Iowa Department of Revenue
IA FRAN ES
Franchise Estimate Tax Payment Voucher
1
INSTALLMENT
The last day of the fourth month of the calendar or fiscal year
Financial
For Calendar or Fiscal Year
Institution Name:
Ending:
Address:
FEIN:
City, State ZIP:
Payment Amount:
Phone:
Mail to:
Make checks payable to:
Treasurer, State of Iowa
Iowa Department of Revenue
When you pay by check,
*1443006019999*
PO Box 10413
you authorize the Department of Revenue to convert your check
Des Moines IA 50306-0413
to a one-time electronic banking transaction.
43-006 (09/05/2014)
Iowa Department of Revenue
IA FRAN ES
Franchise Estimate Tax Payment Voucher
2
INSTALLMENT
The last day of the sixth month of the calendar or fiscal year
Financial
For Calendar or Fiscal Year
Institution Name:
Ending:
Address:
FEIN:
City, State ZIP:
Payment Amount:
Phone:
Mail to:
Make checks payable to:
Iowa Department of Revenue
Treasurer, State of Iowa
When you pay by check,
*1443006019999*
PO Box 10413
you authorize the Department of Revenue to convert your check
Des Moines IA 50306-0413
to a one-time electronic banking transaction.
43-006 (09/05/2014)
Iowa Department of Revenue
IA FRAN ES
Franchise Estimate Tax Payment Voucher
3
INSTALLMENT
The last day of the ninth month of the calendar or fiscal year
Financial
For Calendar or Fiscal Year
Institution Name:
Ending:
Address:
FEIN:
City, State ZIP:
Payment Amount:
Phone:
Mail to:
Make checks payable to:
Iowa Department of Revenue
Treasurer, State of Iowa
When you pay by check,
*1443006019999*
PO Box 10413
you authorize the Department of Revenue to convert your check
Des Moines IA 50306-0413
to a one-time electronic banking transaction.
43-006 (09/05/14)