Form Ia 1040c - Composite Individual Income Tax Return For Nonresidents - 2016
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12016 IA 1040C Composite Individual Income Tax Return for Nonresidents
Partnerships, Subchapter S Corporations, Trusts, and Limited Liability Companies for filing on behalf of Nonresident
Partners, Shareholders, Beneficiaries, or Members
NOTE: Nonresident Partners, Shareholders, or Members enclose a copy of the Iowa Schedule K-1. Nonresident Beneficiaries
enclose a copy of the federal Schedule K-1.
For Calendar Year 2016 or Fiscal year beginning
/
, 2016, and ending
/
, 20
STEP 1
Company Name
Name and
FEIN
Address
Current Mailing Address (number, street, apartment number, suite, PO Box)
This Return is for:
(Check One)
City, State, and ZIP Code
Partners ☐
Shareholders ☐
Beneficiaries ☐
Name of Contact Person
Daytime Telephone Number
Members ☐
STEP 2
Enter the number of individuals whose Iowa-source income exceeds the
Exemptions
minimum amount required to be included in this return. See instructions ......... ▲
X $40 =
STEP 3
1. Enter the total Iowa-source income of all individuals whose Iowa-source income
Composite
exceeds the minimum amount required to be included on this return ............................... 1.▲
.00
Income
2. Deduction in lieu of federal tax deduction. See instructions ......................... 2.▲
.00
STEP 4
3. Standard deduction. See instructions ........................................................... 3.▲
.00
Deductions
4. Total deductions. ADD lines 2 and 3 ................................................................................. 4.
.00
5. Composite taxable income. SUBTRACT line 4 from line 1 ............................................... 5.
.00
6. Compute tax from Tax Rate Schedule on page 2......................................... 6.▲
STEP 5
.00
Tax
7. Iowa Alternative Minimum Tax. See instructions .......................................... 7.▲
.00
8. Total tax. ADD lines 6 and 7 .............................................................................................. 8.
.00
9. Personal exemption credits – Nonrefundable. See Step 2 above ................ 9.
STEP 6
.00
Credits
10. Other nonrefundable credits. Include IA 148 Tax Credits Schedule........... 10.▲
.00
11. Total nonrefundable credits. ADD lines 9 and 10 .............................................................. 11.
.00
12. Balance. SUBTRACT line 11 from line 8. If less than zero, enter zero ............................. 12.▲
.00
13. Other refundable credits. Include IA 148 Tax Credits Schedule................. 13.▲
.00
14. Balance. SUBTRACT line 13 from line 12. If less than zero, enter zero .... 14.▲
.00
15. Taxpayers trust fund tax credit. The credit for 2016 is $0 .......................... 15.▲
0
.00
16. Estimated and voucher payments made for tax year 2016 ........................ 16.▲
.00
17. Total credits. ADD lines 13, 15, and 16 ............................................................................. 17.
.00
STEP 7
18. If line 17 is more than line 12, subtract line 12 from line 17. This is the
amount you overpaid ......................................................................................................... 18.▲
Refund
.00
19. Amount of line 18 to be REFUNDED ................................................................................. 19.▲
or
.00
20. Amount of line 18 to be applied to your 2017 estimated tax ....................... 20.▲
Amount
.00
Due
21. If line 17 is less than line 12, subtract line 17 from line 12.
This is the AMOUNT OF TAX YOU OWE ......................................................................... 21.▲
.00
22. Penalty. See instructions. .................................................................................................. 22.▲
.00
23. Interest. See instructions ................................................................................................... 23.▲
.00
24. TOTAL AMOUNT DUE. ADD lines 21, 22, and 23, and enter here. ................................. 24.▲
.00
Make check payable to TREASURER, STATE OF IOWA
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.
Preparer’s Signature:
Signature of Officer ____________________________________
Preparer’s PTIN:
Date:
Title: _______________________________ Date:
Firm Name:
Daytime Telephone Number
:
Firm’s FEIN:
SIGN AND DATE YOUR RETURN.
FOR A CALENDAR YEAR FILER, THIS RETURN IS DUE BY MAY 1, 2017.
MAIL TO: COMPOSITE RETURN PROCESSING
IOWA DEPARTMENT OF REVENUE
PO BOX 9187
DES MOINES IA 50306-9187
41-006a (6/6/16)
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