Form Ia 1120f - Franchise Return For Financial Institutions - 2014
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1
2Iowa Department of Revenue
2014 IA 1120F
Franchise Return for Financial Institutions
Official Use Only
Period Ending
/
(mm/yy)
Check all that apply:
This is a short period return
Mailing address change
Name and Address
Please check the appropriate box
Pay return
01
Amended Pay
02
No pay return
03
Amended no pay
05
Contact Person
Phone No.
(
)
_______________________________________
FEIN:
Filing Status: Separate Iowa/Federal Corporation
If this is a first or final return, check the appropriate boxes.
Separate Iowa/Separate Federal
Separate Iowa/Consolidated Federal
First return
New business
Successor
Name of consolidated parent:
Entering Iowa
Final return
Reorganized
Parent’s FEIN:
Merged
Dissolved
Was federal income or federal tax changed for any prior period(s)?
Type of return:
Yes
Periods changed:
Reason :Federal audit
100% Iowa
Not 100% Iowa
No
1120X
1139
No Iowa banking locations
Inactive bank
Use Whole Dollars
1. Net Income from Federal Return before Net O perating L oss. ................................................
1.
.00
2. Interest and Dividends exempt from Federal Income Tax ...............................................
2.
.00
3. Iowa Franchise tax expensed on Federal Return. .....................................................
3.
.00
4. Other Additions from Schedule A. .....................................................................................
4.
.00
5. Total Iowa Income. Add lines 1 through 4 ...............................................................................
5.
.00
6. Other Reductions from Schedule D ....................................................................................
6.
.00
7. Income Subject To Apportionment. Subtract line 6 from line 5 ...................................
7.
.00
8. Iowa Percentage from IA Schedule 59F, line 19 ...............................................................
8.
.00
9. Deduction for Apportioned Income from IA Schedule 59F, line 22 ................................
9.
.00
10. Iowa Net Operating Loss from IA1120 Schedule F ......................................................... 10.
.00
11. Total Reductions. Add lines 6, 9, and 10. ............................................................................ 11.
.00
12. Iowa Net Income subject to franchise tax. Subtract line 11 from line 5 .................................. 12.
.00
13. Computed Tax. Multiply line 12 by 5% (.05) ............................................................................. 13.
.00
14. Minimum Tax from IA 4626F ............................................................................................... 14.
.00
15. Total Tax. Add lines 13 and 14 ............................................................................................ 15.
.00
16. Credits. Include IA 148 ........................................................................................... 16.
.00
17. Payments from Schedule C, line 8 ........................................................................... 17.
.00
18. Total Credits and Payments. Add lines 16 and 17........................................................................... 18.
.00
19. Net Amount. Subtract line 18 from line 15............................................................................ 19.
.00
20. Penalty for underpayment of estimated tax: Include IA 2220 ..................................... 20.
.00
21. Penalty for failure to pay or failure to file .................................................................. 21.
.00
22. Total Penalties. Add lines 20 and 21 .................................................................................... 22.
.00
23. Interest .............................................................................................................................. 23.
.00
24. Total Due. Add lines 19, 22, and 23. Make check payable to “Treasurer - State of Iowa” ...... 24.
.00
25. Net Overpayment. Subtract line 20 from line 19 .................................................................... 25.
.00
26. Credit To Next Period’s Estimated Tax .................................................................... 26.
.00
27. Refund Requested. Subtract line 26 from line 25 .................................................................. 27.
.00
A complete copy of your federal return, as filed with the Internal Revenue Service, must be filed with this return. If no copy is
included, this will not be considered a complete return.
Under penalties of perjury, I declare that I have examined this return and 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.
Officer's Signature:
Date:
Title:
Phone:
Preparer's Signature:
ID No:
Phone:
Date:
43-001a (07/22/14
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Parent category: Financial