Form Il-1000-X Draft - Amended Pass-Through Entity Payment Income Tax Return

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Amended Pass-through Entity
Illinois Department of Revenue
Form IL-1000-X
Payment Income Tax Return
If this return is not for calendar year 2008, write your fiscal tax year here.
Write the amount you are paying.
Tax year beginning _____/_____, 2008, ending _____/_____/ 20__ __
$_________________________
Step 1: Identify your partnership, S corporation, or trust
A
B
Write your business name and mailing address.
Write your federal employer identification number (FEIN).
5 5 5
_____________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Name of organization
C
_____________________________________________________
Check your entity type:
Mailing address
Partnership
S corporation
Trust
_____________________________________________________
City
State
ZIP
S tep 2: Figure your payment amount
A
B
As most recently
Corrected amount
reported or adjusted
1
1
1
Write your total amount of business income apportioned to Illinois.
____________|____
____________|____
Lines 2a through 5b, write the percentage of business income
that is distributable to partners, shareholders or beneficiaries subject
to Illinois Income Tax. (See instructions.)
2a
2a
Nonresident individuals/estates (as originally reported)
____________|____
2b
2b Nonresident individuals/estates ._________ x amount on Line 1= ____________x .03
=
____________|____
3a
3a Partnerships/S corporations (as originally reported)
____________|____
3b
3b Partnerships/S corporations
._________ x amount on Line 1= ____________x .015
=
____________|____
4a
4a
Nonresident trusts (as originally reported)
_ ___________|____
4b
4b Nonresident trusts
._________ x amount on Line 1= ____________x .045
=
____________|____
5a
5a
Corporations (as originally reported)
_ ___________|____
5b
5b
Corporations
._________ x amount on Line 1= _____________x.073 =
____________|____
6
6a
6b
Add Lines 2 through 5 for Columns A and B.
_ ___________|____
____________|____
7
Write any pass-through entity payment reported to you on
Schedule K-1-P or K-1-T that you choose to apply toward your
7
7
pass-through entity payment obligations. See instructions.
____________|____
____________|____
8
8
Amount paid with original return
____________|____
9
9
Add Lines 7 and 8
____________|____
10
10
Subtract Line 9 from Line 6. This is your total tax due.
____________|____
11
11
Penalty
____________|____
12
12
Interest
____________|____
13
13
Add Lines 10, 11, and 12. This is the amount you owe.
____________|____
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete.
____________________________________________
___ / ___ / ____ ____________________
(_____)__________
Signature of partner, authorized officer, or fiduciary
Date
Title
Phone
____________________________________________
___ / ___ / ____ __________________________________________
Signature of preparer
Date
Preparer’s Social Security number or firm’s FEIN
_________________________________ _____________________________________________
(_____)__________
Preparer firm’s name (or yours, if self-employed)
Address
Phone
Mail this return to: Illinois Department of Revenue, P.O. Box 19016, Springfield, IL 62794-9016
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this information is REQUIRED. Failure to provide
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-4558
IL-1000-X front (N-12/08)

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