Form 1120f - Franchise Return For Financial Institutions

Schedules A & D

Schedule A

Schedule D

1. Cash to Accrual Adjustments

2. Expenses to Carry Tax Exempts section 291 & 265

3. Expense to Carry Investment Subsidiary

4. Contribution Adjustments

5. Capital Loss Adjustments

6. Iowa Franchise Tax Refund Reported on Federal Return

7. Depreciation Adjustment (IA 4562A)

8. Other:

9 .

T O T A L S

Enter Totals On:

LINE 4, IA 1120F, Schedule A

LINE 6, IA 1120F, Schedule D

Schedule C1 - Credits

Amount

1. Investment Tax Credit (attach IA 3468)

2. Property Rehabilitation Tax Credit

3. Property Rehabilitation Credit (discounted)

4. Endow Iowa Credit

5. Venture Capital Credit

Economic Development Region Revolving Fund Tax Credit

Corporate Tax Credit for Sales Taxes Paid by Third Party Developer

8. Wage Benefit Tax Credit

9. Total. Add lines 1-8.

Enter on line 17, IA 1120F

Schedule C2 - Payments

Current Period’s Estimated Tax Payments

Amount

Date of Payment

1. Prior Period’s Overpayment Credited to Current Period

2. First Installment:

3. Second Installment:

4. Third Installment:

5. Fourth Installment:

6. Voucher Payments

7. Other Payments

8. Total Payments. Add lines 1-7.

Enter on line 18, IA 1120F

Allocation Schedule

Name of Iowa Incorporated City Where

Principal IOWA Branch Address

Principal Branch is Located

Name of County

OFFICIAL USE ONLY

0 0 - 0 0

Additional Information

1 Short period information: Period ___ / ___ to ___ / __

Reason for short period: ________________________________________________________

2 Year business was started in Iowa: ________

3 Information from the p r i o r return:

Corporation Name: _____________________________________________________________

Federal TIN: ___________________________________ Net Income: ___________________

4 Accounting method:

Cash

Accrual

Year accrual method began: ________

Name of Financial Institution: ___________________________________ TIN: ___________________

Please note:

Any questions?

Use whole dollars for all amounts

Iowa is in the Central Time Zone.

shown on this return and any schedules

Call 1-800-367-3388 (Iowa only)

or attachments.

or 515/281-3114

Hours: 9 a.m. - 4 p.m.,

Mail your return to:

Franchise Tax Return Processing

Monday-Friday

Iowa Department of Revenue

Web site:

PO Box 10413

E-mail: idr@iowa.gov

Des Moines IA 50306-0413

43-001b (9/7/05)

Form 1120f - Franchise Return For Financial Institutions - 2005 Page 2

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