Form Il-990-T-X - Amended Exempt Organization Income And Replacement Tax Return - 2012
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1
2Illinois Department of Revenue
Amended Exempt Organization
2012 IL-990-T-X
Income and Replacement Tax Return
For tax years ending on or after December 31, 2012
Write the amount you
Indicate what tax year you are amending: Tax year beginning
, ending
are paying.
month
day
year
month day
year
If you are filing an amended return for tax years ending before December 31, 2012,
you cannot use this form. For prior years, use the amended return form for that year.
$
Step 1: Identify your exempt organization
C
Write your federal employer identification no. (FEIN).
A
Write your complete legal business name.
If you have a name change, check this box.
D
Check the applicable box for the type of change
being made.
Name:
State change
Federal change
B
Write your mailing address.
If a federal change, check one:
If you have an address change, check this box.
Partial agreed
Finalized
C/O:
Write the finalization date
Attach your federal finalization to this return.
Mailing address:
E Check this box if you are taxed as a corporation.
City:
State:
ZIP:
F Check this box if you are taxed as a trust.
G Check this box if Schedule 1299-D is attached.
Step 2: Explain the changes on this return
Step 3: Figure your base income or loss
A
B
As most recently
Corrected
reported or adjusted
amount
1
Unrelated business taxable income or loss
1
1
from U.S. Form 990-T, Line 34.
00
00
2
2
2
00
00
Illinois income and replacement tax deducted in arriving at Line 1.
3
3
3
Base income or loss. Add Lines 1 and 2.
00
00
A If the amount on Line 3 is derived inside Illinois only or if you are an Illinois resident trust, check this box and write the amount
from Step 3, Line 3 on Step 5, Line 12. You may not complete Step 4. (You must leave Step 4, Lines 4 through 11 blank.)
B If any portion of the amount on Line 3 is derived outside Illinois, check this box and complete all lines of Step 4. See instructions.
Step 4: Figure your income allocable to Illinois
(Complete only if you checked the box on Line B, above.)
4
Trust, estate, and non-unitary partnership business income or loss
4
4
included in Line 3.
00
00
5
5
5
Business income or loss. Subtract Line 4 from Line 3.
00
00
6
6
6
Total sales everywhere. This amount cannot be negative.
00
00
7
7
7
Total sales inside Illinois. This amount cannot be negative.
00
00
8
8
8
Apportionment Factor. Divide Line 7 by Line 6 (carry to six decimal places).
9
Business income or loss apportionable to Illinois.
9
9
Multiply Line 5 by Line 8.
00
00
10
Trust, estate, and non-unitary partnership business income or loss
10
10
apportionable to Illinois.
00
00
11
Base income or loss allocable to Illinois.
11
11
Add Lines 9 and 10.
00
00
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.
IL-990-T-X front (R-12/12)
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