Form 21-006e - Questionnaire 21-006 Service Activies In Iowa For A Corporation, Partnership Or Llc

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Questionnaire 21-006 Service Activies in Iowa
Iowa Department of Revenue
for a Corporation, Partnership or LLC
Enter the reference number from our letter here: ___________________________
It is important that you sign the last page of the questionnaire.
Please provide a detailed explanation when requested. If more room is needed, attach a separate page.
Questionnaire 21-006: Service Activities In Iowa For a Corporation, Partnership or LLC
If you have any questions, contact the person listed in the cover letter between 8:00 AM to 4:30 PM (Central
Time zone).
1. Exact corporation, business or trade name and address of principal office if different from above:
2. Date of Original Formation: (Mo/Yr) ______________ State of Incorporation ________
3. Taxpayer Identification Number (TIN) also known as the Federal Employer Identification Number (FEIN)
from your Federal Income Tax return.______________________________
4. Business Activity Code, NAICS, from your Federal Income Tax return. It can be found in “Additional
Information” area of the return by Schedule J (Tax Computation).
5. Have you ever had an election as an S Corp.? Yes ____ No ____
If YES, for what periods?
6. If you have ever filed returns with this Department, please complete the following:
Yes/ No
Periods
TIN/Permit #
Corporation Income Tax?
______
____________
_______________
Sales/Use Tax?
______
____________
_______________
Withholding Tax?
______
____________
_______________
Motor Fuel Tax?
______
____________
_______________
7. If an affiliated company does or did file an Iowa return, please complete the following:
Yes/No
Periods
TIN/Permit #
Corporation Income Tax?
______
____________
_______________
Sales/Use Tax?
______
____________
_______________
Withholding Tax?
______
____________
_______________
Motor Fuel Tax?
______
____________
_______________
21-006a(03/28/11)

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