Form Ia 1065 - Iowa Partnership Return Of Income - 2014

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OFFICE USE ONLY
Iowa Department of Revenue
2014 IA 1065
Iowa Partnership Return of Income
For Calendar Year 2014 or other fiscal year
From____/____/____to____/____/____
Check all that apply:
Name/Address Change
Short Period
Amended Return
Final Return
Part I: Partnership Name and Address
FEIN:
Business Code:
Name: _______________________________________
Street Address: ________________________________
Principal Activity:
County No.:
_____________________________________________
Number of Partners: ____________
City, State, ZIP: ________________________________
Please list any other states in which the partnership
Name of contact person: _______________________________
operates: ______________________________________
Phone No.: ( _____ ) _________ - ______________________
_____________________________________________
Part II: Partnership Information
Type of Return (check one) :
Partnership
LLC
LLP
Does the partnership have income/loss from business activities carried on within Iowa?
Yes
No
Is any of the partnership’s income/loss from real property within Iowa?
Yes
No
Does the partnership’s income / loss come from any activity other than interest, dividends, or capital gain from the sale
of stocks or bonds?
Yes
No
PART III - Modification of Partnership Income
Use Whole Dollars
1. Federal partnership taxable income (loss) from federal Schedule K ............................................ 1. _______________________
2. Interest from state and municipal bonds and securities ................... 2. ______________________
3. Other additions. Include Schedule .. ................................................. 3. ______________________
4. Total additions. Add lines 2 and 3. .................................................................................................. 4. _______________________
5. Interest and dividends from federal securities .................................. 5. ______________________
6. Other reductions. Include Schedule. ................................................. 6. ______________________
7. Total reductions. Add lines 5 and 6. ................................................................................................ 7. _______________________
8. Net modifications. Subtract line 7 from line 4. ................................................................................. 8. _______________________
9. Total all-source partnership income. Add lines 1 and 8. ................................................................ 9. _______________________
Part IV: Business Activity Ratio (BAR) See instructions.
Enter Whole Dollar Amounts.
Types of Income
Column A Iowa Receipts
Column B Receipts Everywhere
1. Gross Receipts .................................................... 1. ____________________________________________________________
2. Net Dividends. See instructions. ......................... 2. ____________________________________________________________
3. Exempt Interest .................................................... 3. ____________________________________________________________
4. Accounts Receivable Interest .............................. 4. ____________________________________________________________
5. Other Interest ........................................................ 5. ____________________________________________________________
6. Rent ..................................................................... 6. ____________________________________________________________
7. Royalties .............................................................. 7. ____________________________________________________________
8. Capital Gains / Loss ............................................ 8. ____________________________________________________________
9. Ordinary Gains / Loss .......................................... 9. ____________________________________________________________
10. Partnership Gross Receipts. Include schedule.. 10. ____________________________________________________________
11. Other. Must include schedule. ............................ 11. ____________________________________________________________
12. TOTALS ................................................................ 12. ____________________________________________________________
13. BAR to six decimal places. Divide line 12, column A, by line 12, column B.
%
PART V: Enter Iowa net income for three preceding years:
2011 ___________ 2012 ____________ 2013 ____________
File electronically. For details go to .
Declaration: Under penalties of perjury, I declare that I have examined this return and any included 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.
Signature of Partner or Member:
Preparer’s Signature:
Date:
Date:
Title:
Preparer’s Address:
Daytime Telephone No.:
Preparer’s ID No:
Telephone No.
Mail To: Income Tax Return Processing, Iowa Department of Revenue, Hoover State Office Building, Des Moines IA 50319-0120

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