Form Il-1065 - Partnership Replacement Tax Return - 2014 Page 5

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Illinois Department of Revenue
*430802110*
Schedule B
2014
Enter your name as shown on your Form IL-1065 or Form IL-1120-ST.
Enter your federal employer identification number (FEIN).
Step 2:
Identify your partners or shareholders
(See instructions before completing.)
A
B
C
D
E
F
G
H
I
J
Name
Partner
Subject to Illinois
Member’s
Excluded from Share of Illinois
Pass-through
Pass-through
Address 1
or
SSN
replacement distributable amount pass-through
income subject
withholding
Distributable
withholding
Address 2
Shareholder
or
tax or an
of base
withholding
to pass-through
before
share of
payment
City, State, ZIP
type
FEIN
ESOP
income or loss
payments
withholding
credits
credits
amount
(If Column F is blank, complete Column G through Column J. Otherwise, enter zero
1
in Column G through Column J.)
2
3
q
4
5
6
If you have more members than space provided, attach additional copies of this page as necessary.
Schedule B back (R-12/14)
Page 5 of 5
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