Form Il-1040-X Draft - Amended Individual Income Tax Return Page 2
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1
2Name
Social Security no.
For tax year
___ ___ ___ – ___ ___ – ___ ___ ___ ___
_____ / _____
Step 2: Continued from Page 1
Column B
Corrected figures
25
25
Write the amount from Page 1, Line 25 .
_____________|____
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.
_____________|____
Official Use
Step 3: Reason for filing (Everyone filing this return must complete this step.)
If you are changing your Illinois return due to a change to your federal return, do not file this form until you receive notification that
the IRS has accepted the changes. Refer to ‘‘How long do I have to correct or amend my return?’’ on Page 1 of the Form IL-1040-X
instructions.
30
For the tax year you are amending, on what date did you file your most recent Illinois Form IL-1040,
______/______/______
Form IL-1040-X or electronically filed return?
Month
Day
Year
31
Did you file a U.S. Form 1040X?
yes
no
If you filed a U.S. Form 1040X, you must attach to this form:
a copy of your U.S. Form 1040X, and
a copy of the notification you received from the Internal Revenue Service (IRS) stating that they accepted
the changes shown on your U.S. Form 1040X; e.g., a refund check, "Statement of Account," agreement, or
judgment. You must write the date the IRS notified you (not the date you filed your U.S. 1040X) in the
appropriate space in Step 1, Line 5. Failure to provide this date could result in an assessment of a
late-payment penalty.
32
Are you filing this form because of a federal audit?
yes
no
If ‘‘yes,’’ be sure to write the date of finalization in the appropriate space in Step 1, Line 5, and attach copies
of all federal audit reports. Failure to provide this date could result in an assessment of a late-payment penalty.
33
Have you received notification that your return is under audit by the Illinois Department of Revenue?
yes
no
34
Explain, in detail, the reason(s) for filing this amended return. Attach a separate sheet if necessary.
Step 4: Sign and date
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.
Your signature
Date
Daytime phone number
Your spouse’s signature
Date
Sign
here
Paid preparer’s signature
Date
Preparer’s phone number
Preparer’s FEIN, SSN, or PTIN
Mail to: Illinois Department of Revenue, P.O. Box 19007, Springfield, IL 62794‑9007
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-492-0074
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DX
PX QX
XF XY NO
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ID
Page 2 of 4
IL-1040-X (R-12/07)
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