Questionnaire: Service Activities In Iowa For Corporation Income Tax Form Purposes Page 4

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18.
While present in Iowa, what activities have company employees performed?
Please explain any activity, including how often this activity occurred.
19.
Please provide the names, addresses, titles and telephone numbers of all employees who helped complete this
questionnaire or provided information for the questionnaire.
I declare that the information furnished in response to this questionnaire is to the best of my knowledge and belief, true,
correct, and complete:
Date
Signature of Corporate Officer, Partner or
Title
Owner
Preparer's Name (print or type)
Title (print or type)
Signature
Phone Number

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