Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes printable pdf download

Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes

X21-006B

Questionnaire: Service Activities In Iowa For Corporation Income Tax Purposes

Complete this questionnaire and mail to:

Corporation Unit - Examination Section Compliance Division

Iowa Department of Revenue & Finance

PO Box 10456

Des Moines, IA 50306 – 0456

If you have any questions, contact the person listed in the cover letter between 8:00 A.M. to 4:30 P.M.

We are in the Central Time zone.

PART I: GENERAL INFORMATION

1. Exact corporation name and trade/business name plus the mailing address of principal office, if different from

above.

2. Date of Formation: (Mo/Yr)______________State of Incorporation_____________

3. Taxpayer Identification Number (TIN) also known as the Federal Employer Identification Number (FEIN) from

your Federal Income Tax return.

Business Activity Code also from your Federal Income Tax return. It can be found in “Additional Information”

area of the return by Schedule J (Tax Computation)

Have you ever had an election as a S Corp? Yes____No____ If yes, for what periods?

If you have ever filed returns with this Department, please complete the following:

Yes

Periods

TIN or Permit #

Corporation Income Tax

Sales/Use Tax

Withholding Tax

Motor Vehicle Fuel Tax

If an affiliated company does or did file an Iowa return, please complete the following

Yes