Form Il-1120-V - Payment Voucher For Corporation Income And Replacement Tax - 1999

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Illinois Department of Revenue
Payment Voucher for Corporation
IL-1120-V
1999
Income and Replacement Tax
SCAN LINE FIELDS
1.
Form Code - Always 11208 (5)
2.
Liability Period - mmyy (4)
3.
Form Code, Liability Period Check Digit (1)
4.
Federal Employer Identification Number (9)
5.
Sequence Number - Normally 000 (3)
6.
FEIN, Sequence Number Check Digit (1)
7.
Payment Amount - includes cents(11)
FORM FIELDS
1.
Federal Employer Identification Number
2.
Sequence Number - Normally 000
3.
FEIN, Sequence Number Check Digit
4.
Tax Year Ending Month
5.
Tax Year Ending Year
6.
Illinois Business Tax Number
7.
Business Name and Address
Illinois Department of Revenue
Payment Voucher for Corporation
IL-1120-V
1999
1
2
3
Income and Replacement Tax
IL-1120-V (N-9/99)
FEIN
Mail to Illinois Department of Revenue, P.O. Box 19008, Springfield, IL 62794-9008
26-3948363 000 1
IBT
9999-9999
6
7
Tax year ending
Anybody’s Plumbing and Heating
4
12
5
99
Make sure the BusinessName, FEIN,
9999 Where Blvd
and
Month
Year
Payment amount are correct.
Anywhere, IL 99999

Print your payment amount on this line.
Preparers Phone Number___________
WRITE YOUR FEIN ON YOUR CHECK
112081299 2 263948363 000 1 00000000000
1
2 3
4
5 6
7

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