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Amended Fiduciary
Illinois Department of Revenue
Do not write in this box.
Income and Replacement
2009 IL-1041-X
Tax Return
For tax years ending ON or AFTER December 31, 2009
Indicate what tax year you are amending: Tax year beginning ___/___/______, ending ___/___/ ______
Write the amount you
are paying.
If you are fi ling an amended return for tax years ending before December 31, 2009,
$_________________
you cannot use this form. For prior years, use the amended return form for that year.
Step 1: Identify your fi duciary
A
E
Check the box that identifi es your fi duciary.
Trust
Estate
Write your federal employer identifi cation number (FEIN).
B
Write your name and/or number and mailing address.
___ ___ - ___ ___ ___ ___ ___ ___ ___
F
If you have a change, check this box.
Check the applicable box for the type of change being made.
____________________________________________________
NLD
State change
Federal change:
Name
____________________________________________________
If a federal change, check one:
Partial agreed
Finalized
C/O
If fi nalized, write the fi nalization date: ____/____/______
Month
Day
Year
____________________________________________________
Mailing address
G
Check the box if you are fi ling a “corrected” return and are making
the election to treat all nonbusiness income as business income.
____________________________________________________
City
State
Zip
H
Check the box if you are fi ling this form only to report an
C
Check the box if you are not an Illinois resident.
increased net loss on Column B, Line 30.
I
Attach Illinois Schedule NR.
Check the box if Schedule 1299-D is attached.
D
J
Check the box if you are an
Check the box if Schedule I is attached.
K
Electing small business trust (ESBT)
If you have completed federal Form 8886, check the box and
Individual bankruptcy estate
attach it to this return, if you have not previously done so.
L
Check the box if you are making a discharge of
indebtedness adjustment.
Step 2: Explain the changes on this return
A
B
Step 3: Figure your income or loss
As most recently
reported or adjusted
Corrected amount
Benefi ciaries
Fiduciary
Benefi ciaries
Fiduciary
1
Federal taxable income from
1
1
U.S. Form 1041, Line 22.
_____________ 00
_____________ 00
2
Federal net operating loss deduction
from U.S. Form 1041, Line 15a.
2
2
This amount cannot be negative.
_____________ 00
_____________ 00
3
3
3
Taxable income of ESBT, if required.
_____________ 00
_____________ 00
4
4
4
Exemption claimed on U.S. Form 1041.
_____________ 00
_____________ 00
5
Illinois income and replacement tax
5a
5b
5a
5b
deducted in arriving at Line 1.
_____________ 00
_____________ 00
_____________ 00
_____________ 00
6
State, municipal, and other interest
6a
6b
6a
6b
income excluded from Line 1.
_____________ 00
_____________ 00
_____________ 00
_____________ 00
7
Illinois
Special
Depreciation addition
7a
7b
7a
7b
(Form IL-4562).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
8
Related-party expenses addition
8a
8b
8a
8b
(Schedule 80/20).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
9
Distributive share of additions
9a
9b
9a
9b
(Schedule K-1-P or K-1-T).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
10
Other additions
10a
10b
10a
10b
(Schedule M for businesses).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
11
Add Lines 1 through 4 and Lines 5b through 10b.
This is your total income or loss.
11
11
See instructions.
_____________ 00
_____________ 00
*964101110*
IL-1041-X (R-12/09)
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