Form 41-144 - Telefile Worksheet - Iowa Department Of Revenue Page 2
ADVERTISEMENT
1
2Iowa Department of Revenue
2006
TeleFile
Worksheet
Prepare for your TeleFile call by completing this worksheet. Retain for your records.
If you qualify to TeleFile,
This worksheet will not be processed if mailed.
complete the worksheet and
then call TeleFile. You will
be given information on how
Your Social Security Number
Spouse Social Security Number
to continue filing.
yes
no
Enter your filing status number, Single = 1, Married filing joint = 2
1
If filing status “1”, were you claimed as a dependent on another person’s Iowa income tax return
2
Enter the total number of W-2 forms (5 or fewer)
Enter your 2006 W-2 information in the appropriate boxes below
3
Employer ID Number
Wages
Federal
Iowa
(without hyphen)
(Including Tips)
Tax Withheld
Tax Withheld
$
$
$
1st W-2
NOTE:
,
,
,
$
Round all
$
$
2nd W-2
,
,
,
amounts
$
$
$
3rd W-2
to the
,
,
,
nearest dollar.
$
$
$
4th W-2
,
,
,
(ex: $57.50 = $58;
$
$
$
5th W-2
$57.49 = $57)
,
,
,
$
Total taxable interest income from 1099’s
4
$
Total ordinary dividend income from 1099’s
5
Income
Federal Tax Withheld Iowa Tax Withheld
6
$
,
$
,
$
,
Unemployment compensation
$
,
7
Federal income tax refund received in 2006
$
,
8
Additional Federal tax paid in 2006 for 2005 and any prior years
$
,
2006 Federal earned income credit
9
TeleFile
will calculate your return using the standard deduction amount and provide:
Iowa
Amount of
Amount
$
,
$
,
$
,
net income
your refund
you owe
$
,
10
To contribute to the Fish and Wildlife Fund, enter an amount.........................................
$
,
To contribute to the State Fairgrounds Renovation, enter an amount............................
$
,
To contribute to the Firefighters Fund/Keep Iowa Beautiful Fund, enter an amount.....
$
To contribute to the Veterans Trust Fund, enter an amount.............................................
,
TeleFile
will tell you the amount of refund or the amount you owe after contributions.
Amount of refund after
Amount of tax you owe after
$
$
,
,
contributions from line 10 ...
contributions from line 10 ...
Iowa Election
$1.50 to Republican Party
$1.50 to Republican Party
11
SPOUSE
YOURSELF
$1.50 to Democratic Party
$1.50 to Democratic Party
Campaign Fund
$1.50 to Campaign Fund
$1.50 to Campaign Fund
To direct deposit your refund, the following information is needed:
12
Routing Transit Number (RTN) of your financial institution
Type of Account Depositing to: Checking
Savings
Only one account may be used.
Depositor Account Number
To TeleFile
STOP
Dial 1-888-829-3742
Confirmation
Date Filed
Are you paying additional tax?
Pay online or mail payment to Iowa Income Tax - Document Processing, PO Box 9187, Des Moines IA 50306-9187
2
8/7/06 41-144
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form 31-089 Rf04 - Monthly Deposit Worksheet, Quarterly Return Worksheet - Iowa Department Of Revenue
Financial
Form R2004e - Consumer's Use Tax Return Instructions And Worksheet - Iowa Department Of Revenue And Finance
Financial
Related Categories
Parent category: Financial