2023 IA 1120, page 5
Corporation Name
FEIN
42-001e (07/14/2023)
1. Year business was started in Iowa:
Additional Information
3. Information from the prior period Iowa return:
4. If part of a federal consolidated group, please
provide information about the corporate parent:
2. Last period led as S corporation (if any):
Corporation Name
Corporation Name
Income before net operating loss
1a. Gross Receipts from sale of tangible personal property .........
1b. Gross receipts from performance of services ..........................
1c. Gross receipts from railroad, trucking, aviation, or other
transportation activities. ...........................................................
1d. Gross receipts from telecommunication services
1e. Gross receipts from radio and television broadcasts ..............
1f. Gross receipts from printed and electronic media ...................
1g. Gross receipts from utilities services .......................................
1h. Gross receipts from nancial activities ....................................
8. Capital Gain .............................................................................
5. Other Interest ..........................................................................
12. Total. Add lines 1a through 11 .................................................
Schedule E - Business Activity Ratio (BAR)
(see instructions)
Column A
Iowa Receipts
Type of Income
Column B
Receipts Everywhere
a
b
c
d
e
f
g
h
8
7
6
5
12
4
11
3
10
2
9
3. Exempt Interest from Schedule A, line 9 .................................
10. Partnership Gross Receipts. Include schedule .......................
7. Royalties ..................................................................................
2. Net Dividends (see instructions) ..............................................
9. Ordinary Gain ..........................................................................
6. Rent .........................................................................................
4. Accounts Receivable Interest ..................................................
11. Other. Must include schedule ..................................................
13
13.Divide column A total by column B total. Enter % on page 2, line 8.
Round to six decimal places and enter as a percentage. For example, 0.1234505 becomes 12.3451%.
%
FEIN
FEIN
M DM D Y Y Y Y
M DM D Y Y Y Y
to
Y Y Y Y