Form Il-990-T-X - Amended Exempt Organization Income And Replacement Tax Return - 2011
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Illinois Department of Revenue
Amended Exempt Organization
2011 IL-990-T-X
Income and Replacement Tax Return
For tax years ending on or after December 31, 2011
Do not write above this line.
Indicate what tax year you are amending: Tax year beginning ____ ____ ______, ending ____ ____ ______
Write the amount you
month day
year
month
day
year
are paying.
If you are filing an amended return for tax years ending before December 31, 2011,
$_________________
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 only, check this box.
D
Check the applicable box for the type of change
______________________________________________________
being made.
Name:
State change
Federal change
B
If you have an address change, check this box and complete
If a federal change, check one:
the following information.
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 amount
reported or adjusted
1
Unrelated business taxable income or loss
1
1
from U.S. Form 990-T, Line 34.
_______________ 00
_______________ 00
2
2
2
Illinois income and replacement tax deducted in arriving at Line 1.
_______________ 00
_______________ 00
3
3
3
Base income or loss. Add Lines 1 and 2.
_______________ 00
_______________ 00
If the amount on Line 3 is derived only from inside Illinois or if you are an Illinois resident trust,
skip Step 4 and go to Step 5. Otherwise, complete Step 4.
Step 4: Figure your income allocable to Illinois
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
Net income or loss allocable to Illinois.
11
11
Add Lines 9 and 10.
_______________ 00
_______________ 00
*131801110*
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this
IL-990-T-X front (R-12/11)
information is REQUIRED. Failure to provide information could result in a penalty.
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