Form Il-1040 - Individual Income Tax Return - 2016 Page 2
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1
221
Tax after nonrefundable credits from Page 1, Line 20
21
.00
Step 8:
22
Household employment
tax. See instructions.
22
.00
23
Use tax on internet, mail order, or other out-of-state purchases
from
Other
Taxes
UT Worksheet or UT Table in the instructions. Do not leave blank.
23
.00
24
24
Compassionate Use of Medical Cannabis Pilot Program Act Surcharge
.00
25
25
Total Tax. Add Lines 21, 22, 23, and 24.
.00
Step 9:
26
26
Illinois Income Tax withheld. Attach all W-2 and 1099 forms.
.00
27
Estimated payments from Forms IL-1040-ES and IL-505-I,
Payments
27
and
including any overpayment applied from a prior year return
.00
Refundable
28
Pass-through withholding payments. Attach Schedule K-1-P or K-1-T.
28
.00
Credit
29
29
Earned Income Credit from Schedule ICR. Attach Schedule ICR.
.00
30
30
Total payments and refundable credit. Add Lines 26 through 29.
.00
Step 10:
31
31
Overpayment. If Line 30 is greater than Line 25, subtract Line 25 from Line 30.
.00
32
Underpayment. If Line 25 is greater than Line 30, subtract Line 30 from Line 25.
32
Result
.00
Step 11:
33
33
Late-payment penalty for underpayment of estimated tax
.00
a
Check if at least two-thirds of your federal gross income is from farming.
Underpayment
of Estimated Tax
b
Check if you or your spouse are 65 or older and permanently
Penalty and
living in a nursing home.
Donations
c
Check if your income was not received evenly during the year and
you annualized your income on Form IL-2210. Attach Form IL-2210.
d
Check if you were not required to file an Illinois Individual Income Tax
return in the previous tax year.
34
34
Voluntary charitable donations. Attach Schedule G.
.00
35
35
Total penalty and donations. Add Lines 33 and 34.
.00
Step 12:
36
If you have an overpayment on Line 31 and this amount is greater than
36
Line 35, subtract Line 35 from Line 31. This is your remaining overpayment.
.00
Refund or
Amount You
37
37
Amount from Line 36 you want refunded to you. Check one box on Line 38. See instructions.
.00
Owe
38
I choose to receive my refund by
direct deposit - Complete the information below if you check this box.
Routing number
Checking or
Savings
Account number
Illinois Individual Income Tax refund debit card
paper check
39
39
Amount to be applied to estimated tax. Subtract Line 37 from Line 36. See instructions.
.00
or
40
If you have an underpayment on Line 32, add Lines 32 and 35.
If you have an overpayment on Line 31 and this amount is less than Line 35,
40
subtract Line 31 from Line 35. This is the amount you owe. See instructions.
.00
Under penalties of perjury, I state that I have examined this return, and, to the best of my knowledge, it is true, correct, and
Step 13:
complete.
Sign and
Date
Your signature
Date
Daytime phone number
Your spouse’s signature
Date
Paid preparer’s signature
Date
Preparer’s phone number
Paid preparer’s PTIN
Third Party
Check, and complete the designee’s name and phone number below, to allow another person to discuss this return
Designee
and any previous return that affects the liability reported on this return with the Illinois Department of Revenue.
Designee’s name (please print)
Designee’s phone number
If no payment enclosed, mail to:
If payment enclosed, mail to:
ILLINOIS DEPARTMENT OF REVENUE
ILLINOIS DEPARTMENT OF REVENUE
SPRINGFIELD IL 62719-0001
SPRINGFIELD IL 62726-0001
*166000002*
DR
AP
RR
DC
IR
IL-1040 back (R-12/16)
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