Iowa Partnership Return of Income Form

In the case of a partnership that is registered in the State of Iowa wanting to submit the return of income of a business to the IRS, the following form has to be completed and submitted.

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Mail To:
 Income Tax Return Processing, Iowa Department of Revenue,   Hoover State Office Building, Des Moines IA  50319-012041-016a (08/17/12)	
 2012 IA 1065Iowa Partnership Return of Income
OFFICE USE ONLY
www.iowa.gov/tax
Iowa Department of Revenue PART III - Modification of Partnership Income                           \
                                                Use Whole Dollars
  1. Federal partnership taxable income (loss) from federal Schedule K\
..............................................1._______________________
  2. Interest from state and municipal bonds and securities ....................2.______________________
  3. Other additions. Attach Schedule .. ...................................................3.______________________
  4. Total additions. Add lines 2 and 3. ........................................................................\
.......................... 4._______________________
  5. Interest and dividends from federal securities ..................................5.______________________
  6. Other reductions. Attach Schedule. ...................................................6.______________________
  7. Total reductions. Add lines 5 and 6. ........................................................................\
........................ 7._______________________
  8. Net modifications. Subtract line 7 from line 4. ........................................................................\
......... 8._______________________
  9. Total all-source partnership income. Add lines 1 and 8. .................................................................9._______________________ PART V
: Enter Iowa net income for three preceding years: 2009___________ 2010___________ 2011____________ Part IV: Business Activity Ratio (BAR)
See instructions.                  Enter Whole Dollar Amounts.
Types of Income Column A  Iowa ReceiptsColumn B Receipts Everywhere
1. Gross Receipts .................................................... 1.____________________________________________________________
2. Net Dividends. See instructions. .........................2.____________________________________________________________
3. Exempt Interest .................................................... 3.____________________________________________________________
4. Accounts Receivable Interest ..............................4.____________________________________________________________
5. Other Interest ........................................................ 5.____________________________________________________________
6. Rent ...................................................................... 6.____________________________________________________________
7. Royalties .............................................................. 7.____________________________________________________________
8. Capital Gains / Loss ............................................ 8.____________________________________________________________
9. Ordinary Gains / Loss .......................................... 9.____________________________________________________________
10. Partnership Gross Receipts. Attach schedule. ...10. ____________________________________________________________
11. Other. Must attach schedule. ..............................11.____________________________________________________________
12. TOTALS ................................................................ 12.____________________________________________________________ 13.
BAR to six decimal places. Divide line 12, column A, by line 12, column \
B. %Check all that apply: Name/Address Change Short Period Amended Return             Final Return
Part II: Partnership Information
Type of Return (check one) : Partnership LLC LLP
Does the partnership have income/loss from business activities carried o\
n within Iowa? Yes No
Is any of the partnership’s income/loss from real property within Iow\
a? Yes No
Does the partnership’s income / loss come from any activity  other than interest, dividends, or capital gain from the sale
of stocks or bonds? Yes No FEIN:

Business Code:
County No.: Principal Activity:
Part I: Partnership Name and Address

Name: _______________________________________
Street Address: ________________________________
_____________________________________________
City, State, ZIP: ________________________________
Name of contact person: _______________________________
Phone No.: ( _____)_________ -______________________ Number of Partners:
____________
Please list any other states in which the partnership
operates: ______________________________________
_____________________________________________
For Calendar Year 2012 or other fiscal year
From____/____/____to____/____/____
Signature of Partner or Member:
                                                                 Date:
Title:
Daytime Telephone No.:
Preparer’s Signature:
                                                                      Da\
te:
Preparer’s Address:
Preparer’s PTIN:                               Telephone No.File electronically. 
 For details go to www.iowa.gov/tax.
Declaration:  Under penalties of perjury, I declare that I have examined this return \
and any attached schedules/statements, and, to the best of my
knowledge, believe it to be true, correct and complete.  If prepared by \
a person other than the taxpayer, the declaration is based on all inform\
ation of
which there is any knowledge.

2012 IA 1065 Schedule K-1
Partner’s Share of Iowa Income, Deductions, Modifications www.iowa.gov/tax
Iowa Department of Revenue Part I: General Information
Partnership or Limited Liability Company Information:
Name: __________________________________________________
FEIN: _________________________________________________ 
Partner Information:
Name: _________________________________________________ 
Social Security Number / FEIN: _____________________________ 
Address: ________________________________________________
City, State, ZIP: __________________________________________ Amended K-1
Partner’s Entity Type:  Individual Corporation Trust Partnership
S Corporation Other:
_____________________ Resident Partner  Nonresident Partner
Partner’s Ownership Percentage: ________________%
Partnership Iowa Receipts: $ _______________
Partnership Total Receipts: $ _______________
Partnership BAR from page 1, Part IV, line 13: ______% Part II: Partner’s Pro Rata Share Items
1. Ordinary business income (loss)
...................................................1.__________________________________________________
2. Net rental real estate income (loss) ...............................................2.__________________________________________________
3. Other net rental income (loss) ........................................................ 3.__________________________________________________
4. Guaranteed payments .................................................................. 4.__________________________________________________
5. Interest income ........................................................................\
....... 5.__________________________________________________
6. Dividends line 6a, federal K-1 ........................................................ 6.__________________________________________________
7. Royalties ........................................................................\
................. 7.__________________________________________________
8. Net short-term capital gain (loss) ...................................................8.__________________________________________________
9. Net long-term capital gain (loss) line 9a, federal K-1 ....................9.__________________________________________________
10. Net section 1231 gain (loss) ........................................................ 10.__________________________________________________
11. Other income (loss) ...................................................................... 11.__________________________________________________
Total Income. Add lines 1 through 11. .............................................__________________________________________________
12. Section 179 deduction ................................................................. 12.__________________________________________________
13. Other deductions ........................................................................\
.. 13.__________________________________________________
Total deductions. Add lines 12 and 13. ...........................................__________________________________________________
Balance. Subtract total deductions from total income. .................__________________________________________________
14. Credits from the credit section of federal K-1 ..............................14.__________________________________________________
15. a) Post-1986 depreciation adjustment .......................................15a.__________________________________________________
b) Adjusted gain or loss ............................................................. 15b.__________________________________________________
c) Depletion other than oil and gas ...........................................15c.__________________________________________________
d) Gross income from oil, gas, and geothermal properties .......15d.__________________________________________________
e) Deductions allocable to oil, gas, and  geothermal properties 15e.__________________________________________________
  f ) Other adjustments and tax preference items.
           Attach schedule. ..................................................................... 15f.__________________________________________________
16.  MODIFICATIONS SCHEDULE .................................................... 16.__________________________________________________
TO THE PARTNER :  You may have a filing requirement with the State of Iowa, regardless of \
whether or not you are a resident of
another state. The partnership may file a composite return on behalf of \
its nonresident partners and should notify you if they have
done so. To claim any withholding or tax credits, a return must be filed\
. Filing information for individuals, corporations, and other
entities are provided on our Web site: www.iowa.gov/tax or by calling (\
515) 281-3114 or 1-800-367-3388. NONRESIDENT PARTNERS ONLY
(a) (b)(c)
Federal K-1 Amount Business Activity Ratio Apportionable To Iowa
(Same ratio applies (a) x (b) to each line item)
(a)  (b) (c)
All Source Modifications Business Activity Ratio Apportionable To Iowa (a) x (b)
Part III: Partner’s Portion of IA Credits /Withholding Type of Iowa Credit
Certificate Number Current Year AmountIA Income Tax Withheld41-016b (09/12/12)	
  
  NOTE: Completed Iowa Schedule K-1s for all partners
    must be included with the IA 1065 Partnership Return.