Form Ia 1040x - Amended Iowa Individual Income Tax Return

Form Ia 1040x - Amended Iowa Individual Income Tax Return - 2000 Page 2

Explanation 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 attach

applicable schedules. Please indicate how the change in income, deductions, or credits are allocated between spouses.

________________________

NOTE: State tax information may be disclosed to tax

Credit Carryforward

officials of another state or of the United States for

tax administrative purposes.

Mail return to:

If you are amending prior to the end

Iowa Income Tax Processing

of the year for which this return

Iowa Department of Revenue and Finance

came due and wish to change your

Hoover State Office Building

credit carryforward (estimated tax),

Des Moines IA 50319-0120.

please fill in these line items.

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 ................ = ___________

FINAL CHECKLIST

Before you mail this return, make sure you have:

•

Rechecked your math

•

Provided an explanation of the change.

•

Computed interest and any applicable penalty on additional tax due.

•

Signed your return.

•

Verified your Social Security Number(s)

•

Made your check or money order payable to Treasurer - State of Iowa.

•

Please do not send cash by mail.

41-122b (10/6/00)

Form Ia 1040x - Amended Iowa Individual Income Tax Return - 2000 Page 2