Form Ia 1040x - Amended Iowa Individual Income Tax Return Page 2

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Explanation of Changes to Income, Deductions, and Credits
Enter the line reference from page 1 for which you are reporting a change and give the reason for each change. Please attach
applicable schedules. Please indicate how the change in income, deductions, or credits are allocated between spouses.
________________________
NOTE: State tax information may be disclosed to
Credit Carryforward
tax officials of another state or of the United States
for tax administrative purposes.
If you are amending prior to the end
of the year for which this return
Mail return to:
came due and wish to change your
Iowa Income Tax Processing
credit carryforward (estimated tax),
Iowa Department of Revenue
please fill in these line items.
Hoover State Office Building
Des Moines IA 50319-0120.
Calculated Overpayment: ................................................ 1) __________
Elected Carryforward Amount for You
(A) ________
Spouse (B) ________
Total Carryforward ........................................................... 2) __________
Subtract line 2 from line 1 and enter on line 28 ............... = ___________
DO YOU OWE ADDITIONAL TAX?
FINAL CHECKLIST
You have three options to pay!
Before you mail this return, make sure you
have:
1. Payment transfer from your bank account: Go to
Rechecked your math!
and make a direct debit/electronic
Provided an explanation of the change.
payment through eFile & Pay.
Computed interest and any applicable
2. Pay by credit card online: Go to >
eServices > Electronic Payment Options. Please note that
penalty on additional tax due.
you will be charged a service fee by the vendor.
Signed your return.
3. Mail your payment with voucher IA 1040V to Iowa
Verified your Social Security Number(s).
Department of Revenue, Iowa Income Tax - Document
Made your payment, if required.
Processing, PO Box 9187, Des Moines IA 50306-9187.
Please do not send cash by mail.
41-122b (06/08/09)

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