Form Ia 1120 - Iowa Corporation Income Tax Return - Long Form - 2012 Page 3

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IA 1120 Page 3 2012
Schedule D - Nonbusiness Income. See instructions.
Enter Whole Dollars.
Please attach all documentation detailing why the income should be allocated as Nonbusiness Income.
Type of Income
(A) Gross Income
(B) Related Expenses
(C) Subtotal
(D) 50% of Applicable
(E) Net Income
Federal Income Tax
Allocated Within Iowa
1 Net Dividend.
See instructions.
2 Exempt Interest
and Dividends
3 Other Interest
4 Rent
5 Royalties
6 Capital Gain
7 Other.
Must attach schedule.
8 SUB TOTAL
Column E. Add lines 1 through 7. Enter Total on line 13 of page 1.
Allocated Without Iowa
9 Net Dividend.
See instructions.
10 Exempt Interest
and Dividends
11 Other Interest
12 Rent
13 Royalties
14 Capital Gain
15 Other.
Must attach schedule.
16 SUB TOTAL
Column E. Add lines 9 through 15.
17
Column E. Add lines 8 and 16.
Enter Total on line 9 of page 1.
TOTAL
Schedule E - Business Activity Ratio (BAR) (see instructions)
Enter Whole Dollars
Type of Income
Column A Iowa Receipts
Column B Receipts Everywhere
1 Gross Receipts
L
L 1
2 Net Dividends. See i n s t r u c t i o n s.
L 2
3 Exempt Interest from line 9, Schedule A
L 3
4 Accounts R e c e i va b l e Interest
L 4
5 Other Interest
L 5
6 Rent
L 6
7 Royalties
L 7
8 Capital Gains
L 8
9 Ordinary Gains
L 9
10 Partnership Gross Receipts. Attach schedule.
L 10
11 Other. Must attach schedule.
L 11
L
12 TOTALS
L 12
L
13 Percentage. Divide column A by column B to six decimal places. Enter % on line 11 of page 1.
% 13
To obtain schedules and forms:
TAX RATES:
Web site:
If income shown on line 16 (of page 1) is:
Tax Research Library:
To talk to a tax specialist:
Under $25,000 .............. then multiply line 16 by 6%
1-800-367-3388 (Iowa, Omaha, Rock Island, Moline)
$25,000 to $100,000 ..... then multiply line 16 by 8% and
515/281-3114 (Des Moines, out of state)
subtract $500
E-mail: idr@iowa.gov
$100,000 to $250,000 ... then multiply line 16 by 10% and
MAIL YOUR RETURN TO:
subtract $2,500
Corporation Tax Return Processing
Over $250,000 .............. then multiply line 16 by 12% and
Iowa Department of Revenue
subtract $7,500
PO Box 10468
Des Moines IA 50306-0468
If annualizing, attach a schedule showing computation.
Corporate Name: ________________________________________________ FEIN: _________________________________________
42-001c (08/17/12)

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