Iowa Income Tax Form 2015

2015 IA 1040 Iowa Individual Income Tax Form

For fiscal year beginning / / 2015 and ending / / .

Step 1: Fill in all spaces. You must fill in your Social Security Number (SSN).

Your last name Your first name/middle initial

Spouse’s last name Spouse’s first name/middle initial

Current mailing address (number and street, apartment, lot, or suite number) or PO Box

City, State, ZIP

Spouse SSN • • Your SSN •

Email Address:

Step 2 Filing Status: Mark one box only. Check this box if you or your spouse were 65 or older as of 12/31/15.

65 or older

1 Single: Were you claimed as a dependent on another person’s Iowa return? Yes No Residence on 12/31/15: County No. School District No.

2 Married filing a joint return. Dependent children for whom an exemption is claimed in Step 3
How many have health care coverage? How many do not have health care coverage?

3 Married filing separately on this combined return. Spouse use column B.

4 Married filing separate returns. Spouse's name: SSN: Net Income: $

5 Head of household with qualifying person. If qualifying person is not claimed as a dependent on this return, enter the person’s name and SSN below.

6 Qualifying Widow(er) with dependent child. Name: SSN:

Step 3 Exemptions

a. Personal Credit: Col. A and Col. B amounts.

b. Enter 1 for each taxpayer who is 65 or older and/or 1 for each taxpayer who is blind.

c. Dependents: Enter 1 for each dependent

d. Enter first names of dependents here

Step 4 Reportable Social Security Benefits as calculated on line 11 of Iowa social security worksheet

B. Spouse/Status 3 A. You or Joint

Step 5 Gross Income

1. Wages, salaries, tips, etc.

2. Taxable interest income. If more than $1,500, complete Sch. B.

3. Ordinary dividend income. If more than $1,500, complete Sch. B.

4. Alimony received

5. Business income/(loss) from federal Schedule C or C-EZ

6. Capital gain/(loss), federal Sch. D if required for federal purposes

7. Other gains/(losses) from federal form 4797

8. Taxable IRA distributions

9. Taxable pensions and annuities

10. Rents, royalties, partnerships, estates, etc.

11. Farm income/(loss) from federal Schedule F

12. Unemployment compensation. See instructions

13. Gambling winnings

14. Other income, bonus depreciation, and section 179 adjustment

15. Gross Income. Add lines 1-14

Step 6 Adjustments to Income

16. Payments to an IRA, Keogh, or SEP

17. Deductible part of self-employment tax

18. Health insurance deduction

19. Penalty on early withdrawal of savings

20. Alimony paid

21. Pension/retirement income exclusion

22. Moving expense deduction from federal form 3903

23. Iowa capital gain deduction; certain sales only. Include IA 100

24. Other adjustments

25. Total adjustments. Add lines 16-24

26. Net Income. Subtract line 25 from line 15

Step 7 Federal Tax Addition and Deduction

27. Federal income tax refund/overpayment received in 2015

28. Self-employment/household employment/other federal taxes

29. Addition for federal taxes. Add lines 27 and 28

30. Total. Add lines 26 and 29

31. Federal tax withheld

32. Federal estimated tax payments made in 2015

33. Additional federal tax paid in 2015 for 2014 and prior years

34. Deduction for federal taxes. Add lines 31, 32, and 33

35. Balance. Subtract line 34 from line 30. Enter here and on line 36, page 2

2015 IA 1040, page 2

Step 8 Taxable Income

36. BALANCE. From side 1, line 35

37. Deduction. Check one box Itemized (Include IA Schedule A) Standard

38. TAXABLE INCOME. SUBTRACT line 37 from line 36

Step 9 Tax, Credits, and Check-off Contributions

39. Tax from tables or alternate tax

40. Iowa lump-sum tax. 25% of federal tax from form 4972

41. Iowa alternative minimum tax. Include IA 6251

42. Total tax. ADD lines 39, 40, and 41

43. Total exemption credit amount(s) from Step 3, side 1

44. Tuition and textbook credit for dependents K-12

45. Volunteer firefighter/EMS/reserve peace officer credit

46. Total credits. ADD lines 43, 44, and 45

47. BALANCE. SUBTRACT line 46 from line 42. If less than zero, enter zero

48. Credit for nonresident or part-year resident. Include IA 126 and federal return

49. BALANCE. SUBTRACT line 48 from 47. If less than zero, enter zero

50. Out-of-state tax credit. Include IA 130

51. BALANCE. SUBTRACT line 50 from 49. If less than zero, enter zero

52. Other nonrefundable Iowa credits. Include IA 148 Tax Credits Schedule

53. BALANCE. SUBTRACT line 52 from line 51. If less than zero, enter zero

54. School district surtax or EMS surtax. Take percentage from table; multiply by line 53

55. Total state and local tax. ADD lines 53 and 54

56. TOTAL state and local tax before contributions. Combine columns A and B on line 55 and enter here

57. Contributions will reduce your refund or add to the amount you owe. Fish/Wildlife State Fair Firefighters/Veterans Child abuse Prevention

Enter contribution amount

58. TOTAL STATE AND LOCAL TAX, AND CONTRIBUTIONS. Add line 56 and line 57 and enter here

Step 10 Credits

59. Iowa Fuel tax credit. Include IA 4136

60. Check One: Child and dependent care credit OR Early childhood development credit

61. Iowa earned income tax credit

62. Other refundable credits. Include IA 148 Tax Credits Schedule

63. Total refundable Iowa credits. ADD lines 59 - 62

64. RESERVED FOR FUTURE USE

65. Taxpayers trust fund tax credit

66. Iowa income tax withheld

67. Estimated and voucher payments made for tax year 2015

68. TOTAL. ADD lines 63, 65, 66, and 67

69. TOTAL CREDITS. ADD columns A and B on line 68 and enter here

Step 11 Refund or Amount Due

70. If line 69 is more than line 58, subtract line 58 from line 69. This is the amount you overpaid

71. Amount of line 70 to be REFUNDED

72. Amount of line 70 to be applied to your 2016 estimated tax

73. If line 69 is less than line 58, subtract line 69 from line 58. This is the AMOUNT OF TAX YOU OWE

74. Penalty for underpayment of estimated tax from IA 2210, IA 2210S, or IA 2210F. Check if annualized income method is used

75. Penalty and interest Enter total

76. TOTAL AMOUNT DUE. ADD lines 73, 74, and 75. Enter here

Step 12 Political Checkoff

This checkoff does not increase the amount of tax you owe or decrease your refund.

Spouse $1.50 to Democratic Party $1.50 to Republican Party $1.50 to Campaign Fund

Yourself $1.50 to Democratic Party $1.50 to Republican Party $1.50 to Campaign Fund

Step 13 Declaration and Signature

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.

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.