Schedule 80/20 - Related-Party Expenses - 2011

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Illinois Department of Revenue
Year ending
Schedule 80/20
Related-Party Expenses
____ ____
Month
Year
Attach to your Form IL-1120, IL-1120-ST, IL-1065, or IL-1041. For tax years ending on or after December 31, 2011.
IL Attachment No. 14
Write your name as shown on your Illinois tax return.
Write your federal employer identification number (FEIN).
____________________________________________________
____ ____ - ____ ____ ____ ____ ____ ____ ____
Step 1: Identify your affiliated companies
A
B
C
D
TOTALS
1
Write the name of each
.
1
affiliated company
______________________ _____________________
_____________________
2
Write the FEIN for each
2
affiliated company.
_____ - _______________ _____ - ______________
_____ - ______________
Step 2: Figure your addition modification
(
All taxpayers may complete this section.)
3 a
Amount of interest paid to
3a
each affiliated company.
____________________
____________________
____________________
b
Interest exempt from
3b
the amount on Line 3a.
____________________
____________________
____________________
c
3c
Subtract Line 3b from 3a.
____________________
____________________
____________________
4
Amount of dividends
received from each
4
affiliated company.
____________________
____________________
____________________
5
Subtract Line 4 from Line 3c.
If negative, write “0” here
and the result as a positive
5
5
amount on Line 7.
____________________
____________________
____________________
_______________
6a
Intangible expenses paid to
6a
each affiliated company.
____________________
____________________
____________________
b
Intangible expenses exempt
6b
from the amount on Line 6a.
____________________
____________________
____________________
c
6c
Subtract Line 6b from 6a.
____________________
____________________
____________________
7
Any excess of dividends
received from each affiliated
company on Line 4 over the
interest expense addition on
7
Line 3c.
____________________
____________________
____________________
8
Subtract Line 7 from Line 6c.
If negative, write “0” here
and write the result as
8
8
positive amount on Line 10.
____________________
____________________
____________________
_______________
9
Insurance premiums paid to
9
each affiliated company.
____________________
____________________
____________________
10
Any excess of dividends
received from each affiliated
company on Line 7 over the
intangible expense addition
10
on Line 6c.
____________________
____________________
____________________
11
Subtract Line 10 from
11
11
Line 9. If negative, write “0.”
____________________
____________________
____________________
_______________
12
Insurance companies:
Insurance proceeds received
from you that were claimed
as a subtraction by any of
your policy holders on
Schedule 80/20, Line 18.
12
12
See instructions.
____________________
____________________
____________________
_______________
13
Add Lines 5, 8, 11 and 12.
13
13
See instructions.
____________________
____________________
____________________
_______________
*134301110*
Schedule 80/20 (R-12/11)
Page 1 of 4

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