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OFFICE USE ONLY
Iowa Department of Revenue
2009 IA 1120A
Iowa Corporation Income Tax Return - Short Form
From____/____/____to____/____/____
Postmark
Check the box if this is
(1) Name/Address Change
(2) A Short Period
Corporation Name and Address
FEIN:
Business Code:
County No.:
Is this a first or final return? If yes, check the appropriate box.
First Return
New Business
Successor
Entering Iowa
Final Return
Reorganized
Merged
Dissolved
Name of contact person: _____________________________
Phone No.: (_____) _______ - ___________
Withdrawn
Bankruptcy
Other__________
Type of Return:
1 Regular Corporation
2 Cooperative
3 UBIT
Is this an inactive corporation? .................................................
Yes
No
Was federal income or tax changed for any prior period(s)? ...
Yes
No Period(s)_____________________________
Do you have property in Iowa? ................................................
Yes
No
USE WHOLE DOLLARS
1. Net Income from Federal Return b efo re fed e r a l ne t op e r a t i n g lo s s ............................................................................... 1 ___________________________
2. 50% of Federal Tax Refund .....................
Accrual
Cash
....................................................................................... 2 ___________________________
3. Other Additions from Schedule A ............................................................................................................................................. 3 ___________________________
4. Net Income After Additions. Add lines 1 through 3. .............................................................................................................. 4 ___________________________
5. 50% of Federal Tax Paid or Accrued ......
Accrual
Cash ............. 5 ______________________________
6. Other Reductions from Schedule A. ............................................................ 6 ______________________________
7. Total Reductions. Add lines 5 and 6. ........................................................................................................................................ 7 ___________________________
8. Income Before Net Operating Loss. Su bt r a c t l i n e 7 f r o m l i n e 4. ..................................................................................... 8 ___________________________
9. Net Operating Loss Carryforward from Schedule F. ............................................................................................................... 9 ___________________________
10. Income Subject To Tax. Subtract line 9 from line 8. Do NOT enter an amount below $0. ................................................. 10 ___________________________
11. Computed Tax (For tax rates, see bottom of page 2.)
Check box if tax is annualized
............................................... 11 ___________________________
12. Motor Fuel Credit. Attach IA 4136. .............................................................. 12 ______________________________
13. Nonrefundable Credits. Attach IA 148 Tax Credits Schedule. .................. 13 ______________________________
14. Refundable Credits. Attach IA 148 Tax Credits Schedule. ........................ 14 ______________________________
15. Total Credits. Add lines 12, 13, and 14. ...................................................... 15 ______________________________
16. Payments from Schedule C2, line 5; includes estimated tax credit .......... 16 ______________________________
17. Total Credits and Payments. Add lines 15 and 16. .................................... 17 ______________________________
18. Net Amount. Subtract line 17 from line 11. .............................................................................................................................. 18 ___________________________
19. Tax Due if line 18 is greater than $0 ........................................................................................................................................ 19 ___________________________
20. Penalty (Underpayment of Estimated Tax) Attach IA 2220. ................................................................................................... 20 ___________________________
21. Penalty (Failure to Pay or Failure to File) ................................................................................................................................ 21 ___________________________
22. Interest ....................................................................................................................................................................................... 22 ___________________________
23. Total Amount Due. Add lines 19 through 22. Make check payable to “TREASURER, STATE OF IOWA” ................. 23 ___________________________
24. Overpayment if line 18 is less than $0 ..................................................................................................................................... 24 ___________________________
25. Credit to Next Period’s Estimated Tax ..................................................................................................................................... 25 ___________________________
26. Refund Requested. Subtract line 25 from 24. ........................................................................................................................ 26 ___________________________
Information from Prior Period Iowa Return. Corporation Name: ___________________________________________________________________________
Net Income/(Loss) $ ________________________________
FEIN: __________________________________________________________
A complete copy of your federal return, as filed with the Internal Revenue Service, MUST be filed with this return.
Under penalties of perjury, I declare that I have examined this return, any 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: _____________
Preparer’s Telephone No.: __________________________
42-030a (06/03/09)