Form Ia 1040 - Iowa Individual Income Tax Form - 2015 Page 2
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1
22015 IA 1040,
page 2
B. Spouse/Status 3
A. You or Joint
B. Spouse/Status 3
A. You or Joint
Step 8
BALANCE. From side 1, line 35 ...................................................................................................................................... 36.
36.
.00
.00
Taxable
Deduction. Check one box ▲
Income
37.
Itemized.(Include IA Schedule A)
Standard
...............................................
▲
37.
.00
.00
TAXABLE INCOME. SUBTRACT line 37 from line 36 ................................................................................................... 38.
38.
_____________________________________________________
.00
_____________________________
.00
Step 9
39.
Tax from tables or alternate tax .......................................................................
▲
39.
.00
.00
Tax,
Credits,
40.
Iowa lump-sum tax. 25% of federal tax from form 4972 ..................................
▲
40.
.00
.00
and
Check-
41.
Iowa alternative minimum tax. Include IA 6251. ..............................................
▲
41.
.00
.00
off
Total tax. ADD lines 39, 40, and 41. ............................................................................................................................... 42.
Contribu
42.
.00
.00
-tions
Total exemption credit amount(s) from Step 3, side 1. ....................................
43.
43.
.00
.00
Tuition and textbook credit for dependents K-12. ............................................
44.
▲
44.
.00
.00
45.
Volunteer firefighter/EMS/reserve peace officer credit. ...................................
▲
45.
.00
.00
46.
Total credits. ADD lines 43, 44, and 45. ............................................................................................................................ 46.
.00
.00
BALANCE. SUBTRACT line 46 from line 42. If less than zero, enter zero. ...................................................................... 47.
47.
▲
.00
.00
Credit for nonresident or part-year resident. Include IA 126 and federal return. ............................................................... 48.
48.
▲
.00
.00
BALANCE. SUBTRACT line 48 from 47. If less than zero, enter zero. ............................................................................. 49.
49.
▲
.00
.00
50.
Out-of-state tax credit. Include IA 130. .............................................................................................................................. 50.
▲
.00
.00
51.
BALANCE. SUBTRACT line 50 from 49. If less than zero, enter zero. ............................................................................. 51.
.00
.00
Other nonrefundable Iowa credits. Include IA 148 Tax Credits Schedule. ........................................................................ 52.
52.
▲
.00
.00
BALANCE. SUBTRACT line 52 from line 51. If less than zero, enter zero. ...................................................................... 53.
53.
▲
.00
.00
School district surtax or EMS surtax. Take percentage from table; multiply by line 53..................................................... 54.
54.
▲
.00
.00
55.
Total state and local tax. ADD lines 53 and 54. ................................................................................................................. 55.
▲
.00
.00
56.
TOTAL state and local tax before contributions. Combine columns A and B on line 55 and enter here. .............................................................. 56
.
.00
57.
Contributions will reduce your refund or add to the amount you owe. Amounts must be in whole dollars.
▲
▲
▲
▲
57.
Fish/Wildlife 57a:
State Fair 57b:
Firefighters/Veterans 57c:
Child abuse Prevention 57d:
Enter here. ...........
.00
TOTAL STATE AND LOCAL TAX, AND CONTRIBUTIONS. Add line 56 and line 57 and enter here. .................................................................. 58. ▲
58.
_____________________________
.00
Step 10
59.
Iowa Fuel tax credit. Include IA 4136 ...............................................................
▲
59.
.00
.00
Credits
60.
Check One:
Child and dependent care credit
OR
▲ Early childhood development credit
▲
60.
.00
.00
61.
Iowa earned income tax credit. 15.0% (.15) of federal credit ..........................
▲
61.
.00
.00
62.
Other refundable credits. Include IA 148 Tax Credits Schedule......................
▲
62.
.00
.00
63.
Total refundable Iowa credits. ADD lines 59 - 62. ...........................................
▲
63.
.00
.00
0
0
64.
RESERVED FOR FUTURE USE .....................................................................
▲
64.
.00
.00
0
0
65.
Taxpayers trust fund tax credit. The credit for 2015 is $0................................
▲
65.
.00
.00
66.
Iowa income tax withheld. ................................................................................
▲
66.
.00
.00
67.
Estimated and voucher payments made for tax year 2015. ............................
▲
67.
.00
.00
TOTAL. ADD lines 63, 65, 66, and 67..............................................................
68.
▲
68.
.00
.00
TOTAL CREDITS. ADD columns A and B on line 68 and enter here ....................................................................................................................
69.
69.
_____________________________
.00
Step 11
70.
If line 69 is more than line 58, Subtract line 58 from line 69. This is the amount you overpaid. ............................................................................
▲
70.
.00
Refund
or
71.
Amount of line 70 to be REFUNDED. ..............................................................................................................................................REFUND
▲
71.
.00
Amount
For a faster refund file electronically. Go to https://tax.iowa.gov for details
Due
Amount of line 70 to be applied to your 2016 estimated tax. ...................
72.
▲
72.
.00
.00
If line 69 is less than line 58, Subtract line 69 from line 58. This is the AMOUNT OF TAX YOU OWE ................................................................
73.
▲
73.
.00
Penalty for underpayment of estimated tax from IA 2210, IA 2210S, or IA 2210F. Check if annualized income method is used. ▲
74.
▲
74.
.00
▲ 75a.Penalty
▲ 75b. Interest
Penalty and interest
ADD. Enter total. .........
75.
.00
.00
75.
.00
TOTAL AMOUNT DUE. ADD lines 73, 74, and 75. Enter here. .................................................................................... PAY THIS AMOUNT
76.
▲
76.
.00
Step 12
.
$1.50 to Democratic Party
$1.50 to Democratic Party
Political Checkoff - This checkoff does not
▲Spouse
▲Yourself
increase the amount of tax you owe or
$1.50 to Republican Party
$1.50 to Republican Party
decrease your refund.
$1.50 to Campaign Fund
$1.50 to Campaign Fund
Step 13
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.
SIGN
HERE
▲
Your Signature
Date
Check if Deceased
Date of Death
Preparer's Signature
Date
SIGN
▲
HERE
Spouse's Signature
Date
Check if Deceased
Date of Death
Preparer's PTIN
Firm's FEIN
Daytime Telephone Number
Daytime Telephone Number
This return is due May 2, 2016. Please sign, enclose W-2s, and verify SSNs.
You can pay online at https://tax.iowa.gov/
Make check payable to Treasurer, State of Iowa.
MAILING ADDRESS: Iowa Income Tax Document Processing,
PO BOX 9187, Des Moines IA 50306-9187.
41-001 (09/02/15)
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