Form Ia 1120 - Iowa Corporation Income Tax Return - Long Form - 2001 Page 3
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4IA1120 Page 3 2001
Schedule D - Nonbusiness Income (see instructions)
Enter Whole Dollars
Please attach all documentation detailing why the income should be allocated as Nonbusiness Income.
Type of Income
(A) Gross Income
(B) Related Expenses
(C) Subtotal
(D) 50% of Applicable
(E) Net Income
Federal Income Tax
Allocated Within Iowa
1 Net Dividend
(see instructions)
2 Exempt Interest
and Dividends
3 Other Interest
4 Rent
5 Royalties
6 Capital Gain
7 Other
(must attach schedule)
8 SUB TOTAL
Column E (add lines 1 through 7) Enter Total on line 13 of page 1.
Allocated Without Iowa
9 Net Dividend
(see instructions)
10 Exempt Interest
and Dividends
11 Other Interest
12 Rent
13 Royalties
14 Capital Gain
15 Other
(must attach schedule)
16 SUB TOTAL
Column E (add lines 9 through 15)
17
TOTAL
Column E (add lines 8 and 16)
Enter Total on line 9 of page 1.
Schedule E - Business Activity Ratio (BAR) (see instructions)
Enter Whole Dollars
Type of Income
Col. A Iowa Receipts
Col. B Receipts Everywhere
s
s 1
1 Gross Receipts
s 2
2 Net Dividends (see i n s t r u c t i o n s)
s 3
3 Exempt Interest (line 6, Schedule A)
s 4
4 Accounts R e c e i va b l e Interest
s 5
5 Other Interest
s 6
6 Rent
s 7
7 Royalties
s 8
8 Capital Gains
s 9
9 Ordinary Gains
s 10
10 Partnership Gross Receipts (attach schedule)
s
s 11
11 Other (must attach schedule)
s
s 12
12 TOTALS
13 Percentage (Column A/Column B - to six decimal places) Enter % on line 11 of page 1.
% 13
To obtain schedules and forms:
TAX RATES:
If income shown on line 16 (of page 1) is:
Under $25,000 .............. then multiply line 16 by 6%
Tax Research Library:
$25,000 to $100,000 ..... then multiply line 16 by 8% and
subtract $500
To talk to a tax specialist:
$100,000 to $250,000 ... then multiply line 16 by 10% and
subtract $2,500
Over $250,000 .............. then multiply line 16 by 12% and
idrf@idrf.state.ia.us
subtract $7,500
MAIL YOUR RETURN TO:
If annualizing, attach a schedule showing computation.
Corporate Name: ________________________________________________ Federal T.I.N.: __________________________________
42-001c (08/27/01)
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