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S Part B Exemptions and Dependents Adjustment by the IRS Head of household Do not mark if filing a joint return to / / Nonresident Enter the number of exemptions you claimed on your 2012 federal return. If no federal return is required enter total exemptions for you your spouse if applicable and each person you claim as a dependent. K-40 114512 KANSAS INDIVIDUAL INCOME TAX Rev* 7/12 and/or FOOD SALES TAX REFUND DO NOT STAPLE Your First Name Initial Last Name Spouse s First Name Initial Enter th ...

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