Form 42-022 - Iowa Corporation Schedules

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Iowa Department of Revenue
Iowa Corporation Schedule I
IA 851 Affiliation
Corporate Name: ________________________________ FEIN: _____________________ Tax Period:_________________
A
B
C
D
E
COMPANY NAME
FEIN
PRINCIPAL BUSINESS
FILING PERIOD
TOTAL PAYMENTS
ACTIVITY
(if different from parent)
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
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21
22
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31
Instructions for Schedule I - IA 851: List all corporations in the affiliated group that are included in the consolidated Iowa return. List only those corporations doing business in Iowa. Give
the name, FEIN, principal business activity, and filing period, if different from the parent. Also, indicate the type and total of any payments made or recorded under each corporation’s name and
FEIN. Attach additional schedules if necessary to list all corporations. This schedule only applies to filing status 3.
42-022a (06/24/11)

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