Form Ia 1040 - Iowa Individual Income Tax Long Form - 2001 Page 2
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1
22001 IA 1040
, page 2
B. Spouse/Status 3
A. You or Joint
B. Spouse/Status 3
A. You or Joint
STEP 7
36. BALANCE. From side 1, line 35. ............................................................................................................................... 36. _______________ .00
_______________ .00
37. Total itemized deductions from Federal Schedule A . 37. ______________ .00
______________ .00
}
Figure
38. Iowa income tax if included in line 37 ........................ 38. ______________ .00
______________ .00
Complete lines 37-40
your
39. BALANCE. SUBTRACT line 38 from line 37. .............. 39. ______________ .00
______________ .00
ONLY if you itemize.
taxable
40. Other deductions. See pages 13 and 14. ................. 40. ______________ .00
______________ .00
income
s
41. Deduction. Check one box.
Itemized. Add lines 39 and 40.
Standard. See page 14. ......................... 41. _______________ .00
_______________ .00
42. TAXABLE INCOME. SUBTRACT line 41 from line 36. ............................................................................................... 42. _______________ .00
_______________ .00
s
43. Tax (tables begin on page 22) or alternate tax (see page 14) ........ 43. ______________ .00
______________ .00
STEP 8
s
44. Iowa lump-sum tax. 25% of Federal tax from form 4972. ............... 44. ______________ .00
______________ .00
s
Figure
45. Iowa minimum tax. Attach IA 6251. See page 14. .......................... 45. ______________ .00
______________ .00
your
46. Total tax. ADD lines 43, 44 and 45. .......................................................................................................................... 46. _______________ .00
_______________ .00
tax,
47. Total exemption credit amount(s) from Step 3, side 1 .................... 47. ______________ .00
______________ .00
credits
s
48. Iowa earned income credit: 6.5% (.065) of Federal credit ............ 48. ______________ .00
______________ .00
and
s
49. Tuition and textbook credit. See page 15. ...................................... 49. ______________ .00
______________ .00
checkoff
contribu-
50. Total credits. ADD lines 47, 48 and 49. .................................................................................................................... 50. _______________ .00
_______________ .00
tions
s
51. BALANCE. SUBTRACT line 50 from line 46. If less than zero, enter zero. ............................................................. 51. _______________ .00
_______________ .00
s
52. Credit for nonresident or part-year resident. See pages 15 and 19. Attach IA 126 and Federal return. ............... 52. _______________ .00
_______________ .00
53. BALANCE. SUBTRACT line 52 from 51. .................................................................................................................... 53. _______________ .00
_______________ .00
s
54. Other Iowa credits. See page 16. ............................................................................................................................. 54. _______________ .00
_______________ .00
55. BALANCE. SUBTRACT line 54 from line 53. ............................................................................................................. 55. _______________ .00
_______________ .00
s
56. School district surtax/EMS surtax. See page 16. Tables begin on page 26. .......................................................... 56. _______________ .00
_______________ .00
s
57. Total Tax. ADD lines 55 and 56. ............................................................................................................................... 57. _______________ .00
_______________ .00
58. Total tax before contributions. ADD Columns A & B on line 57 and enter here. ........................................................................................... 58.
_______________ .00
59. Contributions. See page 16. Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
s
s
s
Fish/Wildlife 59a:
_________ State Fair 59b:
_________ Keep Iowa Beautiful 59c:
________
ADD Enter total. ............... 59.
_______________ .00
60. TOTAL TAX AND CONTRIBUTIONS. ADD lines 58 and 59. ............................................................................................................................ 60.
_______________ .00
s
61. Iowa income tax withheld from Box 17 of your W-2(s). ................... 61. ______________ .00
______________ .00
STEP 9
s
62. Estimate and voucher payments made for tax year 2001 ............... 62. ______________ .00
______________ .00
s
Figure
63. Out-of-state tax credit. Attach IA 130. ........................................... 63. ______________ .00
______________ .00
s
your
64. Motor vehicle fuel tax credit. Attach IA 4136. ................................ 64. ______________ .00
______________ .00
credits
s
65. Child and dependent care credit. See page 17. .............................. 65. ______________ .00
______________ .00
s
66. Other refundable credits. See page 17. .......................................... 66. ______________ .00
______________ .00
67. TOTAL. ADD lines 61-66. ................................................................. 67. ______________ .00
______________ .00
68. TOTAL CREDITS. ADD columns A and B on line 67 and enter here. ............................................................................................................. 68.
_______________ .00
s
69. If line 68 is more than line 60, SUBTRACT line 60 from line 68. This is the amount you overpaid. ............................................................ 69.
_______________ .00
STEP 10
s
70. Amount of line 69 to be REFUNDED to you. ................................................................................................................................. REFUND 70.
_______________ .00
Mail return to Iowa Income Tax - Refund Processing, Hoover State Office Bldg, Des Moines IA 50319-0120
Figure
s
71. Amount of line 69 to be applied to your 2002 estimated tax ........ 71. ______________ .00
______________ .00
your
s
refund
72. If line 68 is less than line 60, SUBTRACT line 68 from line 60. This is the AMOUNT OF TAX YOU OWE. ................................................. 72.
_______________ .00
or
s
73. Penalty for underpayment of estimated tax. From IA 2210 or IA 2210F.
Check if annualized income method is used ....................... 73.
_______________ .00
amount
s
s
74. Penalty and interest. See page 18. ... 74a. Penalty. ______________ .00
74b. Interest _______________ .00
ADD Enter total 74.
_______________ .00
you owe
s
75. TOTAL AMOUNT DUE. ADD lines 72, 73 and 74, and enter here. ............................................................................. PAY THIS AMOUNT 75.
_______________ .00
Mail to Iowa Income Tax - Document Processing, PO Box 9187, Des Moines IA 50306-9187
Make check payable to TREASURER, STATE OF IOWA.
POLITICAL CHECKOFF. See page 18. This checkoff does not
STEP 11
STEP 12
STEP 13
increase the amount of tax you owe or decrease your refund.
NEXT YEAR,
COW-CALF REFUND Attach IA 132.
s
YOURSELF
SPOUSE
Would you like to receive a booklet? This
Do NOT use these amounts to increase your
option is not available to electronic filers.
overpayment (line 69) or reduce the amount you
$1.50 to Democratic Party
$1.50 to Democratic Party
owe (line 72). See page 18.
0.
Yes
$1.50 to Republican Party
$1.50 to Republican Party
s
Spouse: $ ______________ .00
$1.50 to Green Party
s
$1.50 to Green Party
1.
No
$1.50 to Campaign Fund
$1.50 to Campaign Fund
You:
$ ______________ .00
STEP 14
I (We), the undersigned, declare under penalty of perjury that I (we) have examined this return, including all accompanying schedules
and statements, and, to the best of my (our) knowledge and belief, it is a true, correct, and complete return. Declaration of preparer
(other than taxpayer) is based on all information of which the preparer has any knowledge.
PLEASE
SIGN HERE
Preparer ’s Signature
Date
Your Signature
Date
SIGN HERE
Address
Spouse’s Signature
Date
•
Verify your Social
Security Number(s)
•
Daytime Telephone Number
Identification Number
Recheck your math
Daytime Telephone Number
•
Attach all W-2s
This return is due April 30, 2002.
41-001b (9/6/01)
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