Form Ict-4-X - Amended Electricity Distribution And Invested Capital Tax Return Form - Illinois Department Of Revenue
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Illinois Department of Revenue
ICT-4-X
Amended Electricity Distribution
REV 1
and Invested Capital Tax Return
E S ___/___/___
Station no. 070
NS
DP
CA
Do not write above this line.
Step 1: Identify your business
1
6
Illinois Business Tax number (IBT no.):
___ ___ ___ ___ ___ ___ ___ ___
Calendar year you are filing this return for:__ __ __ __
2
7
Federal Employer Identification number (FEIN): __ __ __ __ __ __ __ __ __
Check here if your address has changed.
8
Is this a final return?
yes
no
3
Invested Capital Tax (ICT) license no.: ___ ___ ___ ___ ___ ___ ___
"Final” indicates you will no longer conduct business.
If you checked "yes," complete the following:
4
Business name:__________________________________________________
Business discontinued on: __ __ __ __ __ __ __ __.
5
Business address:________________________________________________
Business sold on: __ __ __ __ __ __ __ __
Number and street
_______________________________________________________________
9
Daytime telephone: ____________________
City
State
ZIP
Step 2: Invested Capital Tax
- Figures as they should have been filed
Column A
Column B
Beginning of year balance
End of year balance
10
10
10
Total amount of proprietary capital, stockholders’ equity, or total equity
__________________
__________________
11
11
11
Total long-term debt
__________________
__________________
12
12
12
Add Lines 10 and 11.
__________________
__________________
13
13
13
Investments in and advances to all corporations
__________________
__________________
14
14
14
Subtract Line 13 from Line 12.
__________________
__________________
15
15
Add Column A, Line 14, and Column B, Line 14.
__________________
16
16
Multiply Line 15 by 50% (.50). This amount is the average of the balances.
__________________
.
17
17__
Il apportionment factor from your business income tax return. See “What should I attach to Form ICT -4-X?”
__
______________
18
18
Multiply Line 16 by Line 17.
__________________
19
19
Multiply Line 18 by .8% (.008).
__________________
.
20
20__
If you are required to complete Worksheet A (see back), write Line g amount. If not, write “1.00.”
__
______________
21
21
Multiply Line 19 by Line 20. This amount is your Invested Capital Tax due.
__________________
Step 3: Electricity Distribution Tax
- Figures as they should have been filed
(for liabilities on or after January 1, 1998)
22
22
Kilowatt-hours (kwh) distributed
__________________
23
23
Amount from Worksheet B, Line i. This is your ElectricityDistribution Tax due.
__________________
Step 4: Payment
- Figures as they should have been filed
24
24
Add Lines 21 and 23. This amount is your tax due.
__________________
25
25
Estimated payments
__________________
26
26
If Line 25 is greater than Line 24, figure your overpayment by subtracting Line 24 from Line 25.
__________________
27
27
If Line 25 is less than Line 24, figure your underpayment by subtracting Line 25 from Line 24.
__________________
28
28
Credit you wish to apply.
__________________
29
29
Subtract Line 28 from Line 27. This is your net tax due.
__________________
30
30
Total amount you paid for this reporting period.
__________________
31
31
If Line 30 is greater than Line 29, figure your overpayment by subtracting Line 29 from Line 30.
__________________
32
32
If Line 30 is less than Line 29, figure your underpayment by subtracting Line 30 from Line 29.
__________________
Pay this amount and make your check payable to “Illinois Department of Revenue.”
5: Check the reason you are filing this amended return
Step
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
I should have taken a deduction for _________________________________________________________________________________
The original IBT no. was incorrect. The incorrect IBT no. is __ __ __ __ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
Other. Please explain.____________________________________________________________________________________________
_________________________________________________________________________________________________________________
Step 6: Signatures
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.
__________________________________________________________________
____/____/________ (____)____-____________
Taxpayer's signature
Date
Telephone (Include area code.)
__________________________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date
Telephone (Include area code.)
ICT-4-X (N-10/01)
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