Form Il-1041-X -Amended Fiduciary Income And Replacement Tax Return 2010 Page 3
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1
2
3A
B
*064103110*
As most recently
Corrected
reported or adjusted
amount
Fiduciary
Fiduciary
39
39
39
Write the amounts of net income from Line 33.
_____________ 00
_____________ 00
Step 7: Figure your net income tax
40
40
40
Income tax. Multiply Line 39 by 3% (.03).
_____________ 00
_____________ 00
41
41
41
Recapture of investment credits (Schedule 4255).
_____________ 00
_____________ 00
42
42
42
Income tax before credits. Add Lines 40 and 41
_____________ 00
_____________ 00
.
43
Credit for income tax paid to another state while an
43
43
Illinois resident (Schedule CR).
_____________ 00
_____________ 00
44
44
44
Income tax credits (Schedule 1299-D).
_____________ 00
_____________ 00
45
45
45
Total credits. Add Lines 43 and 44.
_____________ 00
_____________ 00
46
Net income tax. Subtract Line 45 from Line 42.
46
46
If negative, write “0.”
_____________ 00
_____________ 00
Step 8: Figure your refund or balance due
47
47
47
Trusts only: net replacement tax from Line 38.
_____________ 00
_____________ 00
48
48
48
Net income tax from Line 46.
_____________ 00
_____________ 00
49
Total net income and replacement taxes.
49
49
Add Lines 47 and 48.
_____________ 00
_____________ 00
50
Payments
a
50a
Illinois Income Tax withheld (Form(s) W-2 or W-2G).
_____________ 00
b
50b
Credit from prior year overpayment.
_____________ 00
c
50c
Form IL-505-B (extension) payment.
_____________ 00
d
50d
Pass-through entity payments (Schedule(s) K-1-P or K-1-T).
_____________ 00
51
51
Total payments. Add Lines 50a through 50d.
_____________ 00
52
52
Tax paid with original return (do not include penalties and interest).
_____________ 00
53
53
Subsequent tax payments made since the original return.
_ ____________ 00
54
54
Total tax paid. Add Lines 51, 52, and 53.
_____________ 00
55
Total amount previously refunded and/or credited for the year being amended,
55
whether or not you received the overpayment.
_____________ 00
56
56
Net tax paid. Subtract Line 55 from Line 54.
_____________ 00
57
57
Refund. Subtract Line 49 from Line 56.
_____________ 00
58
58
Tax due. Subtract Line 56 from Line 49.
_____________ 00
59
59
Penalty (See instructions.)
_____________ 00
60
60
Interest (See instructions.)
_____________ 00
61
61
Total balance due. Add Lines 58, 59, and 60.
_____________ 00
Make your check payable to “Illinois Department of Revenue” and attach to the fi rst page of this form.
Write the amount of your payment on the top of Page 1 in the space provided.
Step 9: 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 fi duciary’s authorized representative
Date
Title
Phone
___________________________________________
_________________________________________________ ______ ____ _______
Signature of preparer
Date
Preparer’s Social Security Number or fi rm’s FEIN
______________________________________
_______________________________________________________ (____)________________
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
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-492-4524
IL-1041-X (R-12/10)
Page 3 of 4
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