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K-42                                                                   KANSAS
                                  ASSISTIVE TECHNOLOGY CONTRIBUTION CREDIT
(Rev. 9/06)

                          For the taxable year beginning _________________ , 20____ , ending _________________ , 20____ .

 Name of taxpayer (as shown on return)                                                                       Social Security Number or Employer ID Number (EIN)


 If partner, shareholder or member, enter name of partnership, S corporation, LLC or LLP                     Employer ID Number (EIN)




                                                                 COMPUTATION OF CREDIT

 1. Total assistive technology contributions this tax year.                                                                             1. _______________
                                                                                                                                                 25%
 2. Percentage of contributions allowed as tax credit.                                                                                  2. _______________
 3. Credit available as a result of contributions made this tax year. Multiply line 1 by line 2.                                        3. _______________
 4. If you are a partner, member, or shareholder in a partnership, S corporation, LLC, or LLP, enter the
    percentage that represents your proportionate share. If you are the sole owner, enter 100%.                                         4. _______________
 5. Total credit available this tax year. Multiply line 3 by line 4.                                                                    5. _______________
 6. Enter your total tax liability for this tax year after all credits other than this credit.                                          6. _______________
 7. Credit this tax year. Enter the lesser of lines 5 or 6. Enter this amount on the appropriate line of Form
    K-40, Form K-41, or Form K-120.                                                                                                     7. _______________



                                                   INSTRUCTIONS FOR SCHEDULE K-42

                                                                                                          SPECIFIC LINE INSTRUCTIONS
                     GENERAL INSTRUCTIONS

                                                                                           LINE 1 – Enter the total amount of contributions made this tax
    K.S.A. 65-7101 et seq. established the individual development
                                                                                               year as certified by KATCO.
account program for assistive technology. This law also provides
a Kansas income tax credit to any person or entity (program
                                                                                           LINE 2 – The allowable credit amount is 25% of the contributions
contributor) who makes a contribution to an individual
                                                                                               made this tax year.
development account reserve fund (K.S.A. 65-7107). The income
                                                                                           LINE 3 – Multiply line 1 by line 2. This is the amount of credit
tax credit is 25% of the amount contributed during the tax year,
                                                                                               available this tax year.
and is effective for all taxable years beginning after December
31, 2002. The purpose of the individual development account
                                                                                           LINE 4 – If you are a partner, member or shareholder in a
(IDA) program for assistive technology is to provide eligible
                                                                                               partnership, S corporation, LLC or LLP, enter the percentage
families and individuals with an opportunity to establish special
                                                                                               that represents your proportionate share of the credit. If
savings accounts for moneys which may be used by them to
                                                                                               you are a sole owner, enter 100%.
purchase assistive technology.
                                                                                           LINE 5 – Multiply the credit available on line 3 by the percentage
    “Assistive technology” means any item, piece of equipment                                  on line 4.
or product system, whether acquired commercially, off the shelf,
                                                                                           LINE 6 – Enter the total Kansas tax liability for the current tax
modified or customized, that is used to increase, maintain or
                                                                                               year after all credits other than this credit.
improve functional capabilities of individuals with disabilities.
                                                                                           LINE 7 – Enter the lesser of line 5 or line 6. Also enter the result
    The program is established within the Schiefelbusch Institute                              on the appropriate line of Form K-40, K-41 or K-120.
for Life Span Studies of the University of Kansas and is to be
administered by KATCO (Kansas Assistive Technology                                            If you need assistance completing this schedule, please
Cooperative). KATCO will submit verification of qualified tax                              contact:
credits to the Kansas Department of Revenue.
                                                                                                           Taxpayer Assistance Center
    For information about establishing an assistive technology                                           Kansas Department of Revenue
individual development account (IDA), or making contributions,                                         Docking State Office Building, 1st Floor
contact:                                                                                           915 SW Harrison St., Topeka, KS 66625-2007
                      Executive Director, KATCO                                                                Phone: (785) 368-8222
                       625 Merchant, Suite 205                                                          Hearing Impaired TTY: (785) 296-6461
                         Emporia, KS 66801
                        (866) 465-2826-V/TT                                                   Additional copies of this schedule and other tax forms are
                           www.katco.net                                                   available from our office or web site: www.ksrevenue.org

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Assistive Technology Contribution Credit (K-42)

  • 1. K-42 KANSAS ASSISTIVE TECHNOLOGY CONTRIBUTION CREDIT (Rev. 9/06) For the taxable year beginning _________________ , 20____ , ending _________________ , 20____ . Name of taxpayer (as shown on return) Social Security Number or Employer ID Number (EIN) If partner, shareholder or member, enter name of partnership, S corporation, LLC or LLP Employer ID Number (EIN) COMPUTATION OF CREDIT 1. Total assistive technology contributions this tax year. 1. _______________ 25% 2. Percentage of contributions allowed as tax credit. 2. _______________ 3. Credit available as a result of contributions made this tax year. Multiply line 1 by line 2. 3. _______________ 4. If you are a partner, member, or shareholder in a partnership, S corporation, LLC, or LLP, enter the percentage that represents your proportionate share. If you are the sole owner, enter 100%. 4. _______________ 5. Total credit available this tax year. Multiply line 3 by line 4. 5. _______________ 6. Enter your total tax liability for this tax year after all credits other than this credit. 6. _______________ 7. Credit this tax year. Enter the lesser of lines 5 or 6. Enter this amount on the appropriate line of Form K-40, Form K-41, or Form K-120. 7. _______________ INSTRUCTIONS FOR SCHEDULE K-42 SPECIFIC LINE INSTRUCTIONS GENERAL INSTRUCTIONS LINE 1 – Enter the total amount of contributions made this tax K.S.A. 65-7101 et seq. established the individual development year as certified by KATCO. account program for assistive technology. This law also provides a Kansas income tax credit to any person or entity (program LINE 2 – The allowable credit amount is 25% of the contributions contributor) who makes a contribution to an individual made this tax year. development account reserve fund (K.S.A. 65-7107). The income LINE 3 – Multiply line 1 by line 2. This is the amount of credit tax credit is 25% of the amount contributed during the tax year, available this tax year. and is effective for all taxable years beginning after December 31, 2002. The purpose of the individual development account LINE 4 – If you are a partner, member or shareholder in a (IDA) program for assistive technology is to provide eligible partnership, S corporation, LLC or LLP, enter the percentage families and individuals with an opportunity to establish special that represents your proportionate share of the credit. If savings accounts for moneys which may be used by them to you are a sole owner, enter 100%. purchase assistive technology. LINE 5 – Multiply the credit available on line 3 by the percentage “Assistive technology” means any item, piece of equipment on line 4. or product system, whether acquired commercially, off the shelf, LINE 6 – Enter the total Kansas tax liability for the current tax modified or customized, that is used to increase, maintain or year after all credits other than this credit. improve functional capabilities of individuals with disabilities. LINE 7 – Enter the lesser of line 5 or line 6. Also enter the result The program is established within the Schiefelbusch Institute on the appropriate line of Form K-40, K-41 or K-120. for Life Span Studies of the University of Kansas and is to be administered by KATCO (Kansas Assistive Technology If you need assistance completing this schedule, please Cooperative). KATCO will submit verification of qualified tax contact: credits to the Kansas Department of Revenue. Taxpayer Assistance Center For information about establishing an assistive technology Kansas Department of Revenue individual development account (IDA), or making contributions, Docking State Office Building, 1st Floor contact: 915 SW Harrison St., Topeka, KS 66625-2007 Executive Director, KATCO Phone: (785) 368-8222 625 Merchant, Suite 205 Hearing Impaired TTY: (785) 296-6461 Emporia, KS 66801 (866) 465-2826-V/TT Additional copies of this schedule and other tax forms are www.katco.net available from our office or web site: www.ksrevenue.org