Iowa Corporation Schedules I, J1 And J2 (Form Ia 851)

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Iowa Department of Revenue

Iowa Corporation Schedule I

IA 851 Affiliation

Corporate Name: ________________________________ FEIN: _____________________ Tax Period:_________________

COMPANY NAME

FEIN

PRINCIPAL BUSINESS

FILING PERIOD

TOTAL PAYMENTS

ACTIVITY

(if different from parent)

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)