Form Ia Fran Es - Franchise Estimate Tax Payment Voucher - 2014
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1
2
3Iowa Department of Revenue
2014 IA FRAN ES
Iowa Tax Payments for Financial Institutions
3
F
INSTALLMENT
FOR CALENDAR YEAR 2014 OR FISCAL YEAR ENDING _____________ , _____
For Department of Revenue Use
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
please use whole dollars
Mail to:
Franchise Tax Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue
Make check payable to "Treasurer - State of Iowa"
PO Box 10413
43-006 (08/07/13)
Des Moines, IA 50306-0413
When you pay by check, you authorize the Department of Revenue to convert
your check to a one-time electronic banking transaction.
*1343006019999*
Iowa Department of Revenue
2014 IA FRAN ES
Iowa Tax Payments for Financial Institutions
2
F
INSTALLMENT
FOR CALENDAR YEAR 2014 OR FISCAL YEAR ENDING _____________ , _____
For Department of Revenue Use
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
please use whole dollars
Mail to:
Franchise Tax Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue
Make check payable to "Treasurer - State of Iowa"
PO Box 10413
43-006 (08/07/13)
Des Moines, IA 50306-0413
When you pay by check, you authorize the Department of Revenue to convert
your check to a one-time electronic banking transaction.
*1343006019999*
Iowa Department of Revenue
2014 IA FRAN ES
Iowa Tax Payments for Financial Institutions
1
F
INSTALLMENT
FOR CALENDAR YEAR 2014 OR FISCAL YEAR ENDING _____________ , _____
For Department of Revenue Use
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
please use whole dollars
Mail to:
Franchise Tax Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue
Make check payable to "Treasurer - State of Iowa"
PO Box 10413
43-006 (08/07/13)
Des Moines, IA 50306-0413
When you pay by check, you authorize the Department of Revenue to convert
your check to a one-time electronic banking transaction.
*1343006019999*
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