically exempt from Kansas Income Tax A11 Military Compensation of a Nonresident Servicemember (Nonresidents only; see instructions) A12 Learning Quest Education Savings Program contributions (See instructions) A13 Other subtractions from federal adjusted gross income (See instructions and enclose list) A14 Total subtractions from federal adjusted gross income (Add lines A7 through A13) 8 0 4 5 0 0 0 4 5 0 8 0 NET MODIFICATIONS: If amount is negative shade the minus () in box Example: A15 Net modifications to federal adjusted gross income (Subtract line A14 from line A6) 4 4 5 8 0 Enter on line 2 Form K40 If negative shade minus () in box

114404 PART B NONRESIDENT ALLOCATION (See instructions page 24) If amount is negative shade the minus () in box Example: INCOME: B1 Wagessalariestipsetc B2 Interestanddividendincome B3 Refunds of state and local income taxes B4 Alimonyreceived B5 Businessincomeorloss B6 Farmincomeorloss B7 Capitalgainorloss B8 Othergainsorlosses B9 Pensions IRA distributions and annuities B10 Rental real estate royalties partnerships S corporations estates trusts etc B11 Unemployment compensation taxable Social Security benefits and other income Total From Federal Return: 600 1 80 620 B12 TotalincomefromKansassources(AddlinesB1throughB11) Amount From Kansas Sources: 1 5 0 0 0 8 0 6 2 0 1 5 7 0 0 ADJUSTMENTS AND MODIFICATIONS TO KANSAS SOURCE INCOME: B13 IRARetirementDeductions B14 Penalty on early withdrawal of savings B15 Alimonypaid B16 Movingexpenses B17 Otherfederaladjustments Total From Federal Return: B18 Total federal adjustments to Kansas source income (Add lines B13 through B17) B19 Kansas source income after federal adjustments (Subtract line B18 from line B12) B20 Net modifications applicable to Kansas source income (See instructions) B21 Modified Kansas source income (Line B19 plus or minus line B20) B22 Kansasadjustedgrossincome(Fromline3FormK40) B23 Nonresident allocation percentage (Divide line B21 by line B22 and round to nearest whole percent enter on line 9Form K40) Amount From Kansas Sources: 1 5 7 0 0 4 2 0 1 6 1 2 0 1 6 2 2 0 1 0 0 %