Iowa Department of Revenue
2009 IA 1120S Schedule K-1
Nonresident Shareholder Only
Corporation Name: ________________________________
Shareholder Name: _______________________________
FEIN: ________________________________
Shareholder’s SSN or FEIN: __________________________
(1) Federal K-1
(2) Iowa Business
(3) Amount
Shareholder’s Pro Rata Share Items
Amount
Activity Ratio
Apportionable
from Schedule C
to Iowa
(Col. 1 times Col. 2)
1. Ordinary business income (loss) ............................................................................. 1 __________________________________________
2. Net rental real estate income (loss) ......................................................................... 2 __________________________________________
3. Other net rental income (loss) .................................................................................. 3 __________________________________________
4. Interest income ......................................................................................................... 4 __________________________________________
5. Dividend income from line 5a, federal Schedule K-1 .............................................. 5 __________________________________________
6. Royalty income ......................................................................................................... 6 __________________________________________
7. Net short-term capital gain (loss) ............................................................................. 7 __________________________________________
8. Net long-term capital gain (loss) from line 8a, federal Schedule K-1 ..................... 8 __________________________________________
9. Net section 1231 gain (loss) .................................................................................... 9 __________________________________________
10. Other income (loss) ................................................................................................ 10 __________________________________________
11. Section 179 deduction ........................................................................................... 11 __________________________________________
12. Other deductions .................................................................................................... 12 __________________________________________
13. Credits from the credit section of federal K-1. Attach schedule. .......................... 13 __________________________________________
14. a) Post 1986 depreciation adjustment ................................................................. 14a __________________________________________
b) Adjusted gain or loss ....................................................................................... 14b __________________________________________
c) Depletion other than oil and gas ...................................................................... 14c __________________________________________
d) Gross income from oil, gas, or geothermal properties ................................... 14d __________________________________________
e) Deductions allocable to oil, gas, or geothermal properties ............................ 14e __________________________________________
f) Other adjustments and tax preference items. Attach schedule. ...................... 14f __________________________________________
15. Enter any supplemental information that is required to be reported separately to each shareholder for filing with federal form 1120S
Schedule K-1. You may also enter the amount of any Iowa withholding on this line. Attach additional schedules if more space is
needed. ______________________________________________________________________________________________________
16. Shareholder’s all-source modifications from column (5), Schedule K of the IA 1120S ................................................. 16 _____________
17. Iowa business activity ratio .............................................................................................................................................. 17 _____________
18. Shareholder’s Iowa-source modifications. Multiply line 16 by the percentage on line 17;
enter on line 14, IA 126 if positive, or line 24, IA 126 if negative. .................................................................................. 18 _____________
Schedule C – Business Activity Ratio (BAR)
(see instructions)
Enter Whole Dollars
Type of Income
Column A
Column B
S Corporation Iowa Receipts
S Corporation Receipts Everywhere
1 Gross Receipts
2 Net Dividends. See instructions.
3 Exempt Interest
4 Accounts Receivable Interest
5 Other Interest
6 Rent
7 Royalties
8 Capital Gains
9 Ordinary Gains
10 Partnership Gross Receipts. Attach schedule.
11 Other. Must attach schedule.
12
TOTALS
13 Percentage.
Divide line 12 column A by column B to six decimal places. Enter % in column 2
%
of K-1 above for nonresident shareholders or on line 20 of IA 134 for resident shareholders.