Form Ia Fran Es - Installment/franchise Estimated Worksheet - 2012
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2
32012 IA FRAN ES
Iowa Department of Revenue
INSTALLMENT
3
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue Use
FOR CALENDAR YEAR 2012 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________
CODE:
07 ____________________________________________
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________
please use whole dollars
Mail to:
Franchise Tax Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue
PO Box 10413
Make check payable to "Treasurer - State of Iowa"
43-006 (08/30/11)
Des Moines, IA 50306-0413
2012 IA FRAN ES
Iowa Department of Revenue
INSTALLMENT
2
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue Use
FOR CALENDAR YEAR 2012 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________
07 ____________________________________________
CODE:
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________
please use whole dollars
Mail to:
Franchise Tax Processing
DATE PAYMENT MAILED: ___________________________________________________
Iowa Department of Revenue
PO Box 10413
Make check payable to "Treasurer - State of Iowa"
43-006 (08/30/11))
Des Moines, IA 50306-0413
2012 IA FRAN ES
Iowa Department of Revenue
INSTALLMENT
1
F
Iowa Tax Payments for Financial Institutions
For Department of Revenue Use
FOR CALENDAR YEAR 2012 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________
07 ____________________________________________
CODE:
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________
please use whole dollars
Mail to:
DATE PAYMENT MAILED: ___________________________________________________
Franchise Tax Processing
Iowa Department of Revenue
PO Box 10413
Make check payable to "Treasurer - State of Iowa"
43-006 (08/30/11)
Des Moines, IA 50306-0413
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