Form Ia 1040 - Iowa Individual Income Tax Form - 2012 Page 2
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22012 IA 1040
, page 2
B. Spouse/Status 3
A. You or Joint
B. Spouse/Status 3
A. You or Joint
STEP 7
36. BALANCE. From side 1, line 35 ................................................................................................................................ 36. _______________ .00
_______________ .00
Taxable
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37. Total itemized deductions from federal Schedule A ................. 37. ______________ .00
______________ .00
Income
Taxpayers with bonus depreciation/section 179 must use Iowa Schedule A.
Complete lines 37-40
38. Iowa income tax if included in line 5 of federal Schedule A ..... 38. ______________ .00
______________ .00
ONLY if you itemize.
39. BALANCE. Subtract line 38 from line 37 or enter the .............. 39. ______________ .00
______________ .00
amount of itemized deductions from the Iowa Schedule A.
40. Other deductions ....................................................................... 40. ______________ .00
______________ .00
41. Deduction. Check one box.
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Itemized. Add lines 39 and 40.
Standard ................................................... 41. _______________ .00
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_______________ .00
42. TAXABLE INCOME. SUBTRACT line 41 from line 36. ........................................................................................... 42. _______________ .00
_______________ .00
STEP 8
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43. Tax from tables or alternate tax ....................................................... 43. ______________ .00
______________ .00
Tax,
44. Iowa lump-sum tax. 25% of federal tax from form 4972 .................. 44. ______________ .00
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______________ .00
Credits
45. Iowa minimum tax. Attach IA 6251. ................................................. 45. ______________ .00
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______________ .00
and
Checkoff
46. Total tax. ADD lines 43, 44, and 45. ......................................................................................................................... 46. _______________ .00
_______________ .00
Contribu-
47. Total exemption credit amount(s) from Step 3, side 1 ..................... 47. ______________ .00
______________ .00
tions
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48. Tuition and textbook credit for dependents K-12 ............................. 48. ______________ .00
______________ .00
49. Total credits. ADD lines 47 and 48. ........................................................................................................................... 49. _______________ .00
_______________ .00
50. BALANCE. SUBTRACT line 49 from line 46. If less than zero, enter zero. ............................................................. 50. _______________ .00
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_______________ .00
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51. Credit for nonresident or part-year resident. Attach IA 126 and federal return. ....................................................... 51. _______________ .00
_______________ .00
52. BALANCE. SUBTRACT line 51 from 50. If less than or equal to zero, enter zero. ................................................. 52. _______________ .00
_______________ .00
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53. Other nonrefundable Iowa credits. Attach IA 148 Tax Credits Schedule. ................................................................ 53. _______________ .00
_______________ .00
54. BALANCE. SUBTRACT line 53 from line 52. ........................................................................................................... 54. _______________ .00
_______________ .00
55. School district surtax/EMS surtax. Take percentage from table; multiply by line 54. .............................................. 55. _______________ .00
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_______________ .00
56. Total Tax. ADD lines 54 and 55. ............................................................................................................................... 56. _______________ .00
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_______________ .00
57. Total tax before contributions. ADD columns A & B on line 56 and enter here. ............................................................................................ 57.
_______________ .00
58. Contributions. Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
Fish/Wildlife 58a:
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StateFair 58b:
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Firefighters/Veterans 58c:
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Child Abuse Prevention 58d:
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Enter total. . 58.
_______________ .00
59. TOTAL TAX AND CONTRIBUTIONS. ADD lines 57 and 58. ........................................................................................................................ 59.
_______________ .00
STEP 9
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60. Iowa income tax withheld ................................................................. 60. ______________ .00
______________ .00
Credits
61. Estimated and voucher payments made for tax year 2012 ............. 61. ______________ .00
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______________ .00
62. Out-of-state tax credit. Attach IA 130. .............................................. 62. ______________ .00
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______________ .00
63. Motor fuel tax credit. Attach IA 4136. ............................................... 63. ______________ .00
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______________ .00
64. Check One:
Child and dependent care credit OR
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Early childhood development credit ...................... 64. ______________ .00
______________ .00
65. Iowa earned income tax credit. See Instructions. .......................... 65. ______________ .00
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______________ .00
66. Other refundable credits. Attach IA 148 Tax Credits Schedule. ...... 66. ______________ .00
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______________ .00
67. TOTAL. ADD lines 60 - 66. ............................................................... 67. ______________ .00
______________ .00
68. TOTAL CREDITS. ADD columns A and B on line 67 and enter here. ........................................................................................................... 68.
_______________ .00
STEP 10
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69. If line 68 is more than line 59, SUBTRACT line 59 from line 68. This is the amount you overpaid. .............................................................. 69.
_______________ .00
Refund
70. Amount of line 69 to be REFUNDED ........................................................................................................................................... REFUND 70.
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_______________ .00
or
For a faster refund file electronically. Go to for details or mail return to
Amount
Iowa Income Tax - Refund Processing, Hoover State Office Bldg, Des Moines IA 50319-0120
You Owe
71. Amount of line 69 to be applied to your 2013 estimated tax ....... 71. ______________ .00
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______________ .00
72. If line 68 is less than line 59, SUBTRACT line 68 from line 59. This is the AMOUNT OF TAX YOU OWE. ................................................. 72.
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_______________ .00
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73. Penalty for underpayment of estimated tax from IA 2210 or IA 2210F
Check if annualized income method is used. ..................... 73.
_______________ .00
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74. Penalty and interest ............................ 74a. Penalty ______________ .00
74b. Interest _______________ .00
ADD Enter total 74.
_______________ .00
75. TOTAL AMOUNT DUE. ADD lines 72, 73, and 74, and enter here. ........................................................................ PAY THIS AMOUNT 75.
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_______________ .00
You can pay online at or pay by mail to Iowa Income Tax - Document Processing,
PO Box 9187, Des Moines IA 50306-9187. Make check payable to Treasurer, State of Iowa.
STEP 11
POLITICAL CHECKOFF. This checkoff does not increase the
$1.50 to Republican Party
$1.50 to Republican Party
amount of tax you owe or decrease your refund.
$1.50 to Democratic Party
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SPOUSE:
$1.50 to Democratic Party
YOURSELF:
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$1.50 to Campaign Fund
$1.50 to Campaign Fund
I (We), the undersigned, declare under penalty of perjury that I (we) have examined this return, including all accompanying schedules
STEP 12
and statements, and, to the best of my (our) knowledge and belief, it is a true, correct, and complete return. Declaration of preparer
(other than taxpayer) is based on all information of which the preparer has any knowledge.
PLEASE
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SIGN HERE
Your Signature
Date
Check if Deceased
Date of Death
Preparer’s Signature
Date
SIGN HERE
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Spouse’s Signature
Date
Check if Deceased
Date of Death
Preparer’s PTIN
Firm’s FEIN
Daytime Telephone Number
Daytime Telephone Number
*1241001029999*
This return is due April 30, 2013. Please sign, enclose W-2s, and verify SSNs.
MAILING ADDRESSES: See lines 70 and 75 above.
41-001b (09/24/12)
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