Form Ia Corp 1120es - Iowa Installment Page 2
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1
2IA CORP 1120ES
I O W A
department of Revenue and Finance
4
C
INSTALLMENT
FOR CALENDAR YEAR _____ OR FISCAL YEAR ENDING ____________ , ______
due the last day of
the 12th month of the
calendar or fiscal
Federal TIN
year
AMOUNT OF
PAYMENT $ _________________
Daytime Phone Number
Mail to:
Corporation Estimate Processing
Iowa Department of Revenue and Finance
PO Box 10468
Des Moines, IA 50306-0468
Make check or money order payable to: "Treasurer - State of Iowa"
45-004 (5/17/02)
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