Schedule 80/20 - Related-Party Expenses - 2014 Page 3
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1
2
3Illinois Department of Revenue
Schedule 80/20
2014
Enter your name as shown on your Illinois tax return.
Enter your federal employer identification number (FEIN).
Read this information first -
If you attach multiple copies of Schedule 80/20 to your return, complete this page once and attach it
as the last page of Schedule 80/20. Failure to do so may result in a delay in the processing of your return.
Step 4: Figure your total subtraction modification
19
19
Enter the amount from Line 18.
20
Subtraction for losses insured by
an affiliated insurance company.
20
See instructions.
21
Enter the name and FEIN
Name
of the affiliated insurance
company from Line 20.
FEIN
If you are not an affiliated company, skip Lines 22 through 31 and complete Line 32.
If you are an affiliated company, complete Lines 22 through 31 and Line 32.
22
Enter the name and FEIN of the
Name
U.S. company that paid you interest
or intangible expenses.
FEIN
23
23
Enter the amount of interest received from the U.S. company.
24
24
Enter the amount of interest paid to you from the U.S. company’s Schedule 80/20, Line 5.
25
25
Enter the lesser of Line 23 or Line 24.
26
26
Enter the intangible income received from the U.S. company.
27
27
Enter the amount of intangible expenses paid to you from the U.S. company’s Schedule 80/20, Line 8.
28
28
Enter the lesser of Line 26 or Line 27.
29
29
Enter the amount of insurance premiums received from the U.S. company.
30
30
Enter the amount of insurance premiums paid to you from the U.S. company’s Schedule 80/20, Line 11.
31
31
Enter the lesser of Line 29 or Line 30.
All taxpayers complete Line 32.
32
Total subtraction modifications.
Add Lines 19, 20, 25, 28, and 31.
32
Enter the amount here and see instructions.
*434303110*
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Print
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this
Schedule 80/20 (R-12/14)
information is REQUIRED. Failure to provide information could result in a penalty.
Page 3 of 3
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