Form Il-1040-X - Amended Individual Income Tax Return - 2015 Page 2

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21
21
21
Tax after nonrefundable credits from Page 1, Line 20.
.00
.00
Step 8:
22
22
22
Household employment tax
.00
.00
23
Use tax reported on your original return. Enter the amount from your
Other
23
23
original return in both Column A and Column B. See instructions.
.00
.00
Taxes
24
24
24
Compassionate Use of Medical Cannabis Pilot Program Act Surcharge
.00
.00
25
25
Total tax. Add Lines 21, 22, 23, and 24.
.00
Step 9:
26
26
26
Illinois Income Tax withheld. See instructions.
.00
.00
27
27
27
Estimated payments (IL-1040-ES, IL-505-I, and prior year credit)
.00
.00
Payments
28
28
28
Pass-through withholding payments. Attach Schedule K-1-P or K-1-T.
.00
.00
and
29
Earned income credit from Schedule ICR. Attach Schedule ICR with
Refundable
29
29
amended figures.
.00
.00
Credit
30
Previous payments. Generally includes the tax paid with your original return plus any additional
30
tax paid after your original return was filed. Do not include penalties or interest. See instructions.
.00
31
31
Total payments and refundable credit. Add Lines 26 through 30.
.00
32
Step 10:
Overpayment, if any, as shown on your original return, or a notice we sent showing an adjustment
32
to your account. Do not include interest you received or voluntary contributions. See instructions.
.00
Adjusted
33
33
Voluntary contributions as shown on your original return. See instructions.
.00
Total Tax
34
34
Adjusted total tax. Add Lines 25, 32, and 33.
.00
Step 11:
35
35
Overpayment. If Line 31 is greater than Line 34, subtract Line 34 from Line 31.
.00
36
36
Amount from Line 35 you want refunded to you.
.00
Refund
If you want to deposit your refund directly into your checking or savings account, complete the
or
direct deposit information below.
Amount
You
Routing number
Checking or
Savings
Owe
Account number
37
37
Subtract Line 36 from Line 35. This amount will be applied to your estimated tax. See instructions.
.00
38
38
Amount you owe. If Line 34 is greater than Line 31, subtract Line 31 from Line 34.
.00
Step 12:
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.
Sign and
Date
Your signature
Date
Daytime phone number
Your spouse’s signature
Date
Paid preparer’s signature
Date
Preparer’s phone number
Preparer’s FEIN, SSN, or PTIN
Third Party
Check, and complete the designee’s name and phone number below, to allow another person to discuss this return
Designee
and any previous return that affects the liability reported on this return with the Illinois Department of Revenue.
Designee’s
Designee’s
Name (please print)
Phone number
Mail to: Illinois Department of Revenue, P.O. Box 19007, Springfield, IL 62794-9007
Important reminder for federal changes (including net operating loss (NOL) deductions)
I
f you file Form IL-1040-X because you filed a U.S. Form 1040X or Form 1045 that resulted in
an overpayment or because you are claiming an NOL carryback deduction, you must wait to file this form until you receive a
federal finalization notice from the IRS stating that they have accepted your change either by paying a refund or by final assessment,
agreement, or judgment. Write the date the IRS notified you (not the date you filed your U.S. Form 1040X or Form 1045) in the
appropriate space in Step 1, Line D, and attach proof of federal finalization.
Proof of federal finalization for U.S. 1040X or Form 1045 overpayments and NOL carryback deductions includes a copy of
the notification you received from the IRS that they accepted your changes; e.g., a refund check, "Statement of Account," agreement,
or judgment, and
a copy of your U.S. Form 1040X, if filed, or
a copy of your U.S. Form 1045, Application for Tentative Refund, including all pages of Schedules A and B, along with a copy of
your refund check, if you filed your federal amended return due to an NOL.
a balance due, you must attach proof of federal finalization and write the date you filed your U.S. Form 1040X and paid the tax due in
the appropriate space in Step 1, Line D. Failure to provide this date could result in an assessment of a late-payment penalty.
Proof of federal finalization for U.S. 1040X underpayments is a copy of your U.S. Form 1040X and a copy of the check you sent to
the IRS to pay the tax due.
If you do not have proof of federal finalization, call the IRS or go to their website at to request a tax account transcript.
DR
ID
X3
IR
*561502110*
This form is authorized as outlined under the Illinois Income Tax Act. Disclosure of
IL-1040-X back (R-12/15)
this information is required. Failure to provide information could result in a penalty.
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