Form Ia 851 Affiliation - Iowa Corporation Schedule I - 1999

Iowa Department of Revenue

Iowa Corporation Schedule I

IA 851 Affiliation

Corporate Name: ________________________________ TIN: ______________________ Tax Period:_________________

COMPANY NAME

FEDERAL

PRINCIPAL BUSINESS

FILING PERIOD

CREDITS & PAYMENTS

TIN

ACTIVITY

TYPE

AMOUNT

(if different from parent)

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

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, Federal TIN, principal business activity and filing period, if different from the parent. Also, indicate the type and total of any credits or payments made or recorded under each corporation’s

name and Federal TIN. Attach additional schedules if necessary to list all corporations. This schedule only applies to filing status 3.

42-022a (6/99)