Form Ia 1040x - Amended Iowa Individual Income Tax Return Page 2
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4Explanation 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.
Credit Carryforward
NOTE: State tax information may be disclosed to
tax officials of another state or of the United States
If you are amending prior to the end of the year for which this
for tax administrative purposes.
return came due and wish to change your credit carryforward
(estimated tax), please fill in these line items.
Mail return to:
Iowa Income Tax Processing
Calculated Overpayment: ................................................ 1) __________
Iowa Department of Revenue
Elected Carryforward Amount for You
(A) ________
Hoover State Office Building
Spouse (B) ________
Des Moines IA 50319-0120.
Total Carryforward ........................................................... 2) __________
Subtract line 2 from line 1 and enter on line 28 ............... = ___________
DO YOU OWE ADDITIONAL TAX?
FINAL CHECKLIST
You have several options:
Before you mail this return, make sure you
have:
1. Payment transfer from your bank account: Go to
•
Rechecked your math!
and make an ePayment (direct debit)
•
Provided an explanation of the change.
through eFile & Pay.
•
Computed interest and any applicable
2. Pay by credit/debit card online: Go to this web page:
/elf/creditcard.html Please note that you
penalty on additional tax due.
will be charged a service fee by the vendor.
•
Signed your return.
3. Mail your payment made payable to Treasurer, State of
•
Verified your Social Security Number(s).
Iowa with voucher IA 1040XV to Iowa Department of
•
Made your payment, if required.
Revenue, Iowa Income Tax - Document Processing, PO Box
9187, Des Moines IA 50306-9187.
Please do not send cash by mail.
*1241122029999*
41-122b (10/17/12)
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