Kansas Form K-40H (Homestead Claim) (2024)

Homestead Claim
K-40H Homestead Claim Return Rev. 7-23
K-40H2023DO NOT STAPLEFILE THIS CLAIM AFTER DECEMBER 31, 2023, BUT NO LATER THAN APRIL 15, 2024Claimant’sSocial SecurityNumberName and AddressK-40HPage1134123KANSAS HOMESTEAD CLAIM(Rev. 7-23)Claimant’sTelephoneNumberFirst four letters ofclaimant’s last name.Use ALL CAPITAL letters.Your First NameInitialMark this box if claimant isdeceased (See instructions) ...........Last NameDate of Death ____ / ____ / ____Mailing Address (Number and Street, including Rural Route)City, Town, or Post OfficeIMPORTANT: Mark this box ifname or address has changed .......StateZip CodeCounty AbbreviationMark this box if this is anamended claim ..............................TO QUALIFY YOU MUST HAVE BEEN A RESIDENT OF KANSAS THE ENTIRE YEAR OF 2023 AND OWN YOUR HOME.MONTHQualificationsAnswer ONLY the questions that apply to you:DAYYEAR1. Age 55 or over for the entire year? Enter date of birth (must be prior to 1968) ..........................................2. Disabled or blind for the entire year? Enter the datedisability began. See instructions ........................................ENCLOSE Social Security BenefitVerification Statement or Schedule DIS3. Dependent child who resided with you and was under 18 years of age for the entire year?Child’s name __________________________. Enter date of birth (must be prior to 2023) ......................Mark this box if you are filing as surviving spouse of a disabled veteran OR of an active duty servicemember who died in the line of duty (see instructions for this qualification and for required enclosures).NOTE: If you filed a Form K-40PTor K-40SVR for 2023, you DO NOTqualify for this property tax refund.Household IncomeENTER THE TOTAL RECEIVED IN 2023 FOR EACH TYPE OF INCOME. See instructions.4. 2023 Wages OR Kansas Adjusted Gross Income (if negative, enter zero) $ ________________ plus FederalEarned Income Credit $ ________________. Enter the total..................................................................................5. All taxable income other than wages and pensions not included in Line 4. Do not subtract net operating lossesand capital losses .....................................................................................................................................................Refund006. Total Social Security and SSI benefits, including Medicare deductions, received in 2023 (do not includedisability payments from Social Security or SSI) $ _______________. Enter 50% of this total ............................007. Railroad Retirement benefits and all other pensions, annuities, and veterans benefits (do not includedisability payments from Veterans and Railroad Retirement) ............................................................................008. TAF payments, general assistance, worker’s compensation, grants and scholarships .....................................009. All other income, including the income of others who resided with you at any time during 2023 ......................0010. TOTAL HOUSEHOLD INCOME (Add lines 4 through 9. If line 10 is more than $40,500 you do not qualify for a refund)0011. Percent of the homestead property that was rented or used for business in 2023 (see instructions) .......................................%12. 2023 general property taxes, excluding specials. (Tax on property valued atmore than $350,000 does not qualify. See instructions.) ..............................Mark this box if you havedelinquent property tax.0013. Amount of property tax allowed. Enter amount from line 12 or $700, whichever is less ...........................................................0014. Using your total household income on line 10 and the Refund Percentage Table, enter your refund percentage ....................%15. HOMESTEAD REFUND (Multiply line 13 by percentage on line 14) ........................................................................................Important: If you filed Form ELG with your county, your refund will be reduced by the ELG amount applied to the first half of your 2023 property tax.00Mark this box if you wish to participate in the Refund Advancement Program (see instructions) ...........................Signature00I authorize the Director of Taxation or the Director’s designee to discuss my K-40H 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 claim.Claimant’s signatureDateSignature of preparer other than claimantTax Preparer’s PTIN, EIN or SSN:IMPORTANT: Please allow 20 to 24 weeks to process your refund.COMPLETE THE BACK OF THIS FORMK-40HPage 2134223Excluded IncomeProviding this information should speed the processing of your claim. Income reported here should not be included on line 10 of this form.Enter in the spaces provided the annual amount of all other income not included as household income on line 10:(a) Food Stamps .............................. $00(b) Nongovernmental Gifts ......................... $00(c) Child Support.............................. $00(d) Settlements (lump sum) ........................ $00(e) Personal and Student Loans ...... $00(f) SSI, Social Security, Veterans or RailroadDisability (enclose documentation) ............ $00(g) Other (See instructions)Source_____________________________________________________________________Amount $00Complete the information below for ALL persons (including yourself) who resided in your household at any time during 2023. Indicate the numberof months they lived with you and whether or not their income is included on lines 4 through 9 of Form K-40H.Date of BirthIncomeNumber ofincluded onRelationship months resided lines 4-9,in householdYes/NoSocial Security NumberMembers of HouseholdNameMAIL TO: Homestead Claim, Kansas Department of Revenue, PO Box 750260, Topeka KS 66699-0260

Extracted from PDF file 2023-kansas-form-k-40h.pdf, last modified July 2023

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About the Individual Income Tax

2023 Form K-40H

K-40H Homestead Claim Return Rev. 7-23

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