Form 43-009 - Iowa Franchise Tax Payment Voucher For Financial Institutions printable pdf download

Form 43-009 - Iowa Franchise Tax Payment Voucher For Financial Institutions

Iowa Department of Revenue

Iowa Franchise Tax Payment Voucher

Instructions

Mail Payment Voucher and Check to:

Franchise Tax Return Processing

Iowa Department of Revenue

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% 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 the

return has been filed timely and at least 90% 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.

When you pay by check, you authorize the Department of Revenue to

convert your check to a one-time electronic banking transaction.

CUT HERE

Iowa Department of Revenue

Iowa Franchise Tax Payment Voucher

For Financial Institutions

REASON FOR PAYMENT

FOR CALENDAR YEAR 2012 OR FISCAL YEAR ENDING ___________________________ , _________

Check One Box

PRINT your financial institution’s name

Extension/Balance

(90% of tax payment)

Address

Daytime Telephone Number

Estimate Payment

City, state, ZIP

FEIN L

Payment After Return Filed

DO NOT USE FOR BANK HOLDING COMPANY

Make check payable to "Treasurer-State of Iowa"

$ __________________________ L

43-009 (09/12/12)

Form 43-009 - Iowa Franchise Tax Payment Voucher For Financial Institutions