Iowa Department of Revenue
2014 IA 126
Iowa Nonresident and Part-Year Resident Credit
Name(s) as shown on page 1 of the IA 1040
Social Security Number
Mark the appropriate box for you and your spouse
Complete this form if you are a nonresident of
▲
Iowa with income from Iowa sources, or you are a
You are a nonresident of Iowa
part-year Iowa resident
▲
You are a part-year resident of Iowa
Include this form and a copy of your federal return
Date moved into Iowa:_____________________________
with your Iowa return. (IA 1040)
and/or
Report only Iowa-source income on the IA 126.
Date moved out of Iowa:____________________________
Use the same filing status as reported on page 1,
Your spouse is a nonresident of Iowa
▲
step 2 of the IA1040.
Your spouse is a part-year resident of Iowa
▲
Iowa-Source Income
Date moved into Iowa:_____________________________
and/or
Date moved out of Iowa:____________________________
Spouse/Status 3
A. You or Joint
B.
1.
1.
Wages, salaries, tips, e t c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
.00
2.
Taxable interest income ...................................................................................................
2.
.00
.00
3.
Ordinary dividend .............................................................................................................
3.
.00
.00
4.
Alimony received ..............................................................................................................
4.
.00
.00
5.
Business income or (l os s ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
.00
.00
6.
Capital gain or (loss) ...............................................................................
6.
.00
.00
7.
Other gains or (loss) ...................................................................................
7.
.00
.00
8.
Taxable IRA and distributions ................................................................
8.
.00
.00
9.
Taxable pensions and annuities.......................................................................................
9.
.00
.00
10.
Rents, royalties, partnerships, estates, etc ..................................................
10.
.00
.00
11.
Farm income or (loss) .....................................................................................
11.
.00
.00
12.
Unemployment compensation ..................................................................................
12.
.00
.00
13.
Gambling winnings ..........................................................................................................
13.
.00
.00
14.
Other income, bonus depreciation, and section 179 adjustment ...............................
14.
.00
.00
▲
15.
Gross Income. Add lines 1-14 .....................................................................
15.
.00
.00
16.
Payments to an IRA, Keogh, or SEP while an Iowa resident .............................
16.
.00
.00
17.
Deduction for self-employment tax ...............................................................................
17.
.00
.00
18.
Health insurance deduction ...........................................................................................
18.
.00
.00
19.
Penalty on early withdrawal of savings .........................................................................
19.
.00
.00
20.
Alimony paid .....................................................................................................
20.
.00
.00
21.
Pension/retirement income exclusion ............................................................................
21.
.00
.00
22.
Moving expense deduction into Iowa only ...................................................................
22.
.00
.00
23.
Iowa capital gain deduction ...........................................................................................
23.
.00
.00
24.
Other adjustments .............................................................................................
24.
.00
.00
Total adjustments. Add lines 16-24 .................................................................
25.
25.
.00
.00
▲
26.
Iowa Net Income. Subtract line 25 from line 15 ......................................................
26.
.00
.00
27.
All-source net income from line 26, IA 1040 ..............................................................
27.
.00
.00
100.0%
100.0%
28.
Iowa income percentage: Divide line 26 by line 27 and enter percentage rounded to
nearest tenth of a percent. This can be no more than 100.0% and no less than 0.0%
28.
%
%
29.
Nonresident/part-year resident credit percentage:
Subtract the percentage on line 28 from 100.0% ..........................................................
29.
%
%
30.
Iowa tax on total income from line 39, IA 1040 ......................................................
30.
.00
.00
31.
Total credits from line 46, IA 1040 ...........................................................................
31.
.00
.00
32.
Tax after credits. Subtract line 31 from line 30 ..............................................
32.
.00
.00
Nonresident/part-year resident credit. Multiply line 32 by the percentage on line 29
33.
33.
.00
.00
1040
Enter this amount on line 48, IA
*1441126019999*
41-126 (7/3/14)