Form 1120f - Franchise Return For Financial Institutions - 2005
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1
2Iowa Department of Revenue
Iowa 1120F 2005
Franchise Return For Financial Institutions
Period Ending ______ / _____ (mm/yy)
OFFICIAL USE ONLY
Check all that apply:
This is a Short Period Return.
Mailing Address Change
The bank has opened, closed, or moved branch locations.
(Provide a schedule.)
Contact Person
Phone No.: ( ______ ) ______-________
Name and Address
01 Pay Return
02 Amended Pay
03 No Pay Return
05 Amended No Pay
Please check the appropriate box
Federal TIN: _________________________
Is this a first or final return?
If yes, check the appropriate boxes.
First Return:
New Business
Successor
Entering Iowa
Filing Status:
Separate Iowa/Federal S Corporation
Final Return:
Reorganized
Merged
Dissolved
Separate Iowa/Separate Federal
Separate Iowa/Consolidated Federal
Type of Return:
Name of Consolidated Parent: ____________________________
Parent’s Federal TIN: ____________________________________
100% Iowa
Not 100% Iowa
Was Federal income or Federal tax changed for any prior period(s)?
No Iowa banking locations
Inactive bank
Yes. Periods Changed: __________________ Reason:
Federal audit
USE WHOLE DOLLARS ONLY
1120X
1139
No
1. NET INCOME. From Federal Return (before net operating loss) ................................................................. 1 . ____________________ .00
2. INTEREST and DIVIDENDS Exempt from Federal income tax ........................................................ 2. _____________________ .00
3. IOWA FRANCHISE TAX EXPENSED ON FEDERAL RETURN ........................................................ 3. _____________________ .00
4. OTHER ADDITIONS (from Schedule A) ............................................................................................... 4. _____________________ .00
5. TOTAL IOWA INCOME (add lines 1 through line 4) ......................................................................................... 5. ____________________ .00
6. OTHER REDUCTIONS (from Schedule D) .......................................................................................... 6. _____________________ .00
7. INCOME SUBJECT TO APPORTIONMENT (line 5 minus line 6) .................................................... 7. _____________________ .00
8. IOWA PERCENTAGE (from Schedule 59F, line 19) .......................................................................... 8. _____________________ %
9. DEDUCTION for APPORTIONED INCOME (from Schedule 59F, line 22) ..................................... 9. _____________________ .00
10. NET OPERATING LOSS (from Schedule F) ..................................................................................... 10. _____________________ .00
11. TOTAL REDUCTIONS (line 6 + line 9 + line 10) ............................................................................................. 11. ____________________ .00
12. IOWA NET INCOME subject to Franchise Tax (line 5 minus line 11) ......................................................... 12. ____________________ .00
13. COMPUTED TAX (line 12 times 5%) ................................................................................................................. 13. ____________________ .00
14. MINIMUM TAX (from IA4626F) ........................................................................................................................... 14. ____________________ .00
15. TOTAL TAX (line 13 plus line 14) ...................................................................................................................... 15. ____________________ .00
16. MINIMUM TAX CARRYFORWARD CREDIT (from IA 8827F) ........................................................ 16. _____________________ .00
17. OTHER CREDITS (from schedule C1, line 9) ................................................................................... 17. _____________________ .00
18. PAYMENTS (from Schedule C2, line 8) ............................................................................................. 18. _____________________ .00
19. TOTAL CREDITS and PAYMENTS (add lines 16 through line 18) .............................................................. 19. ____________________ .00
20. NET AMOUNT (line 15 minus line 19) ............................................................................................................... 20. ____________________ .00
21. PENALTY for underpayment of estimate tax (attach IA2220) ....................................................... 21. _____________________ .00
22. PENALTY for failure to pay or failure to file ..................................................................................... 22. _____________________ .00
23. TOTAL PENALTIES (line 21 plus line 22) ........................................................................................................ 23. ____________________ .00
24. INTEREST ............................................................................................................................................................. 24. ____________________ .00
25. TOTAL DUE (line 20 + line 23 + line 24) Make check payable to “Treasurer - State of Iowa” .............. 25. ____________________ .00
26. NET OVERPAYMENT (line 20 minus line 21) ................................................................................................. 26. ____________________ .00
27. CREDIT TO NEXT PERIOD'S ESTIMATED TAX ............................................................................. 27. _____________________ .00
28. REFUND REQUESTED (line 26 minus line 27) .............................................................................................. 28. ____________________ .00
29.
29. ____________________
FOR OFFICIAL USE ONLY
A complete copy of your Federal return, as filed with the Internal Revenue Service, MUST be filed with this return. If no copy is attached, this
WILL NOT be considered a complete return.
Under penalties of perjury, I declare that I have examined this return, any attached schedules/statements, and to the best of my knowledge,
believe it to be true, correct and complete. If prepared by a person other than the taxpayer, the declaration is based on all information of which
there is any knowledge.
Officer's Signature ___________________________________ Date _________________ Title ________________________________
Preparer's Signature _________________________________ Date _________________ Preparer's ID No. _____________________
43-001a (7/28/05)
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Parent category: Financial