Form Ia 1040x - Amended Iowa Individual Income Tax Return - 2013 Page 2

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Explanation of Changes to Income, Deductions, and Credits
Enter the line reference from page 1 for which you are reporting a change and give the reason for each change. Please
include applicable schedules. Please indicate how the change in income, deductions, or credits are allocated between
spouses.
Credit Carryforward
NOTE: State tax information may be disclosed to
tax officials of another state or of the United States
If you are amending prior to the end of the year for which this
for tax administrative purposes.
return came due and wish to change your credit carryforward
(estimated tax), please fill in these line items.
Mail return to:
Iowa Income Tax Processing
Calculated Overpayment: ................................................ 1) __________
Iowa Department of Revenue
Elected Carryforward Amount for You
(A) ________
PO Box 9187
Spouse (B) ________
Des Moines IA 50306-9187.
Total Carryforward ........................................................... 2) __________
Subtract line 2 from line 1 and enter on line 28 .............. = ___________
DO YOU OWE ADDITIONAL TAX?
FINAL CHECKLIST
You have several options:
Before you mail this return, make sure you
have:
1.
Payment transfer from your bank account: Go to
Rechecked your math!
and make an ePayment (direct debit)
through eFile & Pay.
Provided an explanation of the change.
2. Pay by credit/debit card online: Go to this web page:
Computed interest and any applicable penalty on
/elf/creditcard.html Please note that you
additional tax due.
will be charged a service fee by the vendor.
Signed your return.
3. Mail your payment made payable to Treasurer, State of
Verified your Social Security Number(s).
Iowa with voucher IA 1040XV to Iowa Department of
Made your payment, if required.
Revenue, Iowa Income Tax Processing, PO Box 9187, Des
Moines IA 50306-9187.
Please do not send cash by mail.
*1341122029999*
41-122b (09/04/13)

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