Form Ia 1120s - Iowa Income Tax Return For An S Corporation - 2007

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OFFICE USE ONLY
Iowa Department of Revenue
2007 IA 1120S
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Iowa Income Tax Return for an S Corporation
From____/____/____to____/____/____
Check the box if this is
(1) Name/Address Change
(2) A Short Period
Corporation Name and Address
Box A
Box B
Federal T.I.N.:
Business Code:
Box C
County No.:
Is this a first or final return? If yes, check the appropriate box.
First Return
New Business
Successor
Entering Iowa
Final Return
Reorganized
Merged
Dissolved
Name of contact person: _____________________________
Phone No.: ( _____ ) _________ - _________ Ext: _______
Withdrawn
Bankruptcy
Others__________
Type of Return:
1 S Corporation
2 IC Domestic International Sales Corporation
3 Foreign Sales Corporation
Is this an inactive corporation? .................................................
Yes
No
Was Federal income or tax changed for any prior period(s)? ..
Yes
No Periods_____________________________
Is the corporation’s business carried on entirely within Iowa? .
Yes
No
Date of S corporation election: _____________
USE WHOLE DOLLARS
SCHEDULE S
1. Net Income per Federal Schedule K (see i nstru c tions) ...................................................................................................... 1 ___________________________
2. Interest and dividends exempt from Federal income tax (see instructions) . 2 ______________________________
3. Other additions (attach schedule) ................................................................ 3 ______________________________
4. Total additions (add lines 2 and 3) .......................................................................................................................................... 4 ___________________________
5. 50% of Federal income tax .......................................................................... 5 ______________________________
6. Interest and dividends from F eder al securities (see instructions) ............ 6 ______________________________
7. Other reductions (attach schedule) ............................................................. 7 ______________________________
8. Total reductions (add lines 5, 6 and 7) ..................................................................................................................................... 8 ___________________________
9. Net modifications (line 4 less line 8) ......................................................................................................................................... 9 ___________________________
10. Modified Federal net income (line 1 plus line 9) ..................................................................................................................... 10 ___________________________
SCHEDULE K
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Name and Address of Shareholder
Resident/ Social Security No.
%
Share of
All-Source
Apportioned
Nonresident or Federal I.D. No.
Interest
Modifications
Income
Income
A.
%
B.
%
C.
%
D.
%
E.
%
F.
%
Check if additional shareholders, complete schedule
TOTALS
100%
41-034 from our Web site, and attach.
11. Tax on built-in gains or passive investment income (see instructions) ................................................................................. 11 ___________________________
Make check payable to Treasurer-State of Iowa
Information from Prior Period Iowa Return: Corporation Name ___________________________________________________________________________
Net Income/(Loss) $ ________________________________
Federal T.I.N.: ___________________________________________________
A complete copy of your Federal Return, as filed with the Internal Revenue Service, MUST be filed with this return.
Under penalties of perjury, I declare that I have examined this return and 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 Address ______________________________________________________ Preparer’s ID No.: ____________________________
Mail to: Corporate Tax Return Processing, Iowa Department of Revenue, P.O. Box 10468, Des Moines IA 50306-0468
42-004a (7/12/07)

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