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                                                                                                                       193218

                                                          KANSAS
K-87
(Rev. 8-19)             DECLARED DISASTER CAPITAL INVESTMENT CREDIT

            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) 

Indicate which city (or within one mile thereof) the capital investment in a business was made:
      Chanute                           Coffeyville            Erie                                 Fredonia              Greensburg
      Independence                      Iola                   Neodesha                             Osawatomie

Enter your pre-approved Certificate Number:    D D__ __ - __ __ - __ __ __ __ __ - __ __ __ __ __

PART A – COMPUTATION OF CREDIT (see instructions)

1.    Amount of capital investment in a business which is located in the city of Chanute, Coffeyville, Erie,
      Fredonia, Greensburg, Independence, Iola, Neodesha or Osawatomie, Kansas or within one mile
      of the city limits of these cities.                                                                           1. ________________
      (Do not include investment for which you received, or will receive, assistance through the Southeast  Kansas
      Business Restoration Assistance Program or the Kiowa County Business Restoration Assistance Program.)
2.    Authorized credit percentage.                                                                                 2. ________________10%
3.    Credit. Multiply line 1 by line 2.  Do not enter more than $100,000.                                          3. ________________
4.    Amount of pre-approved credit. (This is the amount approved by KDOR - line 4 minus line 7 from
      previous year’s credit schedule with the same pre-approved Certificate Number as entered above).              4. ________________
5.    Available credit. Enter the lesser of lines 3 or 4.                                                           5. ________________
6.    Your proportionate share percentage (see instructions).                                                       6. ________________
7.    Your share of the credit for the capital investments made this year.  Multiply line 5 by line 6.  If you
      are electing to use the refund option, skip Part B (lines 8 thru 11) and proceed to Part C.                   7. ________________

PART B – COMPUTATION OF TOTAL CREDIT CLAIMED THIS YEAR (see instructions)
8.    Prior year’s carry forward.  Enter the amount of available carry forward from the prior year’s
      Schedule K-87. (Make no entry for tax year 2008.)                                                             8. ________________
9.    Total credit available this tax year.  Add lines 7 and 8.                                                     9. ________________
10.   Enter your total Kansas tax liability for this tax year after all credits other than this credit.           10.  ________________
11.   Amount of credit this tax year.  Enter the lesser of line 9 or line 10 here and on the appropriate
      nonrefundable credit line of Form K-40, K-41, K-120 or K-130. Skip Part C (lines 12 through 14)             11.  ________________
      and proceed to line 15.

PART C – COMPUTATION FOR REFUNDABLE PORTION OF CREDIT (see instructions)

12.   Your share of the credit for the capital investments (Enter the amount from line 9 above).                  12.  ________________
13.   Authorized refundable credit percentage.                                                                    13.  ________________50%
14.   Amount of credit to be refunded. Multiply line 12 by line 13 and enter the result here and on the
      appropriate refundable tax credit line of Form K-40, K-41, K-120, or K-130.  K-40 or K-41 filers:
      Apply this credit to the tax liability first. Enter the excess credit on the refundable line of the return. 14.  ________________

PART D – COMPUTATION OF CREDIT CARRY FORWARD (see instructions) 
15.   Amount of excess credit available to carry forward to next year’s return. Subtract line 11 from line 9
      and enter the result here and on line 8 of next year’s Schedule K-87.                                       15.  ________________



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                               INSTRUCTIONS FOR SCHEDULE K-87

             GENERAL INFORMATION                                         LINE 3 – Multiply line 1 by line 2, and enter the result here. Do not 
                                                                         enter more than $100,000.
K.S.A. 79-32,262 provides an income, privilege or premiums tax           LINE 4 – Enter the amount of credit approved by KDOR (Kansas 
credit for tax years 2008, 2009 and 2010 for any taxpayer who            Department of Revenue). This is line 4 minus line 7 from the 
makes a capital investment in a business that is located in the city     previous year’s K-87 credit schedule. The pre-approved
limits, or within one mile of,  the following Kansas cities: Chanute,    amount must be from the same Certificate Number as entered 
Coffeyville, Erie, Fredonia, Greensburg, Independence, Iola,             in the header.
Neodesha or Osawatomie. The investment must be made within 
three years of the date of the disaster’s occurrence which is the        LINE 5 – Available credit. Enter the lesser of lines 3 or 4 here.
subject of major disaster declaration DR 1699 or DR 1711. The            LINE 6 – Partners, shareholders or members: Enter the percentage 
credit shall not exceed 10% of the investment. The total amount of       that represents your proportionate share in the partnership, 
credit allowed for any one taxpayer shall not exceed $100,000. In        S corporation, LLC or LLP.  All other taxpayers: Enter 100%. 
no event shall the total amount of credits or refunds exceed             LINE 7 – Your share of the credits. Multiply line 5 by line 6, and 
$5,000,000 for any one fiscal year.                                      enter the result here. 
The amount of credit shall be reduced by an amount equal to                       If you are electing to use the refund option 
any assistance payment received by the taxpayer from the                        skip lines 8 through 11 and proceed to Part C. 
Southeast Kansas Business Restoration Assistance Program, or 
from the Kiowa County Business Assistance Program. No taxpayer           PART B - COMPUTATION OF TOTAL CREDIT CLAIMED THIS YEAR 
shall claim more than one credit for the same investment, except 
that nothing shall prevent a taxpayer from making a claim for and        LINE 8 – Prior year’s carry forward. Enter the amount of available 
being allowed credit in a subsequent tax year when such taxpayer         carry forward from the prior year’s Schedule K-87. (Make no entry 
was not allowed the credit in a previous tax year. If the amount of      for tax year 2008.)
this tax credit exceeds the income, privilege or premium tax liability   LINE 9 – Total credit available this tax year. Add lines 7 and 8 and 
for the taxpayer for any taxable year in which the qualified             enter the result.
investment is made, the excess credit may be carried over for            LINE 10 – Enter your total Kansas tax liability for this tax year after 
deduction from such taxpayer’s tax liability in the next succeeding      all credits other than this credit.
year or years until the total amount of the credit has been deducted 
                                                                         LINE 11 – Amount of credit this tax year. Enter the lesser of lines 
from the tax liability, except that no such credit shall be carried over 
                                                                         9 or 10. Enter this amount on the appropriate nonrefundable 
for deduction after the 10th taxable year succeeding the taxable 
                                                                         credit line of Form K-40, K-41, K-120 or K-130. Skip lines 12 
year in which the qualified investment was made.
                                                                         through 14 and proceed to line 15.
A taxpayer may receive a refund in lieu of the above described 
nonrefundable credit. The refund shall be 50% of the computed            PART C - COMPUTATION  FOR REFUNDABLE PORTION OF CREDIT
credit. The amount of refund shall also be reduced by an amount 
equal to any assistance payments received by the taxpayer. Should        LINE 12 – Your share of the credit for the capital investments.
the taxpayer elect to receive the cash in lieu of the credit, the        Enter the amount from line 9 above.
remaining portion of the tax credit shall be lost. Any refund shall be   LINE 13 – The authorized refundable credit percentage is 50%.
allowed against the tax liability in the tax year the qualified          LINE 14 – Amount of credit to be refunded. Multiply line 12 by 
investment is placed into service.                                       line 13 and enter the result here, and on the appropriate
                                                                         refundable credit line of Form K-40, K-41, K-120, or K-130. 
       IMPORTANT: Before you can claim this credit on Form 
       K-87, the amount of credit MUST BE APPROVED by                    PART D - COMPUTATION OF CREDIT CARRY FORWARD 
       KDOR (Kansas Department of Revenue). An on-line
application can be found at: ksrevenue.org                               LINE 15 – Amount of excess credit available to carry forward to 
                                                                         next year’s return.  Subtract line 11 from line 9 and enter the 
                                                                         result here and on line 8 of next year’s Schedule K-87.
         SPECIFIC LINE INSTRUCTIONS
Enter all requested information at the top of this schedule.                    IMPORTANT:  Do not send enclosures with this schedule, 
                                                                                however keep copies of important documentation with 
             PART A - COMPUTATION OF CREDIT                                     your records. KDOR reserves the right to request 
                                                                         additional information as necessary. 
LINE 1 – Amount of capital investment in a business which is 
located in the city of Chanute, Coffeyville, Erie, Fredonia,                       TAXPAYER ASSISTANCE
Greensburg, Independence, Iola, Neodesha or Osawatomie, 
                                                                         For assistance in completing this schedule contact KDOR:
Kansas or within one mile of the city limits of these cities.
Do not include investment for which you have received, or                          Taxpayer Assistance Center
will receive, assistance through the Southeast Kansas                                       120 SE 10th Ave
Business Restoration Assistance Program or from the Kiowa                                   PO Box 750260
County Business Restoration Assistance Program.                                             Topeka KS 66699-0260
LINE 2 – The authorized credit percentage is 10%.                                           Phone: 785-368-8222






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