Form Ia Fran Es - Installment/franchise Estimated Worksheet - 2013
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1
2
32013 IA FRAN ES
Iowa Department of Revenue
INSTALLMENT
F
3
Iowa Tax Payments for Financial Institutions
For Department of Revenue Use
FOR CALENDAR YEAR 2013 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
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 (09/13/12)
Des Moines, IA 50306-0413
Iowa Department of Revenue
2013 IA FRAN ES
INSTALLMENT
F
2
For Department of Revenue Use
Iowa Tax Payments for Financial Institutions
FOR CALENDAR YEAR 2013 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
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 (09/13/12)
Des Moines, IA 50306-0413
Iowa Department of Revenue
2013 IA FRAN ES
INSTALLMENT
F
1
Iowa Tax Payments for Financial Institutions
For Department of Revenue Use
FOR CALENDAR YEAR 2013 OR FISCAL YEAR ENDING ____________ , _____
Address Change
FEIN
PERIOD ______________________________________________ L
L
CODE:
07 ____________________________________________ L
DAYTIME TELEPHONE #
AMOUNT OF PAYMENT $ _____________________________________ L
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 (09/13/12)
Des Moines, IA 50306-0413
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