Form Il-1065-X - Amended Partnership Replacement Tax Return - 2011
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Illinois Department of Revenue
Amended Partnership
2011 IL-1065-X
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
are paying.
month
day
year
month
day
year
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 partnership
E
Write your federal employer identification no (FEIN).
A
Write your complete legal business name.
___ ___ - ___ ___ ___ ___ ___ ___ ___
If you have a name change check this box.
F
Check the box if you are a member of a
______________________________________________________
Name:
unitary business group, and write the FEIN of
the member filing the Schedule UB, Combined
B
If you have an address change or this is a first return, check this box and
Apportionment for Unitary Business Groups.
complete the following information.
___ ___ - ___ ___ ___ ___ ___ ___ ___
______________________________________________________
C/O:
G
Write your North American Industry Classification
_______________________________________________
Mailing address:
System Code (NAICS). See instructions.
___________________________
______
__________
_____ _____ _____ ______ _____ _____
City:
State:
ZIP:
H
Check the applicable box for the type of change
C
Check the box if you are filing this form only to report an increased net
being made.
loss on Line 47, Column B.
NLD
State change
Federal change
D
Check the box if you are classified as an investment partnership.
If a federal change, check one:
Partial agreed
Finalized
Write the finalization date __________________
Attach federal finalization.
I
Check this box if you are filing Form IL-1065-X
and before the extended due date to make the
election to treat all nonbusiness income as
business income.
J
If you have completed the following federal forms,
check the box and attach them to this return, if you
have not previously done so.
Federal Form 8886
Federal Schedule M-3
K
Check the box if you attached Form IL-4562.
L
Check the box if you attached Schedule M.
M
Check the box if you attached Schedule 80/20.
N
Check the box if you attached Schedule 1299-A.
Make your check payable to “Illinois Department of Revenue” and attach it here.
Write the amount of your payment on the top of this page in the space provided.
Mail this return to: Illinois Department of Revenue, P.O. Box 19016, Springfield, IL 62794-9016
Step 2: Explain the changes on this return
*132501110*
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this
information is REQUIRED. Failure to provide information could result in a penalty.
IL-1065-X (R-12/11)
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