Form Ia 1040 - Iowa Individual Income Tax Long Form - 2009 Page 2

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2009 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
Taxpayers with bonus depreciation/section 179 must use Iowa Schedule A
Figure
Complete lines 37-40
your
38. Iowa income tax if included in line 5 of federal Schedule A ..... 38. ______________ .00
______________ .00
ONLY if you itemize.
taxable
39. BALANCE. Subtract line 38 from line 37 or enter the .............. 39. ______________ .00
______________ .00
income
amount of itemized deductions from the Iowa Schedule A
40. Other deductions. ...................................................................... 40. ______________ .00
______________ .00
41. Deduction. Check one box.
Itemized. Add lines 39 and 40.
Standard. ................................................. 41. _______________ .00
_______________ .00
42. TAXABLE INCOME. SUBTRACT line 41 from line 36. ........................................................................................... 42. _______________ .00
_______________ .00
STEP 8
43. Tax from tables or alternate tax ....................................................... 43. ______________ .00
______________ .00
44. Iowa lump-sum tax. 25% of federal tax from form 4972. ................. 44. ______________ .00
______________ .00
Figure
45. Iowa minimum tax. Attach IA 6251. ................................................. 45. ______________ .00
______________ .00
your
tax,
46. Total tax. ADD lines 43, 44, and 45. ......................................................................................................................... 46. _______________ .00
_______________ .00
credits
47. Total exemption credit amount(s) from Step 3, side 1 ..................... 47. ______________ .00
______________ .00
and
48. Tuition and textbook credit for dependents K-12. ............................ 48. ______________ .00
______________ .00
checkoff
49. Total credits. ADD lines 47 and 48. ........................................................................................................................... 49. _______________ .00
_______________ .00
contribu-
tions
50. BALANCE. SUBTRACT line 49 from line 46. If less than zero, enter zero. ............................................................. 50. _______________ .00
_______________ .00
51. Credit for nonresident or part-year resident. Attach IA 126 and federal return. ....................................................... 51. _______________ .00
_______________ .00
52. BALANCE. SUBTRACT line 51 from 50. If less than or equal to zero, enter zero. ................................................. 52. _______________ .00
_______________ .00
53. Other nonrefundable Iowa credits. Attach IA 148 Tax Credits Schedule. ................................................................ 53. _______________ .00
_______________ .00
54. BALANCE. SUBTRACT line 53 from line 52. ........................................................................................................... 54. _______________ .00
_______________ .00
55. School district surtax/EMS surtax. Take percentage from table; multiply by line 54. .............................................. 55. _______________ .00
_______________ .00
56. Total Tax. ADD lines 54 and 55. ............................................................................................................................... 56. _______________ .00
_______________ .00
57. Total tax before contributions. ADD columns A & B on line 56 and enter here. ............................................................................................ 57.
_______________ .00
58. Contributions. Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
Fish/Wildlife 58a:
StateFair 58b:
Firefighters/Veterans 58c:
Child Abuse Prevention 58d:
Enter total. ............ 58.
_______________ .00
59. TOTAL TAX AND CONTRIBUTIONS. ADD lines 57 and 58. ........................................................................................................................ 59.
_______________ .00
60. Iowa income tax withheld. ................................................................ 60. ______________ .00
______________ .00
STEP 9
61. Estimated and voucher payments made for tax year 2009 ............. 61. ______________ .00
______________ .00
62. Out-of-state tax credit. Attach IA 130. .............................................. 62. ______________ .00
______________ .00
Figure
63. Motor fuel tax credit. Attach IA 4136. ............................................... 63. ______________ .00
______________ .00
your
64. Check One:
Child and dependent care credit OR
credits
Early childhood development credit ...................... 64. ______________ .00
______________ .00
65. Iowa earned income credit: 7.0% (.07) of federal credit ............... 65. ______________ .00
______________ .00
66. Other refundable credits. Attach IA 148 Tax Credits Schedule. ...... 66. ______________ .00
______________ .00
67. TOTAL. ADD lines 60 - 66. ............................................................... 67. ______________ .00
______________ .00
68. TOTAL CREDITS. ADD columns A and B on line 67 and enter here. ........................................................................................................... 68.
_______________ .00
STEP 10
69. If line 68 is more than line 59, SUBTRACT line 59 from line 68. This is the amount you overpaid. .............................................................. 69.
_______________ .00
70. Amount of line 69 to be REFUNDED ........................................................................................................................................... REFUND 70.
_______________ .00
Figure
Mail return to Iowa Income Tax - Refund Processing, Hoover State Office Bldg, Des Moines IA 50319-0120
your
71. Amount of line 69 to be applied to your 2010 estimated tax ....... 71. ______________ .00
______________ .00
refund
72. If line 68 is less than line 59, SUBTRACT line 68 from line 59. This is the AMOUNT OF TAX YOU OWE. ................................................. 72.
_______________ .00
or
amount
73. Penalty for underpayment of estimated tax. From IA 2210 or IA 2210F.
Check if annualized income method is used ......................... 73.
_______________ .00
you owe
74. Penalty and interest. ........................... 74a. Penalty. ______________ .00
74b. Interest _______________ .00
ADD Enter total 74.
_______________ .00
75. TOTAL AMOUNT DUE. ADD lines 72, 73, and 74, and enter here. ........................................................................ PAY THIS AMOUNT 75.
_______________ .00
Electronically pay by credit card or direct debit. Go to
To pay by mail: Iowa Income Tax - Document Processing, PO Box 9187, Des Moines IA 50306-9187. Make check payable to Treasurer, State of Iowa.
STEP 11
POLITICAL CHECKOFF. This checkoff does not increase the
STEP 12
amount of tax you owe or decrease your refund.
NEXT YEAR,
SPOUSE
YOURSELF
Would you like to receive a booklet? This
Mailing Addresses:
$1.50 to Democratic Party
$1.50 to Democratic Party
option is not available to electronic filers.
See lines 70 and 75 above.
$1.50 to Republican Party
0.
Yes
$1.50 to Republican Party
$1.50 to Campaign Fund
1.
No
$1.50 to Campaign Fund
STEP 13
I (We), the undersigned, declare under penalty of perjury that I (we) have examined this return, including all accompanying schedules
PLEASE
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.
SIGN HERE
Your Signature
Date
Preparer’s Signature
Date
SIGN HERE
Address
Spouse’s Signature
Date
Verify your Social
Security
Number(s)
Daytime Telephone Number
Identification Number
Daytime Telephone Number
Recheck your math
This return is due April 30, 2010.
Attach all W-2s
41-001b (10/07/09)

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