Form Ict-4 - Electricity Distribution And Invested Capital Tax Return - Illinois
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Illinois Department of Revenue
ICT-4
Electricity Distribution
REV 1
and Invested Capital Tax Return
E S ___/___/___
Station no. 070
NS
DP
CA
Do not write above this line.
Part 1: Identify your business
1
Illinois Business Tax number (IBT no.):
___ ___ ___ ___ ___ ___ ___ ___
6
Calendar year you are filing this return for: __ __ __ __
2
Federal Employer Identification number (FEIN): __ __ __ __ __ __ __ __ __
7
Check here if your address has changed.
3
Invested Capital Tax (ICT) license no.: ___ ___ ___ ___ ___ ___ ___
8
Is this a final return?
yes
no
"Final” indicates you will no longer conduct
4
Business name:__________________________________________________
business.
5
Business address:________________________________________________
9
Daytime telephone: ____________________
Number and street
_______________________________________________________________
City
State
ZIP
Part 2: Figure your Invested Capital Tax
Column A
Column B
Balance at beginning of year
Balance at end of year
10
10
10
Total amount of proprietary capital, stockholders’ equity, or total equity
__________________
__________________
11
11
11
Total long-term debt
__________________
__________________
12
12
12
Add Lines 10 and 11.
__________________
__________________
13
13
13
Investments in and advances to all corporations
__________________
__________________
14
14
14
Subtract Line 13 from Line 12.
__________________
__________________
15
15
Add Column A, Line 14, and Column B, Line 14.
__________________
16
16
Multiply Line 15 by 50% (.50). This amount is the average of the balances.
__________________
17
Illinois apportionment factor shown on your business income tax return.
.
17
See General Information, “What should I attach to this return?”
___
______________
18
18
Multiply Line 16 by Line 17.
__________________
19
19
Multiply Line 18 by .8% (.008).
__________________
20
If you are required to complete Worksheet A on the back of this return, write
.
20
the amount from Worksheet A, Line g. If not, write “1.00.”
___
______________
21
21
Multiply Line 19 by Line 20. This amount is your Invested Capital Tax due.
__________________
Part 3: Figure your Electricity Distribution Tax
(for liabilities on or after January 1, 1998)
22
22
Kilowatt-hours (kwh) distributed
__________________
23
23
Amount from Worksheet B, Line i. This is your ElectricityDistribution Tax due.
__________________
Part 4: Figure your payment
24
24
Add Lines 21 and 23. This amount is your tax due.
__________________
25
25
Estimated payments
__________________
26
26
If Line 25 is greater than Line 24, subtract Line 24 from Line 25. This amount is your overpayment.
__________________
27
27
If Line 25 is less than Line 24, subtract Line 25 from Line 24. This amount is your tax due.
__________________
28
28
Credit you wish to apply.
__________________
29
29
Subtract Line 28 from Line 27, and pay this amount.
__________________
Make your check payable to “Illinois Department of Revenue.”
Part 5: Sign below
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.
__________________________________________________________________
____/____/________ (____)____-____________
Taxpayer's signature
Date
Telephone (Include area code.)
__________________________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date
Telephone (Include area code.)
Part 6: Mail your return
ATTN INVESTED CAPITAL TAX
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
This form is authorized by the Water Company Invested Capital Tax Act, Gas Revenue Tax Act, and Public Utilities Revenue Act. Disclosure of this
ICT-4 (R-07/01)
Page 1 of 4
information is REQUIRED. Failure to comply may result in a penalty. This form has been approved by the Forms Management Center. IL-492-0388
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