Form Ia Fran Es - Franchise Estimate Tax Payment Voucher - 2014 Page 2
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1
2
3Iowa Department of Revenue
Franchise Estimated Worksheet
(Do not mail this form. Retain with your records.)
AMENDED
COMPUTATION
ORIGINAL
ONLY
COMPUTATION
$
$
1. Taxable income from federal 1120 .......................................................................................................................... 1.
2. Interest and dividends exempt from federal income tax ......................................................................................... 2.
3. Iowa franchise tax deduction on federal 1120 ......................................................................................................... 3.
4. Other additions .......................................................................................................................................................... 4.
5. Total Iowa income. Add lines 1 through 4. .............................................................................................................. 5.
6. Other deductions ....................................................................................................................................................... 6.
7. Iowa net operating loss ............................................................................................................................................. 7.
8. Total deductions. Add lines 6 and 7. ........................................................................................................................ 8.
9. IOWA NET INCOME SUBJECT TO FRANCHISE TAX. Subtract line 8 from line 5. ............................................ 9.
10. Computed tax. Multiply line 9 by 5% (.05). .............................................................................................................. 10.
11. Minimum tax .............................................................................................................................................................. 11.
12. Total tax. Add lines 10 and 11. ................................................................................................................................ 12.
13. Minimum tax carryforward credit and other credits ................................................................................................. 13.
14. Tax after credits. Subtract line 13 from line 12. ...................................................................................................... 14.
(
)
15. Payments previously made for current period estimated tax ................................................................ Use these two lines
15.
16. Unpaid balance ........................................................................................................................................
only if amending
16.
17. Computation of installment ....................................................................................................................................... 17.
(
) last day of the 4th month, enter 1/4 of line 14 .............................................................
if first installment (
) last day of the 6th month, enter 1/3 of line 14 (line 16 if amending) ..........................
is to be filed on (
) last day of the 9th month, enter 1/2 of line 14 (line 16 if amending) ..........................
(
) last day of the 12th month, enter all of line 14 (line 16 if amending) .........................
Estimated Tax Payment Schedule
Computed
Prior period
Amount to be paid
Date
Installment (line 17)
Overpayment
(column b minus
(a)
(b)
(c)
column c)
(d)
1
2
3
4
Total
2014 IA FRAN ES
Iowa Department of Revenue
Iowa Tax Payments for Financial Institutions
F
INSTALLMENT
4
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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Parent category: Financial