Form Il-1040-X - Amended Individual Income Tax Return - 2000
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1
2Illinois Department of Revenue
IL-1040-X
Calendar year
Amended Individual Income Tax Return
or fiscal year ending
,
.
REV 08
Step 1: Provide the following information
1
Print or type your current name(s), address, and Social Security number(s).
___ ___ ___ – ___ ___ – ___ ___ ___ ___
Your first name and initial
Spouse’s first name (and last name if different)
Your last name
Your Social Security number
___ ___ ___ – ___ ___ – ___ ___ ___ ___
Mailing address
Spouse’s Social Security number
4
Check why you are making this change.
City
State
ZIP
(Complete Step 3 on back.)
____/____/____
2
Federally accepted on
Only check the box if your name(s), address, or Social Security number(s) are different from
Month
Day
Year
your previously filed return. Complete Step 4 on back.
NOL or commodity contract loss
3
State change
Only check the box if your filing status or residency has changed. Complete Step 5 on back.
Step 2: Complete the following information
Column A
Column B
Line numbers below will not necessarily match line numbers on your original return.
Most recent figures filed
Corrected figures
1
1
1
Adjusted gross income or loss (Attach copy of U.S. 1040 or 1040X.)
_____________|____
_____________|____
2
2
2
Federally tax-exempt interest and dividend income
_____________|____
_____________|____
3
3
3
Other additions (specify) ________________________________
_____________|____
_____________|____
4
4
4
Total income – Add Lines 1 through 3.
_____________|____
_____________|____
5
5
5
Federally taxed Social Security and federally taxed retirement
_____________|____
_____________|____
6
6
6
Active-duty military pay included in Line 1.
_____________|____
_____________|____
7
7
7
Illinois Income Tax refund from U.S. 1040, Line 10
_____________|____
_____________|____
(Attach a copy of
8
8
8
U.S. government obligations and U.S. agency income
_____________|____
_____________|____
U.S. 1040, Schedule B.)
9
9
9
Other subtractions (specify) ______________________________
_____________|____
_____________|____
10
10
10
Total subtractions – Add Lines 5 through 9.
_____________|____
_____________|____
11
11
Subtract Line 10 from Line 4. This is your base income.
_____________|____
12
a
a
a
Number of exemptions:
yourself and your dependents
b
b
b
65 years of age or older or legally blind
12
12
Residents: Write your exemption allowance from Form IL-1040, Line 12.
_____________|____
_____________|____
Nonresidents and part-year residents: Go to Line 14.
13
13
Net income: Subtract Column B, Line 12, from Line 11.
_____________|____
14
Tax – Include recapture amount from Schedule 4255 if applicable.
Residents: Multiply Line 13 by the applicable rate. (See instructions.)
Nonresidents and part-year residents: Write the correct Illinois base
income from Schedule NR, Step 5, Line 45, here.
__________|___
14
14
Write the correct tax amount from Line 51.
(Attach corrected Schedule NR.)
_____________|____
_____________|____
15
15
Total amount of your
previous overpayments,
and original contributions.
_____________|____
16
16
Add Column B, Lines 14 and 15.
_____________|____
17
17
17
Illinois Income Tax withheld (See instructions.)
_____________|____
_____________|____
18
18
18
Estimated payments (IL-1040-ES, IL-505-I, and prior year credit)
_____________|____
_____________|____
19
19
19
Credit from Schedule CR (Attach corrected Illinois Schedule CR.)
_____________|____
_____________|____
20
Property tax credit – Complete the worksheet in the instructions. Write
20
20
the amount from Line 3 here
_______|___ and Line 8 here.
_____________|____
_____________|____
21
Education expense credit – Write the amount from the worksheet
21
21
or Schedule ED here
_______|___ and Line 10 here.
_____________|____
_____________|____
22
Earned Income Credit – Complete the worksheet in the instructions. Write
22
22
the amount from Line 1 here
_______|___ and Lines 9 or 12 here.
_____________|____
_____________|____
23
23
23
Tax credits from attached corrected Schedule 1299-C
_____________|____
_____________|____
24
24
Other payments
excluding penalty and interest. (See instructions.)
_____________|____
25
25
T otal payments and credits – Add Column B, Lines 17 through 24.
_____________|____
26
26
If Line 16 is less than Line 25, subtract Line 16 from Line 25. This is your refund.
_____________|____
27
27
If Line 16 is greater than Line 25, subtract Line 25 from Line 16. This is your tax due.
_____________|____
+
=
28
28
Penalty and interest (See instructions.) _____________|____
_____________|____
_____________|____
Penalty amount
Interest amount
29
29
Add Lines 27 and 28. This is your total balance due.
_____________|____
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.
Official Use
Sign
Your signature
Date
Daytime phone number
Spouse’s signature
here
Paid preparer’s signature
Date
Daytime phone number
Paid preparer’s FEIN, SSN, or PTIN
Mail to: Illinois Department of Revenue, P.O. Box 19007, Springfield, IL 62794-9007
IL-1040-X (R-12/00)
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