Form Ia 1120f - Franchise Return For Financial Institutions - 2012 Page 2
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22012 IA 1120F Schedules A & D
Name of Financial Institution: ___________________________________
FEIN: ______________________________________________________
Round to nearest whole dollar.
Schedule A
Schedule D
1. Cash to Accrual Adjustments
2. Expenses to Carry Tax Exempt sections 291 and 265
3. Expense to Carry Investment Subsidiary
4. Contribution Adjustments
5. Capital Loss Adjustments
6. Iowa Franchise Tax Refund Reported on Federal Return
7. Depreciation Adjustment from IA 4562A
8. Other:
9.TOTALS
Enter Totals On:
Line 4, IA 1120F
Line 6, IA 1120F
2012 IA 1120F Schedule C - Payments
Current Period’s Estimated Tax Payments
Amount
Date of Payment
1. Prior Period’s Overpayment Credited to Current Period
2. First Installment:
3. Second Installment:
4. Third Installment:
5. Fourth Installment:
6. Voucher Payments
7. Other Payments
8. Total Payments. Add lines 1 through 7.
Enter on line 18, IA 1120F.
Additional Information
1 Short period information: Period ___ / ___ to ___ / ___
Reason for short period: ________________________________________________________
2 Year business was started in Iowa: ________
3 Information from the p r i o r return:
Corporation Name: _____________________________________________________________
FEIN: _________________________________________ Net Income: ___________________
4 Accounting method:
Cash
Accrual
Year accrual method began: ________
Mail your return to:
Questions?
Franchise Tax Processing
Contact Taxpayer Services
Iowa Department of Revenue
idr@iowa.gov
PO Box 10413
515-281-3114 / 800-367-3388
Des Moines IA 50306-0413
When you pay by check, you authorize the Department of Revenue to convert your
check to a one-time electronic banking transaction.
43-001b (09/13/12)
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Parent category: Financial