Employer'S Expense Tax Return Form (Page 4 of 4) in pdf

A C C O U N T N U M B E R

. , H , . . ,

. .

. . . . .

Enter the total number of personnel who work or perform services for your business in the State of Illinois

regardless of whether FICA or Federal Income Taxis withheld

......................................................................

II.

Enter the number of personnel in each of the following categories. Failure to disclose or complete this

schedule will be deemed an incomplete filing, pursuant to regulation.

Newspaper carriers under 18 years of age

............................................................................................................

Annual

Total

by Category

b. Emp,oyeeso, non-pro ,or an=ations ..............................................

.....................................................................

i ............. ii ............. iii••il

............. ii ......................... i .....................................

Individuals employed by a qualifying relative

..........................................................................................................

~ ............. ~i ~

i ~ ........... i ~ ............ !~ ............. ~! ............. ~:ii.~.~.ii ............ iL.~..~.~.~i

Other:

i ............. ii ............. ;i

............. i

............. ! ..............

.............

i i••ii

i I

Number of employees or commission merchants who earn or accrue less than $900 in the quarter (the $900

includes but is not limited to the following: wages, vacation, sick pay, bonus, tips, etc ........................................

............ ~i ............ i ~ ....... ~i ........... iii"~ii ............ ii ............. ii~L~ii~~•i!

i '=•

'""!;''''!i;

'~¸!!I

'" "!~"'''~"''~!•'''"i!i'''"ii""~"!i

............. ............. ii ............. !i ............. i! ............. ii! ......................... ! ............ !!

• , . . . . , ,

. , , :., . ,. ., .. ., ,, ; . . . . . . . , , . . . . . . : . . . - , , . . , , . : , . . . . . . . . . . . , . . : . , . . . . . . . . . : , . , . . , . . , , . , , . : . , . . . , . , . . . . . ; . . . . , . . . . , . . . . . ;

Number of employees who earn or accrue $900 or more in the quarter and spend less than 50% of their

working hours per calendar quarter in the City of Chicago

....................................................................................

Total exempt employees (add a through f)

.............................................................................................................

III.

Total number of non-exempt employees of employees (subtract Part IIg from Part 1)

........................................

Line 1.

Line 2.

Line 3.

Line 4.

Line 5.

Line 6.

Line 7.

Line 8.

6a.

Enter below each monthly amount from Part III which equals or exceeds 50. For any monthly amount in III

..........................

ii ............. ;i ............. :iii":"~il ........................ i!i ............ ............

which has less than 50, enter 0 for that month below. This amount should also be entered on Line 1 on this

return

...................................................................................................................................................

.,. ,-,,,,-,-'., .---...~.' ........ ".....---..~. -. ,.-, .-,--..-.......

Preprinted tax rate.

Tax due before credit (multiply line 1 by$4.00).

Enter the total amount of all of the current year's tax payment you have remitted to the Chicago Department of Revenue.

Enter credit for overpayment only if you have received a letter of credit from the Chicago Department of Revenue. Enter letter of credit

number and submit the original applicable credit letter or the credit will be disallowed.

Enter total credit balance (add lines 4 and 5).

Enter total tax due (subtract line 6 from line 3), If line 7 is greater than 0, enter the amount owed, If line 7 is less than 0, skip to line 11.

Determine the amount of interest owed based on tax past due.

~""''"!!

............. i: ............. ~ ............. !;

Enter number of days late (August 16 being one day late, etc.) ........

8b.

Enter the amount from line 7

...........................................................

i ............. TI ~¸~¸II

............. ;i ............

!i ............ ii

.......... ii ........... ;i~ !i ..................................... ~i

: . . . , , . . . : . : . , , , . . , , : . . . , . . . : < . . . . .

, , . , . . . . . . . .

, . . . . _ . . . . . .

. . . . . . . . . . . .

. . . . . . . . . , . . . . . . . . . . . , . ,

8c.

Line 9.

Line 10,

Line 11.

Line 12.

1 2 %

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total amount of interest (8b * [8a / 365]) *

EXAMPLE: If you detarminethat you owe $100,000 on the due date (August 15) and you file and pay the taxon August 26, then you are 11 dayslate in

making the payment. The calculation of the interested owed is as follows: [$100,000 * (11/365)] * 12% = $361.64.

Enter 5% of line 7 to compute penalty if tax is not paid when due. The tax is due on or before the 15th day of the second month following the

fiscal year in which the tax is due.

Enter the total tax penalty and interest due (add lines 7, 8, and 9).

Overpayment. If line 7 is less than 0, enter the amount of overpayment

If you want the amount of the overpayment to be credited to next year's estimated tax, enter a check in the credit box. Otherwise,

check the refund box.

NOTE: Any amounts overpaid will tirst be applied to deficiencies outstanding for thistax and to deficiencies for any other City of Chicago tax for

which you are registered.

F O R A D D I T I O N A L I N F O R M A T I O N C A L L 312-747-9723 (TDD 312-744-2975)

NOTE: YOU M U S T C O M P L E T E A L L INFORMATION ON THIS P A G E F O R THIS RETURN TO BE C O N S I D E R E D C O M P L E T E .

Page 4

Rev OO70531

7540024

Employer'S Expense Tax Return Form Page 4

Related Articles

Related forms

Related Categories