Form Ia Fran Es - Iowa Tax Payments For Financial Institutions - 2002
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1
2I O W A
IA FRAN ES 2002
department of Revenue and Finance
3
INSTALLMENT
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue and Finance Use
FOR CALENDAR YEAR _____ OR FISCAL YEAR ENDING __________ , _____
Address Change
FEDERAL TIN
PERIOD ______________________________________________ s
s
07 ____________________________________________ s
CODE:
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ s
please use whole dollars
Mail to:
Franchise Tax Return Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue and Finance
PO Box 10413
Make check or money order payable to: "Treasurer - State of Iowa"
43-006 (08/31/01)
Des Moines, IA 50306-0413
I O W A
IA FRAN ES 2002
department of Revenue and Finance
2
INSTALLMENT
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue and Finance Use
FOR CALENDAR YEAR _____ OR FISCAL YEAR ENDING __________ , _____
Address Change
FEDERAL TIN
PERIOD ______________________________________________ s
s
07 ____________________________________________ s
CODE:
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ s
please use whole dollars
Mail to:
Franchise Tax Return Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue and Finance
PO Box 10413
Make check or money order payable to: "Treasurer - State of Iowa"
43-006 (08/31/01)
Des Moines, IA 50306-0413
I O W A
IA FRAN ES 2002
department of Revenue and Finance
1
INSTALLMENT
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue and Finance Use
FOR CALENDAR YEAR _____ OR FISCAL YEAR ENDING ___________ , _____
Address Change
FEDERAL TIN
PERIOD ______________________________________________ s
s
07 ____________________________________________ s
CODE:
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ s
please use whole dollars
Mail to:
DATE PAYMENT MAILED: ___________________________________________________
Franchise Tax Return Processing
Iowa Department of Revenue and Finance
PO Box 10413
Make check or money order payable to: "Treasurer - State of Iowa"
43-006 (08/31/01)
Des Moines, IA 50306-0413
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