Form Il-1023-C - Composite Income And Replacement Tax Return 2007 Page 2

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Illinois Department of Revenue
Year ending
Schedule BC
____ ____
Composite Return Membership
Month
Year
Attach to your Form IL-1023-C
IL Attachment no. 1
Write your
Write your name as shown on your Form IL-1023-C.
federal employer identification number (FEIN).
_____________________________________________________________
___ ___ - ___ ___ ___ ___ ___ ___ ___
Identify the members included in your composite return.
A
B
C
D
E
Check the box if the
Partner or
member is an Illinois resident
Social Security number
Shareholder type
Share of income
and is included based on
Name and Address
or FEIN
(See instructions.)
or loss (%)
department-approved petition.
1
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
2
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
3
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
4
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
5
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
6
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
7
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
8
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
9
________________________________
________________________________
________________________________
________________________________
_________________
______
_________
Schedule BC (N-12/06)
Reset
Print

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