Form Ia 1040 - Iowa Individual Income Tax Form - 2011 Page 2
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1
22011 IA 1040,
page 2
B.
Spouse/Status 3
A.
You or Joint
B.
Spouse/Status 3
A.
You or Joint
STEP 7
36.
BALANCE. From side 1, line 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36.
Total itemized deductions from federal Schedule A
37.
. . . . . . . . . . .
Taxable
37.
Taxpayers with bonus depreciation/sec. 179 must use Iowa Sch. A.
Income
Iowa income tax if included in line 5 of federal Schedule A
Complete lines 37-40
38.
38.
. . . . .
BALANCE. Subtract line 38 from line 37 or enter the
39.
ONLY if you itemize.
39.
amount of itemized deductions from the Iowa Schedule A.
. . . . . . . . .
40.
Other deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40.
41.
Deduction. Check one box.
p
Itemized. Add lines 39 and 40.
Standard . . . . . . . . . . . . . . . . . . . .
41.
p
42.
TAXABLE INCOME. SUBTRACT line 41 from line 36. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42.
STEP 8
p
43.
Tax from tables or alternate tax . . . . . . . . . . . . . . . . . . . . . . . . . . . .
43.
Tax,
44.
Iowa lump-sum tax. 25% of federal tax from form 4972 . . . . . . . . . .
44.
p
Credits
45.
Iowa minimum tax. Attach IA 6251. . . . . . . . . . . . . . . . . . . . . . . . . .
45.
p
and
46.
Total tax. ADD lines 43, 44, and 45. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46.
Checkoff
Contribu-
47.
Total exemption credit amount(s) from Step 3, side 1 . . . . . . . . . . .
47.
tions
p
48.
Tuition and textbook credit for dependents K-12 . . . . . . . . . . . . . . .
48.
49.
Total credits. ADD lines 47 and 48. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49.
50.
BALANCE. SUBTRACT line 49 from line 46. If less than zero, enter zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50.
p
51.
Credit for nonresident or part-year resident. Attach IA 126 and federal return.
51.
p
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
52.
BALANCE. SUBTRACT line 51 from 50. If less than or equal to zero, enter zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
52.
53.
Other nonrefundable Iowa credits. Attach IA 148 Tax Credits Schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
53.
p
54.
BALANCE. SUBTRACT line 53 from line 52. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
54.
p
55.
School district surtax/EMS surtax. Take percentage from table; multiply by line 54. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
55.
56.
p
56.
Total Tax. ADD lines 54 and 55. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
57.
Total tax before contributions. ADD columns A & B on line 56 and enter here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
57.
58.
Contributions. Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
Fish/Wildlife
State Fair
Firefighters/Veterans
Child Abuse Prevention
Enter
p
p
p
p
total.
58.
58a:
58b:
58c:
58d:
59.
TOTAL TAX AND CONTRIBUTIONS. ADD lines 57 and 58. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
59.
STEP 9
60.
Iowa income tax withheld
60.
p
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Credits
61.
Estimated and voucher payments made for tax year 2011 . . . . . . .
61.
p
62.
Out-of-state tax credit. Attach IA 130. . . . . . . . . . . . . . . . . . . . . . . .
62.
p
63.
Motor fuel tax credit. Attach IA 4136. . . . . . . . . . . . . . . . . . . . . . . .
63.
p
64.
Check One:
Child and dependent care credit OR
p
p
Early childhood development credit . . . . . . .
64.
65.
Iowa earned income tax credit. See Instructions.
65.
p
. . . . . . . . . . . . . .
Other refundable credits. Attach IA 148 Tax Credits Schedule.
66.
66.
p
. . . . . .
67.
TOTAL. ADD lines 60 - 66. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
67.
68.
TOTAL CREDITS. ADD columns A and B on line 67 and enter here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
68.
STEP 10
p
69.
If line 68 is more than line 59, SUBTRACT line 59 from line 68. This is the amount you overpaid. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
69.
Refund
p
70.
Amount of line 69 to be REFUNDED . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
REFUND
70.
or
For a faster refund file electronically. Go to for details or mail return to
Amount
Iowa Income Tax - Refund Processing, Hoover State Office Bldg, Des Moines IA 50319-0120
applied to your 2012 estimated tax
You Owe
Amount of line 69 to be
71.
71.
p
. . . . .
p
72.
If line 68 is less than line 59, SUBTRACT line 68 from line 59. This is the AMOUNT OF TAX YOU OWE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
72.
73.
Penalty for underpayment of estimated tax from IA 2210 or IA 2210F
p
Check if annualized income method is used. . . . . . . . . . . . . . . . .
73.
p
p
p
74.
Penalty and interest. . . . . . . . .
74a. Penalty
74b. Interest
ADD Enter total
74.
p
75.
TOTAL AMOUNT DUE. ADD lines 72, 73, and 74, and enter here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PAY THIS AMOUNT
75.
You can pay online at or pay by mail to Iowa Income Tax - Document Processing,
PO Box 9178, Des Moines IA 50306-9178. Make Check payable to Treasurer, State of Iowa.
STEP 11
POLITICAL CHECKOFF. This checkoff does not increase the
$1.50 to Democratic Party
$1.50 to Democratic Party
amount of tax you owe or decrease your refund.
p
p
SPOUSE:
$1.50 to Republican Party
YOURSELF:
$1.50 to Republican Party
$1.50 to Campaign Fund
$1.50 to Campaign Fund
STEP 12
I (We), the undersigned, declare under penalty of perjury that I (we) have examined this return, including all accompanying schedules
and statements, and, to the best of my (our) knowledge and belief, it is a true, correct, and complete return. Declaration of preparer
(other than taxpayer) is based on all information of which the preparer has any knowledge.
PLEASE
SIGN HERE
p
Your Signature
Date
Check if Deceased
Date of Death
Preparer's Signature
Date
SIGN HERE
p
Spouse's Signature
Date
Check if Deceased
Date of Death
Preparer's SSN, FEIN, or PTIN
Daytime Telephone Number
Daytime Telephone Number
This return is due April 30, 2012. Please sign, enclose W-2s, and verify SSNs.
MAILING ADDRESSES: See lines 70 and 75 above.
41-001b (09/21/11)
CS
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