Line-By-Line Instructions For Schedule X Page 2

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23
For any income correction, you must send us a copy
information for each landlord. Please write your name
of your federal income tax return and any supporting
and Social Security number on each attachment.
federal schedules. If you did not file a federal return,
b
Write the number of months during which you
you must attach other proof showing the nature and
rented from this landlord.
amount of each change in income or loss.
If you now live at a residence that is not
24
For any income correction, you must send us a
subject to property tax (such as public housing) but
description of the nature of the income, loss or
you did live at a residence that was subject to
deduction reported and attach written proof.
property tax (such as private housing) during part or
25
Add the amounts in Lines 13 through 24, and write
all of the year for which you are filing this amended
the total on Line 25.
application, you must send us a copy of your rental
agreement or lease, a notarized statement from your
You cannot use a net capital loss carryover or
landlord, cancelled checks to document the rent you
a net operating loss carryover in figuring income.
paid to the private landlord, or a copy of your tax bill.
26
If you lived in more than one residence, you must
If you rented out any part of your home to someone
also attach a letter stating the dates you lived at
else, complete Lines 26a and 26b.
each residence.
a
Write the total number of rooms in your home.
31
For any correction, you must send us a copy of the
b
Write the number of rooms you rented to
statement from your nursing, retirement, or shelter
someone else.
care home showing the total amount you paid. See
note below.
Step 4: Tell us how many persons you
a
Write the name, address, and telephone number
are reporting for the year for
of the nursing, retirement, or shelter care home in
which you are filing this
which you lived.
amended application.
b
Write the number of months during which you
lived in this home.
27
Add the number of persons you are reporting on
Form IL-1363-X, Lines 2 and 10, and on Schedule B,
If you lived in more than one home, please
Qualified Additional Residents, Line 9.
attach additional sheets with the Line 31, 31a, and
31b information for each place you lived. Please
If you are reporting any qualified additional
write your name and Social Security number on each
residents, you must attach Schedule B.
attachment.
Step 5: Tell us about the Illinois
Step 6: Sign below.
property tax or rent you paid in
32
You (the claimant) must sign and date this form.
the year for which you are
See note below.
filing this amended application.
33
If you are married and living with your spouse, your
spouse must sign and date Form IL-1363-X.
28
For any correction, you must send us a copy of your
property tax bill or a statement from your mortgage
If you or your spouse is only able to make a
company showing the property tax you paid.
mark, another person must sign as a witness. If you
or your spouse is unable to sign, a legal representa-
29
For any correction, you must send us a copy of your
tive may sign this form. However, you must attach
mobile home tax bill.
documentation proving that the representative is a
30
Check “yes” or “no” to indicate whether your rent
legal guardian or has power of attorney to act for you
included food. Also, for any other correction, you
or your spouse. Applications without a valid signa-
must send us a notarized statement from your
ture or mark will not be approved.
landlord, a copy of a rental agreement or lease, or
34
Write the preparer’s name and phone number on this
cancelled checks showing the total amount in rent
form. If someone other than you or your spouse,
you paid. We will not accept rent receipts. Do not
such as a son, daughter, or legal representative,
include the amount paid by a Section 8 program.
prepares this form for you, that person should print
a
Write the name, address, and telephone number
or type his or her name and telephone number on
of your landlord. If you had more than one landlord,
Line 34.
please attach additional sheets with the above
Instructions for Schedule X / IL-1363 (R-12/07)

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