IOWA
Iowa Franchise Tax Payment Voucher
department of Revenue and Finance
INSTRUCTIONS
Mail Payment Voucher and Remittance to:
Franchise Tax Return Processing
Iowa Department of Revenue and Finance
PO Box 10413
Des Moines, Iowa 50306-0413
Penalty for Failure to Timely File a Return: A penalty of 10% will be added to the tax
due for failure to timely file a return if the return is filed after the original due date and if
90% or more of the correct amount of tax is not paid by the original due date of the return.
The penalty can only be waived under limited circumstances.
Penalty for Failure to Timely Pay the Tax Due: A penalty of 5% will be added to the tax
due if at least 90% or more of the correct amount of tax is not paid by the original due date
of the return. The penalty can only be waived under limited circumstances.
Where the failure to file penalty and the failure to pay penalty are both applicable, only the
failure to file penalty will apply.
CUT HERE
F
Iowa Franchise Tax Payment Voucher
IOWA
department of Revenue and Finance
For Financial Institutions
FOR CALENDAR YEAR 2002 OR FISCAL YEAR ENDING __________________________ , _________
REASON FOR PAYMENT
PRINT your financial institution's name
Check One Box
Extension/Balance
Address
Daytime Telephone Number
(90% of tax payment)
04
Estimate Payment
City, state, and zip code
Taxpayer Identification Number
07
Payment After Return filed
16
DO NOT USE FOR BANK HOLDING COMPANY
Make check or money order payable to: "Treasurer — State of Iowa" $ ______________________
43-009 (05/20/02)