Form Ia 1120 - Iowa Corporation Income Tax Return - Long Form

OFFICE USE ONLY

I OWA

IA 1120 2001

d e p a r t m e n t o f R e ve nu e a n d F i n a nc e

Iowa Corporation Income Tax Return - Long Form

From____/____/____to____/____/____

Postmark

Check the box if this is

(1) Name/Address Change

(2) A Short Period

Corporation Name and Address

Federal T.I.N.:

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Withdrawn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__________

Filing Status:

Separate Iowa/Separate Federal

Separate Iowa/Consolidated Federal

Consolidated Iowa/Consolidated Federal

Type of Return:

1 Regular Corporation

2 Cooperative

3 UBIT

Is this an inactive corporation? .................................................

Yes

Was federal income or tax changed for any prior period(s)? ...

Yes

No Period(s)_____________________________

Do you have property in Iowa? .................................................

Yes

USE WHOLE DOLLARS

1. Net Income From Federal Return (before Federal Net Operating Loss) .............................................................................. 1 ___________________________ s

...................................................................................... 2 ___________________________ s

2. 50% of Federal Tax Refund ...................

Accrual

Cash

3. Other Additions (Schedule A) ................................................................................................................................................. 3 ___________________________ s

4. Net Income after additions (add lines 1 through 3) ............................................................................................................. 4 ___________________________

Cash ............. 5 ______________________________ s

5. 50% of Federal Tax Paid or Accrued .......

Accrual

6. Other Reductions (Schedule A) ................................................................... 6 ______________________________ s

7. Total Reductions (add lines 5 and 6) ........................................................................................................................................ 7 ___________________________

8. Net income after reductions (s u b t r a c t line 7 from line 4) ..................................................................................................... 8 ___________________________

9. Nonbusiness income (Schedule D, line 17) ............................................................................................................................. 9 ___________________________ s

10. Income Subject To Apportionment (subtract line 9 from line 8) ............................................................................................. 10 ___________________________

11. Iowa Percentage (Schedule E) (See instructions) .................................................................................................................. 11 _________________________ s %

12. Income Apportioned to Iowa (multiply line 10 by line 11) ...................................................................................................... 12 ___________________________

13. Iowa Nonbusiness Income (Schedule D, line 8) ..................................................................................................................... 13 ___________________________ s

14. Income Before Net Operating Loss (add lines 12 and 13) ..................................................................................................... 14 ___________________________

15. Net Operating Loss Carryforward (Schedule F) ...................................................................................................................... 15 ___________________________ s

16. Income Subject to Tax (subtract line 15 from line 14. Do NOT enter an amount below $0) ............................................... 16 ___________________________

17. Computed Tax (for tax rates, see bottom of page 3) Check box if tax is annualized. ......................................................... 17 ___________________________ s

18. Minimum Tax (from page 4, Schedule IA4626) ....................................................................................................................... 18 ___________________________ s

19. Total Tax (add lines 17 and 18) ................................................................................................................................................. 19 ___________________________

20. Credits (Schedule C1, line 10, Do not include estimated tax credit) .... 20 ______________________________ s

21. Payments (Schedule C2, line 4, include estimated tax credit) .............. 21 ______________________________ s

22. Total Credits and Payments (add lines 20 and 21) ............................................................................................................. 22 ___________________________

23. Net Amount (subtract line 22 from line 19) ........................................................................................................................... 23 ___________________________

24. Tax Due if line 23 is greater than $0 ..................................................................................................................................... 24 ___________________________

25. Penalty (Underpayment of Estimated Tax; attach IA2220) ................................................................................................ 25 ___________________________ s

26. Penalty (Failure to Pay or Failure to File) .............................................................................................................................. 26 ___________________________ s

27. Interest ...................................................................................................................................................................................... 27 ___________________________ s

28. Total Amount Due (add lines 24 through 27) Make check payable to “Treasurer, State of Iowa” ........................ 28 ___________________________ s

29. Overpayment if line 23 is less than $0 .................................................................................................................................. 29 ___________________________

30. Credit to next period’s Estimated Tax .................................................................................................................................... 30 ___________________________ s

31. Refund Requested (subtract line 30 from line 29) ............................................................................................................... 31 ___________________________ s

Cow-Calf

DO NOT use this amount to increase your overpayment, line 29, or to reduce the amount you owe, line 28.

_________________________ s

Refund

Cow-Calf Refund (attach IA 132) ......................................................................................................

A complete copy of your Federal return, as filed with the Internal Revenue Service, MUST be filed with this return.

For filing status 2 or 3, you must attach pages 1-4 of your consolidated Federal return, consolidating income statements,

Iowa Schedule H and any other forms related to the Iowa return.

42-001a

(08/27/01)