Form Il-990-T - Exempt Organization Income And Replacement Tax Return - 2004
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1Illinois Department of Revenue
Exempt Organization Income
2004 Form IL-990-T
and Replacement Tax Return
or fiscal year beginning ___ ___/___ ___, 2004, ending ___ ___/___ ___, 20___ ___.
Due on or before the 15th day of the 5th month (4th month for employee trusts) following the close of the tax year.
Do not write above this line.
_____________________________________________________________
|___|___| - |___|___|___|___|___|___|___|
Name
Federal employer identification number (FEIN)
_____________________________________________________________
|___|___|___|___| - |___|___|___|___|
C/O or name of trust's fiduciary
Illinois business tax (IBT) number
Check all that apply.
Name or address change
First return
_____________________________________________________________
Final return, write the date discontinued __ __/__ __/__ __ __ __
Mailing address
or sold __ __/__ __/__ __ __ __
_____________________________________________________________
Indicate if you are taxed as a:
Corporation
Trust
City
State
ZIP
Nature of unrelated trade or business:________________________
Part I
1
1
Unrelated business taxable income or loss (See instructions.)
______________|____
2
2
Illinois income and replacement tax deducted in arriving at Line 1 above
______________|____
3
Base income or loss. Add Lines 1 and 2. If base income or loss is derived solely inside Illinois or the trust is an
3
Illinois resident, write this amount on Part III, Line 1; otherwise, continue to Part II.
______________|____
Part II
1
1
Trust, estate, or non-unitary partnership business income or loss included in Part 1, Line 3. (See instructions.)
______________|____
2
2
Business income or loss. Subtract Line 1 from Part I, Line 3.
______________|____
3
Business income apportionment formula
a
3a
Total sales everywhere
___________________
b
3b
Total sales within Illinois
___________________
c
3c
Apportionment factor. Divide Line 3b by Line 3a. (Carry to six decimal places.)
________________
•
4
4
Base income or net loss apportionable to Illinois. Multiply Line 2 by Line 3c.
______________|____
5
5
Trust, estate, or non-unitary partnership business income or loss apportionable to Illinois (See instructions.)
______________|____
6
6
Base income or net loss allocable to Illinois. Add Lines 4 and 5. Write here and on Part III, Line 1.
______________|____
Part III
1
1
Base income or loss from Part I, Line 3 or Part II, Line 6
______________|____
2 a
2a
Replacement tax. Corporations should multiply Line 1 by 2.5%; otherwise 1.5%.
______________|____
b
2b
Recapture of investment credits from Schedule 4255 (See instructions.)
______________|____
3
3
Total replacement tax before investment credits. Add Lines 2a and 2b.
______________|____
4
4
Investment credits from IL-477, Part I, Line 11 (Attach Form IL-477, see instructions.)
______________|____
5
5
Net replacement tax. Subtract Line 4 from Line 3 (cannot be less than zero).
______________|____
Part IV
1 a
1a
Income tax. Corporations should multiply Part III, Line 1 by 4.8%; otherwise 3%.
______________|____
b
1b
Recapture of investment credits from Schedule 4255 (See instructions.)
______________|____
2
2
Total income tax before credits. Add Lines 1a and 1b.
______________|____
3
3
Write the total amount of income tax credits from Schedule 1299-D.
______________|____
(Attach Schedule 1299-D, see instructions.)
a
3a
High Impact Businesses only: Write your Jobs Tax Credit from Schedule 1299-D.
______________|____
b
3b
Write your High Impact Business Investment Credit from Schedule 1299-D.
______________|____
c
3c
Write your EDGE Tax Credit from Schedule 1299-D.
______________|____
4
4
Net income tax. Subtract Line 3 from Line 2 (cannot be less than zero).
______________|____
5
5
Total net income and replacement tax. Add Part III, Line 5 and Part IV, Line 4.
______________|____
6 a
6a
Estimated tax payments. Include any 2003 overpayment credited to 2004 tax.
______________|____
b
6b
Tax paid with Form IL-505-B
______________|____
7
7
Total payments and credit. Add Lines 6a and 6b.
______________|____
8
8
Overpayment. Subtract Line 5 from Line 7.
______________|____
a
8a
Write the amount of overpayment to be credited to 2005.
______________|____
9
9
Tax due. Subtract Line 7 from Line 5. This is your balance of tax due (see instructions). Pay in full if $1 or more.
______________|____
Do not write in this box.
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.
______________________________________________/_____/_______
(_____)_______________________
Signature of authorized officer
Date
Phone
______________________________________________/_____/_______
_____________________________
Check if self-
Signature of preparer
Date
Preparer's SSN, FEIN, or PTIN
employed
_____________________________________
_____________________________________________
(_____)__________________
Preparer firm's name (or preparer if self-employed)
Address (firm's or preparer's if self-employed)
Phone
Mail this return to: Illinois Department of Revenue, P.O. Box 19009, Springfield, IL 62794-9009
NS
TS
ME
IM
NT
FI
XX
PB _______
PZ _______
AL_______
DR _________
ID _______
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-492-0076
IL-990-T (R-12/04)
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