Form Ia 1040x - Amended Iowa Individual Income Tax Return Page 2
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4Explanation of Changes to Income, Deductions, and Credits
Enter the line reference from page 1 for which you are reporting a change and give the reason for each change.
Please include applicable schedules. Please indicate how the changes in income, deductions, or credits are allocated
between spouses.
Credit Carryforward
NOTE: State tax information may be disclosed to tax officials of another
state or of the United States for tax administrative purposes.
If you are amending prior to the end of the year for which this return came
due and wish to change your credit carryforward (estimated tax), please fill
Mail return to:
in these line items.
Iowa Income Tax Processing Iowa Department of Revenue
PO Box 9187
Des Moines IA 50306-9187.
Calculated Overpayment: ................................................... 1.
Elected Carryforward Amount for
You
A.
Spouse
B.
Total Carryforward ............................................................. 2.
Subtract line 2 from line 1 and enter on line 28 ................. 3.
FINAL CHECKLIST
DO YOU OWE ADDITIONAL TAX?
Before you mail this return, make sure you have:
You have several options:
Rechecked your math!
Provided an explanation of the change.
1.
Payment transfer from your bank account: Go to
Computed interest and any applicable penalty on additional tax
and make an ePayment (direct debit) through
due.
eFile & Pay.
Signed your return.
2.
Pay by credit/debit card online: Go to this web page:
Verified your Social Security Number(s).
/elf/creditcard.html Please note that you will
Made your payment, if required.
be charged a service fee by the vendor.
3.
Mail your payment made payable to Treasurer, State of Iowa
with voucher IA 1040XV to Iowa Department of Revenue, Iowa
Please do not send cash by mail.
Income Tax Processing, PO Box 9187, Des Moines IA 50306-
9187.
*1441122029999*
41-122(10/01/14)
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