Looking for a Iowa Income Tax Forms And Templates? Download it for free!

Iowa Department of Revenue

2013 IA 8453-C

Iowa Corporation Income Tax Declaration for an E-File Return

For calendar year 2013 or tax year beginning

, 2013, ending

, 20

Name of Corporation

Federal Employer Identification Number (FEIN)

Part I

Tax Return Information

1. Net Income After Additions (IA 1120, line 4) ...................................................... 1. ____________________

2. Income Subject to Tax (IA 1120, line 16) ............................................................ 2. ____________________

3. Total Tax (IA 1120, line 19) ................................................................................... 3. ____________________

4. Total Amount Due (IA 1120, line 28) .................................................................... 4. ____________________

5. Overpayment (IA 1120, line 29) ............................................................................ 5. ____________________

Part II

Declaration of Officer (Be sure to keep a copy of the tax return)



I do not want direct deposit or direct debit.



I consent that the corporation’s refund be directly deposited as designated below.



I authorize the Iowa Department of Revenue (IDR) and its designated financial agent to initiate an electronic

funds withdrawal (direct debit) entry to the financial institution account indicated below for payment of the

corporation’s Iowa taxes owed on this return, and the financial institution to debit the entry to this account on

______________ (the payment/settlement date). I also authorize the financial institution involved in the

processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries

and resolve issues related to the payment.



NOTE: This electronic withdrawal from your bank account will be identified with the ACH Company ID 4426004574. If

you currently have a debit block on this account, please contact your financial institution to request that they allow a

withdrawal from our bank account by this ACH Company ID.

a. Name of financial institution

b. Routing number

The first two digits must be 01 through 12 or 21 through 32.

c. Account number

d. Type of account:

Savings

Checking

e. Will this refund go to (or payment come from) an account outside the United States?

Yes

Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I have provided to my Electronic Return

Originator (ERO) and the amounts shown in Part I agree with the amounts shown on the corresponding lines of the corporation’s Iowa income tax

return. To the best of my knowledge and belief the corporation’s return is true, correct, and complete. I consent that the corporation’s return, including

any accompanying schedules and statements, be sent to the Internal Revenue Service (IRS) by my ERO and retrieved by the Iowa Department of

Revenue (IDR). If the corporation is filing a balance due return, I understand that if the IDR does not receive full and timely payment of its tax liability,

the corporation will remain liable for the tax liability and all applicable penalties and interest. I declare that the information shown in Part II is correct. If

there is an error on my federal return, I understand my state return may be rejected. If the processing of my return, refund, or direct debit is delayed, I

authorize the IDR to disclose to my ERO and/or transmitter the reason(s) for the delay. I also consent to the IDR sending to my ERO and/or transmitter

an acknowledgment of receipt of transmission and indication of whether or not my return is accepted, and, if rejected the reason(s) for the rejection. I

understand that this declaration with required attachments must be forwarded upon request to the IDR.



Sign

Here

Signature of Officer

Date

Title

Part III

Declaration of Electronic Return Originator (ERO) and Paid Preparer

I declare that I have reviewed the above corporation’s return and that entries on form IA 8453-C are complete and correct to the best of my

knowledge. If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on the

return. The corporate officer will have signed this return before submitting to the IRS. I have provided the officer with a copy of all forms and

information to be filed with the IDR and have followed all other requirements described in the Iowa Modernized e-File (MeF) Developer Guide and

Information for e-File Providers. I will keep form IA 8453-C, with attachments, on file for three years from the due date of the return or the filing

date, whichever is later, and I will make a copy available to the IDR upon request. If I am the paid preparer, under penalties of perjury, I declare

that I have examined the above corporation’s return and accompanying schedules and statements, and to the best of my knowledge and belief,

they are true, correct, and complete. This declaration is based on all information of which I have any knowledge.



ERO

Date

ERO’s PTIN

Check if also

Check if

Signature

paid preparer

Use

self-employed

FEIN

Only

Firm’s name (or yours

if self-employed),

Phone Number

address and ZIP code

(

)

Paid

Preparer’s PTIN

Date

Paid Preparer’s

Check if



Signature

self-employed

Preparer

FEIN

Use

Firm’s name (or yours

Only

if self-employed),

Phone Number

address and ZIP code

(

)

42-009a (07/03/13)

Do Not Mail This Form.

Retain completed form with your tax records for at least three years.

Form Ia 8453-C - Iowa Corporation Income Tax Declaration For An E-File Return - 2013

Related Articles

Related forms

Related Categories