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Publication 112 - Education Expense Credit General Rules And Requirements For Schools - Illinois Department Of Revenue Page 2

Education Expense Credit General Rules

Sample Written Receipt for Schools

and Requirements for Schools

Illinois Department of Revenue

Receipt for Qualified K-12 Education Expenses

To be completed by school personnel and distributed to parents or guardians

Calendar year

Read this information first

Parents or Guardians: Attach this receipt to your Form IL-1040, Individual Income Tax Return, if you figure an Illinois

Income Tax credit for education expenses.

You must complete the ED Worksheet in the Form IL-1040 Instructions to figure the amount of your credit.

Step 1: School Information:

Name of school

Address of school

City, State, ZIP of school

Step 2: Parent or Guardian Information:

Name of parent or guardian

Address of parent or guardian

City, State, ZIP of parent or guardian

Step 3: Student Information:

1 Complete the following information for each qualifying student from the family listed above. Please list each student on a

separate line.

Column A

Column B

Column C

Column D

Student’s name

Social Security number

Grade

Total tuition,

(K-12 only)

book/lab fees

2 Add the amounts in Column D for Lines 1a through 1g. This is the total amount of

qualified education expenses paid to this school for the calendar year.

IL-1040-Rcpt (R-12/04)

Page 2 of 2

PUB-112 (R-12/04)

Publication 112 - Education Expense Credit General Rules And Requirements For Schools - Illinois Department Of Revenue Page 2