Form Ict-4-X - Amended Electricity Distribution And Invested Capital Tax Return

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Illinois Department of Revenue
ICT-4-X
Amended Electricity Distribution
REV 2 Form 493
E S ___/___/___
and Invested Capital Tax Return
Station no. 070
NS
DP
CA
Do not write above this line.
Identify your business
Calendar year for which you are filing this
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
return :__ __ __ __
Federal Employer Identification number (FEIN):
__ __ -__ __ __ __ __ __ __
Check here if your address has changed.
Invested Capital Tax (ICT) License no.: ___ ___ - ___ ___ ___ ___ ___
Is this a final (you are no longer in business)
return?
yes
no
Business name: __________________________________________________
Daytime telephone: (____)____ - ____________
Business address :________________________________________________
Number and street
_______________________________________________________________
City
State
ZIP
Step 1: Invested Capital Tax
- Figures as they should have been filed
Column A
Column B
Beginning of year balance
End of year balance
1
1
1
Total amount of proprietary capital, stockholders’ equity, or total equity
_____________|_____
_____________|_____
2
2
2
Total long-term debt
_____________|_____
_____________|_____
3
3
3
Add Lines 1 and 2.
_____________|_____
_____________|_____
4
4
4
Investments in and advances to all corporations
_____________|_____
_____________|_____
5
5
5
Subtract Line 4 from Line 3.
_____________|_____
_____________|_____
6
6
Add Column A, Line 5, and Column B, Line 5.
_____________|_____
7
7
Multiply Line 6 by 50% (.50). This amount is the average of the balances.
_____________|_____
.
8
8 ___
Illinois apportionment factor from your business income tax return.
______________
9
9
Multiply Line 7 by Line 8.
_____________|_____
10
10
Multiply Line 9 by .8% (.008).
_____________|_____
.
11
11 ___
If you are required to complete Worksheet A (see back), write Line g amount. If not, write “1.00.”
______________
12
12
Multiply Line 10 by Line 11. This amount is your Invested Capital Tax due.
_____________|_____
Step 2: Electricity Distribution Tax
- Figures as they should have been filed
(for liabilities on or after January 1, 1998)
13
13
Kilowatt-hours (kwh) distributed
__________________
14
14
Amount from Worksheet B, Line i. This is your Electricity Distribution Tax due.
_____________|_____
Step 3: Payment
- Figures as they should have been filed
15
15
Add Lines 12 and 14. This amount is your tax due.
_____________|_____
16
16
Estimated payments
_____________|_____
17
17
If Line 16 is greater than Line 15, figure your overpayment by subtracting Line 15 from Line 16.
_____________|_____
18
18
If Line 16 is less than Line 15, figure your underpayment by subtracting Line 16 from Line 15.
_____________|_____
19
19
Credit you wish to apply.
_____________|_____
20
20
Subtract Line 19 from Line 18. This is your net tax due.
_____________|_____
21
21
Total amount you paid for this reporting period.
_____________|_____
22
22
If Line 21 is greater than Line 20, figure your overpayment by subtracting Line 20 from Line 21.
_____________|_____
23
23
If Line 21 is less than Line 20, figure your underpayment by subtracting Line 21 from Line 20.
_____________|_____
Pay this amount and make your check payable to “Illinois Department of Revenue.”
4: Check the reason you are filing this amended return
Step
❑
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
❑
I made a computation error that resulted in underpayment of tax.
❑
I made an error on a schedule or attachment.
❑
I should have taken a deduction for _________________________________________________________________________________
❑
The original License no. was incorrect. The incorrect License no. is __ __ - __ __ __ __ __.
❑
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
❑
Other. Please explain.____________________________________________________________________________________________
______________________________________________________________________________________________________________
Step 5: Signatures
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete.
__________________________________________________________________
____/____/________ (____)____-____________
Taxpayer’s signature
Date
Telephone (Include area code.)
__________________________________________________________________
____/____/________ (____)____-____________
Preparer’s signature
Date
Telephone (Include area code.)
*249301110*
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
ICT-4-X (R-11/12)
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.

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