Form Il-1040 - Individual Income Tax Return - 2003

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Illinois Department of Revenue
2003
Form IL-1040
or for fiscal year
/
0 4
ending
Individual Income Tax Return
Do not write above this line.
Step
1:Personal Information
A
Write your Social Security numbers in the order they appear on your federal return.
Your Social Security number
Your spouse’s Social Security number
B
Print or type your personal information below.
Your first name and initial
Your last name
Your spouse’s first name and initial
Your spouse’s last name (if different)
Mailing address
City
State
ZIP
C
Check your filing status.
Single or head of household
Married filing jointly
Married filing separately
Widowed
Step
2:Income
1
Write your federal adjusted gross income from your U.S. 1040, Line 34;
1
U.S. 1040A, Line 21; U.S. 1040EZ, Line 4; or U.S. TeleFile Tax Record, Line I.
|
2
Write your federally tax-exempt interest and dividend income from your
2
U.S. 1040 or 1040A, Line 8b; or U.S. 1040EZ.
|
3
Write any other additions to your income that are taxable in Illinois. See
3
instructions for details. Specify your additions.
|
4
4
Add Lines 1 through 3. This is your income.
|
Step 3:
Base Income
5
Write income received from Social Security benefits and certain retirement
Federal Page 1,
5
plans if that income is included in Step 2, Line 1. See instructions.
|
Form W-2, 1099-R
6
6
Write the military pay you earned if it is included in Step 2, Line 1.
|
Military W-2
7
7
Write any Illinois Income Tax refund included in Line 10 of U.S. 1040.
|
8
Write the U.S. Treasury bonds, bills, notes, savings bonds, and U.S.
See
8
agency interest from U.S. 1040, Schedule B, or U.S. 1040A, Schedule 1.
|
instructions
9
Write any other subtractions to your income. See Line 9 instructions
See
and Publication 101 for details. Do not subtract your out-of-state
instructions
9
income. Specify your subtractions.
|
Check if Line 9 includes any amount from Schedule 1299-C.
10
10
Add Lines 5 through 9. This is the total of your subtractions.
|
11
11
Subtract Line 10 from Line 4. This is your Illinois base income.
|
Step 4:
Exemptions
x
12
a Write the number of exemptions from your federal return.
$2,000
a
|
b If someone else claimed you on their return, see Line 12
See
instructions
x
instructions to figure the number to write here.
$2,000 b
|
before
+
=
x
c Check if 65 or older:
You
Spouse
$1,000
c
|
completing
this step.
+
=
x
d Check if legally blind:
You
Spouse
$1,000 d
|
12
Add Lines a through d. This is your total Illinois exemption allowance.
|
Step 5:
Net Income
13
Residents only: Subtract Line 12 from Line 11. This is your net income.
13
Skip Line 14.
|
14
Nonresidents and part-year residents only:
Schedule NR
Check the box that applies to you during the year 2003.
Nonresident
Part-year resident
Complete Illinois Schedule NR, and write your Illinois base income
14
from Step 5, Line 47.
|
Step 6:
Tax
15
Residents: Multiply Line 13 by 3% (.03). Write the result here. This is your tax.
15
Nonresidents and part-year residents: Write the tax from Schedule NR, Step 5, Line 53.
|
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this information is REQUIRED. Failure to
provide information could result in a penalty. This form has been approved by the Forms Management Center. IL-492-0065
IL-1040 front (R-12/03)
Continue on to Page 2

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