2019 IA 1040 Schedule B
Interest and Dividend Income
https://tax.iowa.gov
41-029 (06/21/19)
Name(s): ___________________________________________________ Social Security Number: ___________________
Note: You must report all taxable interest and dividends on IA 1040 even if you are not required to complete Schedule B.
Total Taxable Interest and Dividends:
• Filing status 1, 2, 5, or 6 – the amount entered on the IA 1040, column A will be the total taxable interest an
d
di
vidends from accounts owned by the taxpayer; nothing is reported in column B.
• Filing status 3 – the amount entered on the IA 1040, column A will be the total taxable interest and dividends from
accounts owned by the taxpayer, plus 50% of any amount from a joint account. The amount entered on the IA 1040,
column B will be the total taxable interest and dividends from accounts owned by the spouse, plus 50% of any
amount from a joint account.
• Filing status 4 – the amount entered on the IA 1040, column A will be the total taxable interest and dividends from
accounts owned by the taxpayer, plus 50% of any amount from a joint account; nothing is reported in column B.
Account Ownership: For each payer, indicate the type of account ownership. If the interest and/or dividends were
earned by you, check “Taxpayer.” For interest and/or dividends earned by your spouse, check “Spouse.” If the interest
and/or dividends were earned jointly, check “Joint.” Check only one for each payer.
Part I: Interest Income
Complete Part I if you received more than $1,500 in interest in 2019. Interest income which should be reported includes
earnings from savings and loan associations, mutual savings banks, cooperative banks, credit unions, bank deposits,
state and municipal bonds (see detailed IA 1040 instructions, line 2, Taxable Interest Income), and interest from tax
refunds. Report total, exempt, and taxable interest.
Name of
Payers:
List names of all payers. If additional lines are needed,
include additional page(s).
Total
Interest
(must equal
the
total of
Exempt
&
Taxable
Interest
Exempt
from
Taxable
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
Total ....................................................................................$ $ $
Part II: Dividend Income
Complete Part II if you received more than $1,500 in gross dividends in 2019. Report total, exempt, and taxable dividends.
Name of
Payers:
List names of all payers. If additional lines are needed,
include additional page(s).
Total
Dividends
(must equal
the
total of
Exempt
&
Taxable
Dividends
Exempt
from
Taxable
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
$ $ $
Total ....................................................................................$ $ $
Include a copy of this schedule with your IA 1040.
