Form Il-941-X - Amended Illinois Withholding Tax Return - 2010

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Illinois Department of Revenue
IL-941-X
Amended Illinois Withholding Tax Return
Read this information fi rst.
When is Form IL-941-X due?
Complete Form IL-941-X only to correct an error you made on a
Report increases in your tax due immediately to minimize penalties
previously fi led Form IL-941 or IL-941-A (if an annual fi ler last year)
and interest. If your change decreases your tax due, fi le IL-941-X no
in reporting
later than
• Line 1, amounts subject to withholding, or
• three years after the 15th day of the 4th month following the close
• Line 2, total Illinois Income Tax actually withheld (including
of the calendar year in which the tax was withheld, or
any excess amount withheld) OR in prior years stated as “Illinois
• one year after the date the tax was paid.
Income Tax required to be withheld.”
You may be assessed penalties and interest if your IL-941-X is fi led
after the due date of your original return. If so, we will send you a
What if I withheld the wrong amount of tax from an
notice.
employee?
Do not fi le IL-941-X if you reported the amount you actually with-
Which steps must I complete?
held, even if you withheld the wrong amount. If you discover an error
You must complete Steps 1, 2, and 3 to report changes previously
in withholding before the end of the year, you should correct the error
reported on your IL-941 or IL-941-A (if an annual fi ler last year). If we
by adjusting the amount you withhold from the employee’s wages
agree that you have a valid overpayment, it will fi rst be applied to any
during the remainder of the year.
outstanding liabilities and then applied as you request on Line 3 of
future IL-941s.
If you cannot correct the error before the end of the year, you must
make sure that your withholding tax return and the employee’s
What if I need assistance?
Form W-2 report the actual amount withheld. If you withheld too
Visit our web site at tax.illinois.gov or call weekdays between
much, the employee will receive a refund on his or her income tax re-
8 a.m. and 5 p.m. at 1 800 732-8866, 217 782-3336, or our TDD
turn and if you withheld too little, the employee will receive a smaller
(telecommunications device for the deaf) at 1 800 544-5304.
refund or owe tax on his or her income tax return.
Where do I mail my completed IL-941-X?
If you made the same reporting error on your return and your
ILLINOIS DEPARTMENT OF REVENUE
employee’s Form W-2, you must also provide your employee with a
PO BOX 19007
corrected Form W-2-C and attach copies of the W-2-C forms to your
SPRINGFIELD IL 62794-9007
IL-941-X.
Step 1: Complete the following account information
_______________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
___ ___ ___
Business name
Federal employer identifi cation number (FEIN)
Seq. number
_______________________________________________________
___ ___ ___ ___ / ___ ___
Owner(s)
Tax year
Quarter
_______________________________________________________
Are you a sole proprietor?
Yes
No
Number and street address
If “yes”, write your
_______________________________________________________
Social Security number ___ ___ ___ - ___ ___ - ___ ___ ___ ___
City
State
ZIP
(
)
_______________________________________________________
Is this a new address?
Yes
No
Daytime telephone number
Step 2: Figure your correct withholding
Column A
Column B
Column C
Amount previously
Net change
reported
increase or (decrease)
Corrected amount
1
Write the total compensation and gambling winnings
1
(including Illinois Lottery winnings) subject to Illinois withholding.
_______________
________________ ________________
2
Write the total Illinois Income Tax withheld. This line must
2
be completed. (If applicable, attach W-2-C forms.)
_______________
________________
________________
3
Write the total withholding payments (electronic, IL-501, and
IL-941), plus any overpayment from a previous IL-941 or
3
IL-941-A (if an annual fi ler last year).
_______________
________________
________________
4
If Column C, Line 2, is more than Column C, Line 3, write the difference here. This is the tax you owe.
4
Make your remittance payable to “Illinois Department of Revenue.”
________________
5
5
If Column C, Line 2, is less than Column C, Line 3, write the difference here. This is your overpayment.
________________
Your overpayment will fi rst be applied to any unpaid Illinois tax liability. Any remaining amount
will be applied as you request on Line 3 of future IL-941s.
6
Write a detailed explanation of your changes. This line must be completed.
_____________________________________________________________________________________________________________
_____________________________________________________________________________________________________________
Step 3: Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
_________________________________ __________________________ __________ __________________
(
)
Authorized signature (full name required)
Title
Date
Daytime telephone number
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this information is REQUIRED. Failure to provide
IL-941-X (R-12/10)
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-0048
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