Form Il-1023-C-X - Amended Composite Income And Replacement Tax Return - 2009 Page 2
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1
2A
B
As most recently
reported or adjusted
Corrected amount
Step 5: Figure your refund or balance due
11
11
11
Net income tax from Line 6.
______________ 00
______________ 00
12
12
12
Net replacement tax from Line 10.
______________ 00
______________ 00
13
13
13
Total net income and replacement taxes. Add Lines 11 and 12.
______________ 00
______________ 00
14
Payments.
a
14a
Credit from prior year overpayment.
______________ 00
b
14b
Form IL-1023-CES payments.
______________ 00
c
14c
Form IL-505-B (extension) payment.
______________ 00
d
14d
Pass-through entity payments from Schedule K-1-P or K-1-T.
______________ 00
15
15
Total payments. Add Lines 14a through 14d.
______________ 00
16
16
Tax paid with original return (do not include penalty and interest).
______________ 00
17
17
Subsequent tax payments made since the original return.
______________ 00
18
18
Total tax paid. Add Lines 15, 16, and 17.
______________ 00
19
19
Total amount previously refunded and/or credited for the year being amended.
______________ 00
20
20
Net tax paid. Subtract Line 19 from Line 18.
______________ 00
21
21
Refund. Subtract Line 13 from Line 20.
____________ ____
22
22
Tax due. Subtract Line 20 from Line 13.
____________ ____
23
23
Penalty (See instructions.)
______________ 00
24
24
Interest (See instructions.)
______________ 00
25
25
Total balance due. Add Lines 22 through 24.
____________ ____
Make your check payable to “Illinois Department of Revenue.”
Write the amount of your payment on the top of Page 1 in the space provided.
Step 6: Sign here
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 authorized offi cer
Title
Phone
Month Day
Year
_________________________________________________ _____/_____/______
________________________________
Signature of preparer
Preparer’s Social Security Number of fi rm’s FEIN
Month Day
Year
______________________________________
_______________________________________________________ (____)________________
Preparer fi rm’s name (or yours, if self-employed)
Address
Phone
Mail this return to: Illinois Department of Revenue, P.O. Box 19016, Springfi eld, IL 62794-9016
Reset
Print
*932002110*
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-492-4523
IL-1023-C-X back (R-12/09)
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