Schedule 80/20 Form - Related-Party Expenses - Illinois Department Of Revenue

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Illinois Department of Revenue
Year ending
Schedule 80/20
____ ____
Related-Party Expenses
Month
Year
Attach to your Form IL-1120, IL-1120-ST, IL-1065, or IL-1041. For tax years ending on or after December 31, 2004.
IL Attachment No. 14
Write your name as shown on your Illinois tax return.
Write your federal employer identifi cation number (FEIN).
____________________________________________________
____ ____ - ____ ____ ____ ____ ____ ____ ____
Step 1: Identify your affi liated companies
A
B
C
D
TOTALS
1
Write the name of each
.
1
affi liated company
______________________ _____________________
_____________________
2
Write the FEIN for each
2
affi lliated company.
_____ - _______________ _____ - ______________
_____ - ______________
Step 2: Figure your addition modifi cation
(
All taxpayers may complete this section.)
3 a
Amount of interest paid to
3a
each affi liated company.
____________________
____________________
____________________
b
Interest exempt from
3b
the amount on Line 3a.
____________________
____________________
____________________
c
Subtract Line 3b from 3a.
This is the interest amount
you must include in the
3c
addition modifi cation.
____________________
____________________
____________________
4
Amount of dividends
received from each
4
affi liated company.
____________________
____________________
____________________
5
Subtract Line 4 from Line 3c.
If negative, write “0” on this
line and the result as a
5
5
positive amount on Line 7.
____________________
____________________
____________________
_______________
6a
Intangible expenses paid to
6a
each affi liated company.
____________________
____________________
____________________
b
Intangible expenses exempt
6b
from the amount on Line 6a.
____________________
____________________
____________________
c
Subtract Line 6b from 6a.
This is the intangible
expenses amount you must
include in the addition
6c
modifi cation.
____________________
____________________
____________________
7
Write any excess of dividends
received from each affi liated
company on Line 4 over the
interest expense addition on
7
Line 3c.
____________________
____________________
____________________
8
Subtract Line 7 from Line 6c.
If negative, write “0” on this
line and write the result as
8
8
positive amount on Line 10.
____________________
____________________
____________________
_______________
9
Insurance premiums paid to
9
each affi liated company.
____________________
____________________
____________________
10
Write any excess of dividends
received from each affi liated
company on Line 7 over the
intangible expense addition
10
on Line 6c.
____________________
____________________
____________________
11
Subtract Line 10 from
Line 9. If negative,
11
11
write “0.”
____________________
____________________
____________________
_______________
12
Add Column D, Lines 5, 8,
12
and 11. See instructions.
_______________
*034301110*
Schedule 80/20 (R-12/10)
Page 1 of 4

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