Form Il-941 - Illinois Withholding Income Tax Return And Instructions - 2010 Page 2
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1
2Step-by-step Instructions
Line 5
Line 3
If Line 2 is less than Line 3, subtract Line 2
Quarterly filers — Write the total amount
Write the period ending in the space provided.
from Line 3 and write the result. This is your
of payments you have already sent to us for
Write your federal employer identification
overpayment to claim on your next Form
all 3 months of this quarter. This includes
number (FEIN), sequence number (if applica-
IL-941.
ble), business name, complete address, and
electronic payments, payments remitted with
Forms IL-501, and any overpayment you wish
daytime telephone number.
If you have permanently stopped
to apply from a previous quarter (or IL-941-A
Complete Lines 1 through 5.
withholding, you must mark the box
if an annual filer last year).
below Line 5.
Annual filers — Write the total amount of
Line 1
payments you have already sent to us for all
Sign your full name and include your daytime
Quarterly filers — Write the total amount of
12 months of 2011. This includes electronic
telephone number and the date. If you do not
compensation and gambling winnings (includ-
payments, payments remitted with Forms
do this, we cannot process your return and we
ing Illinois lottery) subject to withholding for
IL-501, and any overpayment you wish to ap-
may assess a penalty.
all 3 months of this quarter. This line must be
ply from a previous quarter (or IL-941-A if an
completed.
Mail your Form IL-941 and payment to:
annual filer last year).
Annual filers — Write the total amount of
ILLINOIS DEPARTMENT OF REVENUE
compensation and gambling winnings (includ-
Line 4
PO BOX 19447
ing Illinois lottery) subject to withholding for
Quarterly filers — If Line 2 is greater than
SPRINGFIELD IL 62794-9447
all 12 months of 2011. This line must be
Line 3, subtract Line 3 from Line 2 and write
completed.
the result. This is your remaining balance
due for this quarter. If semi-weekly, you
Where do I get help?
Line 2
must make your payment electronically.
• Visit our web site at tax.illinois.gov
Quarterly filers — Write the total amount of
Otherwise, make your remittance payable to
“Illinois Department of Revenue.” Write
Illinois Income Tax actually withheld (including
• Call us at 1 800 732-8866 or 217 782-3336
any excess amount withheld) for all 3 months
your FEIN, the quarter to which the payment
• Call our TDD (telecommunications device
of this quarter. This line must be completed.
applies, and “IL-941” on your payment.
for the deaf) at 1 800 544-5304
Annual filers — Write the total amount of
Annual filers — If Line 2 is greater than
• Write to
Illinois Income Tax actually withheld (includ-
Line 3, subtract Line 3 from Line 2 and write
ILLINOIS DEPARTMENT OF REVENUE
ing any excess amount withheld) for all 12
the result. This is your remaining balance due
months of 2011. This line must be completed.
for this year. Make your remittance payable
PO BOX 19044
to “Illinois Department of Revenue.” Write
SPRINGFIELD IL 62794-9044
your FEIN, the year to which the payment ap-
plies, and “IL-941” on your payment.
IL-941 Back (R-12/10)
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