Form Ia 1120x - Iowa Amended Corporation Income Tax Return

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Iowa Department of Revenue
OFFICE USE ONLY
IA 1120X
Iowa Amended Corporation Income Tax Return
From____/____/____to____/____/____
Postmark
Do NOT attach multiple years together.
Do NOT use for loss carrybacks.
Corporation Name and Address
Filing Status
Reason for Amendment:
Federal Audit
Type of Return
Federal 1120X
FEIN:
Protective Claim
Phone No.:
Other
Contact Person:
Check this box if Name, Address, or FEIN has changed.
Computation of Changes: Use Whole Dollars.
Computation of Changes
(a) As last reported
(b) Net Change
(c) Corrected amount
1
Federal Net Income
1
2
50% Federal Tax Refund
Accrual basis
Cash basis
2
3
Other Additions to Income from IA 1120
3
4
Total Additions. Add lines 1 through 3.
4
5
50% Federal Tax Accrued or Paid
Accrual basis
Cash basis
5

6
Other Reductions to Income from IA 1120
6
7
Total Reductions. Add lines 5 and 6.
7
8
Net Income. Subtract line 7 from line 4.
8
9
Nonbusiness Income
9
10
Income Subject to Apportionment. Subtract line 9 from line 8.
10
11a
Iowa Receipts
11a
11b
Receipts Everywhere
11b
12
Percentage. Divide line 11a by line 11b.
12
13
Income Apportioned to Iowa. Multiply line 10 by line 12.
13
14
Iowa Nonbusiness Income
14
15
Income Before Net Operating Loss. Add lines 13 and 14.
15
16
Net Operating Loss
16
17
Income Subject to Tax. Subtract line 16 from line 15.
17
18
Computed Tax
18
19
Minimum Tax. Attach IA 4626.
19
20
Total Tax. Add lines 18 and 19.
20
21
Credits (only credits, does not include estimates from last period)
21
22
Payments. See instructions.
22
23a
Total Credits and Payments: Add lines 21 and 22.
23a
23b
Tax Amounts Previously Refunded and/or Credited to Next Period
23b
24
Net Amount. Subtract line 23a from line 20 and add line 23b.
24
25
If line 24 is greater than $0.00, enter Tax Due on line 25.
25
26a
IA 2220 Penalty. See instructions.
26a
26b
Late Penalty
26b
27
Interest
27
28
TOTAL AMOUNT DUE. Add lines 25 through 27.
28
Make checks payable to TREASURER, STATE OF IOWA
29
If line 24 is less than $0.00, enter Overpayment on line 29.
29
30
Credit Carryforward to Next Period’s Estimated Tax
30
(Change must be requested by the last day of the subsequent tax period.)
REFUND REQUESTED on Amended Return. Subtract line 30 from line 29.
31
31
Under penalties of perjury, I declare that I have examined this return, and attached schedules/statements, and, to the best of my knowledge, believe it to be
true, correct and complete. If prepared by a person other than the taxpayer, the declaration is based on all information of which there is any knowledge.
Officer’s Signature: __________________________________________ Title: __________________________________ Date: _________________
Preparer’s Signature: _________________________________________ Preparer’s ID No.: _______________________ Date: _________________
In order to expedite processing this form, please enclose a copy of page 1 of
the company’s Iowa return as filed and any federal forms detailing the changes.
42-024a (08/27/13)

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