Form Il-1120-St - Small Business Corporation Replacement Tax Return - 2012

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Illinois Department of Revenue
2012 Form IL-1120-ST
Small Business Corporation Replacement Tax Return
Due on or before the 15th day of the 3rd month following the close of the tax year.
Write the amount you are paying.
If this return is not for calendar year 2012, write your fiscal tax year here.
Tax year beginning
2012, ending
20
$
month
day
month
day
year
Step 1: Identify your small business corporation
J
Write your federal employer identification no. (FEIN).
A
Write your complete legal business name.
If you have a name change, check this box.
K
Check this box if you are a member of a
unitary business group, and write the FEIN of
Name:
the member filing the Schedule UB, Combined
B
Write your mailing address.
Apportionment for Unitary Business Groups.
If you have an address change or this is a first return, check this box.
C/O:
L
Write your North American Industry Classification
Mailing address:
System Code (NAICS). See instructions.
City:
State:
ZIP:
C
Check the applicable box if one of the following applies.
M
Write your Illinois corporate file (charter) number
issued by the Secretary of State.
First return
Final return (If final, write the date.
)
mm
dd
yyyy
D
If this is a final return because you sold this business, write the date sold
N
Write the city, state, and zip code where your
(mm dd yy)
, and the new owner’s FEIN.
accounting records are kept. (Use the two-letter
postal abbreviation, e.g., IL, GA, etc.)
E
Special Apportionment Formulas. If you use a special apportionment
formula, check the appropriate box, and see the Special Apportionment
City
State
Zip
Formula instructions.
O
If you are making the business income election to
treat all nonbusiness income as business income,
Financial organizations
Transportation companies
check this box and write “0” on Lines 36 and 44.
Federally regulated exchanges
P
If you have completed the following federal forms,
F
Check this box if you attached Form IL-4562.
check the box and attach them to this return.
G
Check this box if you attached Illinois Schedule M (for businesses).
Federal Form 8886
Federal Sch. M-3
Q
H
If you are making a Discharge of Indebtedness
Check this box if you attached Schedule 80/20.
adjustment on Schedule NLD, or Form IL-1120-ST,
I
Check this box if you attached Schedule 1299-A.
Line 48, check this box and attach federal
Form 982.
If you owe tax on Line 62, complete a payment voucher, Form IL-1120-ST-V, make your check payable to
“Illinois Department of Revenue” and attach them here.
Write the amount of your payment on the top of this page in the space provided.
If a payment is not enclosed, mail this return to:
If a payment is enclosed, mail this return to:
Illinois Department of Revenue
Illinois Department of Revenue
P.O. Box 19032
P.O. Box 19053
Springfield, IL 62794-9032
Springfield, IL 62794-9053
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this
NS
DR
information is REQUIRED. Failure to provide information could result in a penalty.
IL-1120-ST (R-12/12)
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