Form Ia 2210 - Schedule Ai - Annualized Income Installment Method - 2012

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Iowa Department of Revenue
2012 IA 2210 Schedule AI
Annualized Income Installment Method
NAME
Social Security Number
1/1/12-3/31/12
1/1/12-5/31/12
1/1/12-8/31/12
1/1/12-12/31/12
1. Enter your net income (line 26, IA 1040) for each period. 1. __________________________________________________________
2. Annualization amounts .................................................. 2. __________________________________________________________
4
2.4
1.5
1
3. Annualized income. Multiply line 1 by line 2. ................ 3. __________________________________________________________
4. Enter your federal tax payments for each period,
net of any refund. Use a negative number if the
net amount is a refund. ................................................. 4. __________________________________________________________
5. Annualization amounts .................................................. 5. __________________________________________________________
4
2.4
1.5
1
6. Multiply line 4 by line 5. ................................................. 6. __________________________________________________________
7. Enter your Iowa Itemized deductions for
each period ................................................................... 7. __________________________________________________________
4
2.4
1.5
1
8. Annualization amounts .................................................. 8. __________________________________________________________
9. Multiply line 7 by line 8. ................................................. 9. __________________________________________________________
10. Standard deduction. Enter full-year amount in each period. ... 10. __________________________________________________________
11. Enter the larger of line 9 or line 10. ............................ 11. __________________________________________________________
12. Subtract lines 6 and 11 from line 3. ............................. 12. __________________________________________________________
13. Figure your tax on the amount on line 12. See instructions. ....... 13. __________________________________________________________
14. Enter any Iowa lump-sum tax and Iowa minimum
tax for each period. See instructions. .......................... 14. __________________________________________________________
15. Total tax. Add lines 13 and 14. .................................... 15. __________________________________________________________
16. Enter your exemption credits for the year (dollar amount).16. _________________________________________________________
17. For each period enter your credits from form
IA 1040, lines 48, 51, and 53. See instructions. ......... 17. __________________________________________________________
18. For each period enter your credits from form
IA 1040, lines 62, 63, 64, 65, and 66. See instructions. .. 18. __________________________________________________________
19. Balance. Subtract lines 16, 17, and 18 from line 15. .. 19. __________________________________________________________
22.5%
45%
67.5%
90%
20. Applicable percentage ................................................. 20. __________________________________________________________
21. Multiply line 19 by line 20. Note: Complete lines
22-28 of one column before going to the next column. 21. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6
22. Add the amounts in all preceding columns of line 28. 22. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5 6
23. Subtract line 22 from line 21. If zero or less, enter -0-. 23. __________________________________________________________
24. Enter 1/4 of line 10 of form IA 2210 in each column. .. 24. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
25. Enter amount from line 27 of the preceding column. .. 25. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
26. Add lines 24 and 25 and enter the total. ...................... 26. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
27. Subtract line 23 from line 26. If zero or less, enter -0-. 27. __________________________________________________________
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
1 2 3 4 5 6 7 8 9 0 1 2 3 4 5
28. Enter the smaller of line 23 or line 26 here and
on line 12 form IA 2210. ................................................ 28.
*1245011019999*
45-011a (08/10/12)

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