Line-by-line instructions for Schedule C
Complete Schedule C if you or your spouse are eligible for
Do not count: food stamps, house repairs, help
Medicare and want help paying for prescription drugs or
from a housing agency (Section 8), an energy
the $25 monthly rebate available through Illinois Cares Rx.
assistance program, Meal on Wheels, or help
with medical treatments and drugs.
If you mark “yes” on Line 38a or 38b of Form IL-1363 you
must complete Schedule C. If you mark “no” on Line 38a
11b
If “yes”, list how much help you get each month.
or 38b, you do not need to complete Schedule C.
If the amount changes from month to month or
It is important that you complete your "extra help"
you do not receive it every month, tell us the
application and send it to Social Security for a decision even if
average monthly amount for the past year.
you do not think you will be eligible.
12
List the savings and resources owned by you
Step 1: Tell us about yourself (claimant)
or your spouse.
and your spouse.
12a
List the total amount of bank accounts
(checking, savings and certificates of deposit).
1 through 4
Complete the requested identification information for
12b
List the total amount of stocks, bonds, savings
you and your spouse.
bonds, mutual funds, individual retirement
accounts and similar investments.
Complete Lines 3a, 3b, and 4 only if you checked
Marital status 2, “Married and living together”, on
12c
List the total amount of any other cash you or
Line 2e. Otherwise, if you do not have a spouse, if
your spouse have at home or elsewhere.
your spouse is deceased, or if you are not living in
For Lines 12a, 12b, and 12c, if you and your
the same household with your spouse, go to Step 2.
spouse do not own an item listed, place a zero
in the space.
Step 2:
Complete the following
information about you and
13a
Mark “yes” if you own life insurance policies
your spouse
with a total face value greater than $1,500. (You
(if married and
may need to call your insurance company to
living together)
help answer this question). Otherwise, mark
5
Mark “yes” if you worked in 2006 or 2007.
“no”, and go to Line 14.
Otherwise, mark “no”.
13b
List the amount you would get by cashing in
6
your life insurance policies. Cash value is
List the amount you expect to earn in wages, before
different than the face value. (You may need to
taxes, in 2007. If none, place a zero in the space.
call your insurance company to help answer
7
List the amount of your expected earnings or losses
this question).
from self-employment in 2007. If none, place a zero
14
Mark “yes” if you plan to use any of the savings
in the space.
or resources on Lines 12a, 12b, 12c, and 13b to
8
Mark “yes” if the amounts listed on Lines 6 or 7
pay for funeral and burial expenses for yourself
have decreased in the last two years. Otherwise,
or your spouse. Otherwise, mark “no”.
mark “no”.
15
Mark “yes” if you or your spouse own real
9
List the month and year that you recently stopped
estate other than your home and the property
working (or you plan to stop working).
on which your home is located. Otherwise,
mark “no”.
10
List the number of relatives who live with you and
depend on you or your spouse for at least one-half
16
List the monthly income for each of the items. If
of their financial support. If none, place a zero in the
none, place a zero in the space.
box.
16a
List the monthly amount you get from Social
11a
Mark “yes” if anyone provides or helps you or your
Security (include Medicare deductions).
spouse pay for food, mortgage, rent, heat/gas,
electricity, water or property taxes. Otherwise,
16b
List the monthly amount you get from the
mark “no” and go to Line 12.
Railroad Retirement Board (include Medicare
deductions).
Schedule C instructions (IL-1363) (R-12/06)