Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes (Page 2 of 4) in pdf

Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes Page 2

Describe your business in detail (including copies of all sales brochures and other documents pertaining to your

products that are made available to your customers).

10.

Please enclose a copy of your annual report or Federal 10K forms for the latest period available.

Please Note: All information provided is confidential under the Iowa Code and Rules.

11.

Name and Iowa mailing address for 5 largest customers located in Iowa (If you have no customers, indicate this

by stating “no Iowa customers”):

Please check 1:

End User?

Reseller?

Other?

12. Enter the requested information for the preceding three years for which tax information is available.

Net Federal Taxable

Income before Net

Receipts Benefiting

Benefiting Locations

Operating Loss

MM/DD/YYYY

Iowa Locations

everywhere

Deduction

___/___/______

$________________

___/___/______

$________________

___/___/______

$________________

Please give detailed answers to all remaining questions. If needed, attach additional explanation sheets. If a document

answers the question, submit the document.

Answers will apply to each tax period indicated on the label on page one. Employees who are most familiar with

activities described by each question should complete this questionnaire. It is important that all people helping to answer

this questionnaire are listed in question 19.

Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes Page 2