Form Il-501 - Payment Coupon And Instructions - 2012

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Illinois Department of Revenue
2012
Payment Coupon
and Instructions
(IL-501)
This form is for limited use only
Most withholding payments should be made electronically or with preprinted, personalized forms, not the form below.
For your payment to be quickly and accurately applied to your account, either
Electronically pay
We encourage you to electronically pay using WebPay. Visit our website at tax.illinois.gov and click on e-Services
under Businesses.
Or, order personalized, preprinted forms
If you cannot electronically pay, we recommend that you use preprinted payment coupons
to ensure your payment is correctly applied to your account. The preprinted version contains
important information that the form below does not. Order your preprinted payment coupons at
tax.illinois.gov or call our Taxpayer Assistance Division at 1 800 732-8866, 217 782-3336, or our
TDD (telecommunications device for the deaf) at 1 800 544-5304.
Who should use this payment
addition, do not confuse your payment
our electronic methods or preprinted pay-
coupon?
coupon with your return, Form IL-941.
ment coupons. Do not use your return, Form
IL-941, to pay more frequently.
If you have been notified that you are required
Use this payment coupon to pay us the Illinois
to make semi-weekly payments, you must
If you exceed $12,000 in withholding during
Income Tax you withheld if:
make your payments electronically. Do not
a quarter, you must begin using the semi-
• You are a NEW business and have not
use a paper payment coupon.
weekly payment schedule for the following
received your registration information from
quarter, the remainder of the year, and the
us yet; or
When is withholding income tax
subsequent year. In addition, you must make
considered withheld?
• You are an existing business that
your payments electronically.
1) cannot electronically pay using
In Illinois, withholding income tax is con-
See Publication 131, Withholding Income Tax
WebPay (see “May I pay
sidered withheld on the date you pay your
Payment and Filing Requirements for more
electronically?” for a list of our
employees.
information.
electronic options); or
When are my payments due?
May I pay electronically?
2) has not received the preprinted
Most taxpayers who use payment coupons
payment coupons.
Yes. We encourage you to pay electronically.
are considered monthly payers. Monthly pay-
Do not use this form as your regular payment
• WebPay is an easy, convenient, and fast
ers must pay by the 15th day of each month
coupon. Please use the preprinted coupons
way to submit payments at any time. You
for amounts withheld the preceding month.
with your account information on them. In
can schedule the dollar amount, debit
You may pay more frequently using one of
date, and tax period. No software is
required and it is available 24 hours a day,
IL-501 Front (R-12/11)
7 days a week.
Pay electronically using WebPay at tax.illinois.gov
Illinois Department of Revenue
Payment Coupon
Check the appropriate box to tell us when you withheld the withholding income
IL-501
tax you are paying. Check one box only.
2012
Complete the following information.
Tax year
1
2
3
4
___ ___ - ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Jan
Apr
Jul
Oct
Federal employer identification number
Seq. number
Feb
May
Aug
Nov
_______________________________________________
Mar
Jun
Sep
Dec
Business name
$
Amount paid:
___________________.____
_______________________________________________
Number and street address
If mailing your payment and this Form IL-501:
_______________________________________________
• Make remittance payable to “Illinois Department of Revenue”
City
State
ZIP
• Mail to:
ILLINOIS DEPARTMENT OF REVENUE
(_______)_______________________________________
PO BOX 19447
Daytime phone
SPRINGFIELD IL 62794-9447
*IL-501*
Do not mail Form IL-501 if you electronically pay or are reporting a zero amount.
IL-501 (R-12/11)

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