Form Ia 1040 - 2004

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2004 IA 1040
, page 2
B. Spouse/Status 3
A. You or Joint
B. Spouse/Status 3
A. You or Joint
STEP 7
36. BALANCE. From side 1, line 35. ............................................................................................................................... 36. _______________ .00
_______________ .00
37. Total itemized deductions from Federal Schedule A ................ 37. ______________ .00
______________ .00
}
Taxpayers with bonus depreciation must use Iowa Schedule A
Figure
Complete lines 37-40
your
38. Iowa income tax if included in line 5 of Federal Schedule A ... 38. ______________ .00
______________ .00
ONLY if you itemize.
taxable
39. BALANCE. Subtract line 38 from line 37 or enter the .............. 39. ______________ .00
______________ .00
income
amount of itemized deductions from the Iowa Schedule A
40. Other deductions. ..................................................................... 40. ______________ .00
______________ .00
41. Deduction. Check one box.
Itemized. Add lines 39 and 40.
Standard. ................................................ 41. _______________ .00
_______________ .00
STEP 8
42. TAXABLE INCOME. SUBTRACT line 41 from line 36. ............................................................................................... 42. _______________ .00
_______________ .00
43. Tax from tables or alternate tax ....................................................... 43. ______________ .00
______________ .00
Figure
44. Iowa lump-sum tax. 25% of Federal tax from form 4972. ............... 44. ______________ .00
______________ .00
your
45. Iowa minimum tax. Attach IA 6251. ................................................. 45. ______________ .00
______________ .00
tax,
credits
46. Total tax. ADD lines 43, 44 and 45. .......................................................................................................................... 46. _______________ .00
_______________ .00
and
47. Total exemption credit amount(s) from Step 3, side 1 .................... 47. ______________ .00
______________ .00
checkoff
48. Iowa earned income credit: 6.5% (.065) of Federal credit ............ 48. ______________ .00
______________ .00
contribu-
49. Tuition and textbook credit. ............................................................. 49. ______________ .00
______________ .00
tions
50. Total credits. ADD lines 47, 48 and 49. .................................................................................................................... 50. _______________ .00
_______________ .00
51. BALANCE. SUBTRACT line 50 from line 46. If less than zero, enter zero. ............................................................. 51. _______________ .00
_______________ .00
52. Credit for nonresident or part-year resident. Attach IA 126 and Federal return. .................................................... 52. _______________ .00
_______________ .00
53. BALANCE. SUBTRACT line 52 from 51. If less than or equal to zero, enter zero. ................................................. 53. _______________ .00
_______________ .00
54. Other Iowa credits. .................................................................................................................................................... 54. _______________ .00
_______________ .00
55. BALANCE. SUBTRACT line 54 from line 53. ............................................................................................................. 55. _______________ .00
_______________ .00
56. School district surtax/EMS surtax. (take percentage from table, multiply by line 55). ........................................... 56. _______________ .00
_______________ .00
57. Total Tax. ADD lines 55 and 56. ............................................................................................................................... 57. _______________ .00
_______________ .00
58. Total tax before contributions. ADD Columns A & B on line 57 and enter here. ........................................................................................... 58.
_______________ .00
59. Contributions. Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
Fish/Wildlife 59a:
____ State Fair 59b:
___ Keep Iowa Beautiful 59c:
____ Firefighters 59d:
____
ADD Enter total. ..... 59.
_______________ .00
STEP 9
60. TOTAL TAX AND CONTRIBUTIONS. ADD lines 58 and 59. ............................................................................................................................ 60.
_______________ .00
61. Iowa income tax withheld. ................................................................ 61. ______________ .00
______________ .00
Figure
62. Estimate and voucher payments made for tax year 2004 ............... 62. ______________ .00
______________ .00
your
63. Out-of-state tax credit. Attach IA 130. ........................................... 63. ______________ .00
______________ .00
credits
64. Motor vehicle fuel tax credit. Attach IA 4136. ................................ 64. ______________ .00
______________ .00
65. Child and dependent care credit. ..................................................... 65. ______________ .00
______________ .00
66. Other refundable credits. ................................................................. 66. ______________ .00
______________ .00
67. TOTAL. ADD lines 61-66. ................................................................. 67. ______________ .00
______________ .00
STEP 10
68. TOTAL CREDITS. ADD columns A and B on line 67 and enter here. ............................................................................................................. 68.
_______________ .00
69. If line 68 is more than line 60, SUBTRACT line 60 from line 68. This is the amount you overpaid. ............................................................ 69.
_______________ .00
Figure
70. Amount of line 69 to be REFUNDED ............................................................................................................................................. REFUND 70.
_______________ .00
your
Mail return to Iowa Income Tax - Refund Processing, Hoover State Office Bldg, Des Moines IA 50319-0120
refund
71. Amount of line 69 to be applied to your 2005 estimated tax ........ 71. ______________ .00
______________ .00
or
72. If line 68 is less than line 60, SUBTRACT line 68 from line 60. This is the AMOUNT OF TAX YOU OWE. ................................................. 72.
_______________ .00
amount
you owe
73. Penalty for underpayment of estimated tax. From IA 2210 or IA 2210F.
Check if annualized income method is used ....................... 73.
_______________ .00
74. Penalty and interest. .......................... 74a. Penalty. ______________ .00
74b. Interest _______________ .00
ADD Enter total 74.
_______________ .00
75. TOTAL AMOUNT DUE. ADD lines 72, 73 and 74, and enter here. ............................................................................. PAY THIS AMOUNT 75.
_______________ .00
E - pay by credit card or by transfer from your bank account. Go to This is a secure site.
To pay by mail: Iowa Income Tax - Document Processing, PO Box 9187, Des Moines IA 50306-9187. Make check payable to TREASURER, STATE OF IOWA.
STEP 11
STEP 12
STEP 13
POLITICAL CHECKOFF. This checkoff does not increase the
amount of tax you owe or decrease your refund.
NEXT YEAR,
COW-CALF REFUND Attach IA 132.
SPOUSE
YOURSELF
Would you like to receive a booklet? This
Do NOT use these amounts to increase your
option is not available to electronic filers.
overpayment (line 69) or reduce the amount you
$1.50 to Republican Party
$1.50 to Republican Party
owe (line 72).
0.
Yes
$1.50 to Democratic Party
$1.50 to Democratic Party
Spouse: $ ______________ .00
$1.50 to Campaign Fund
1.
No
$1.50 to Campaign Fund
You:
$ ______________ .00
STEP 14
I (We), the undersigned, declare under penalty of perjury that I (we) have examined this return, including all accompanying schedules
and statements, and, to the best of my (our) knowledge and belief, it is a true, correct, and complete return. Declaration of preparer
(other than taxpayer) is based on all information of which the preparer has any knowledge.
PLEASE
SIGN HERE
Preparer’s Signature
Date
Your Signature
Date
SIGN HERE
Address
Spouse’s Signature
Date
Verify your Social
Security Number(s)
Daytime Telephone Number
Identification Number
Recheck your math
Daytime Telephone Number
Attach all W-2s
This return is due May 2, 2005.
41-001b (7/23/04)

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