Form Il-1000-X - Amended Pass-Through Entity Payment Income Tax Return - 2011

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Amended Pass-through Entity
Illinois Department of Revenue
2011 Form IL-1000-X
Payment Income Tax Return
Indicate what tax year you are amending: Tax year beginning ____ ____ ______, ending ____ ____ ______
Write the amount you
month
day
year
month
day
year
are paying.
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, S corporation, or trust
C
Write your federal employer identification number (FEIN).
A
Write your complete legal business name.
5 5 5
___ ___ - ___ ___ ___ ___ ___ ___ ___
If you have a name change check this box.
_______________________________________________________
D
Name:
Check your entity type:
B
Partnership
S corporation
Trust
If you have an address change check this box and complete
the following information.
Mail this return to:
_______________________________________________________
C/O:
Illinois Department of Revenue
___________________________________________________
Mailing address:
P.O. Box 19016
Springfield, IL 62794-9016
___________________________
______
__________
City:
State:
ZIP:
S tep 2: Figure your payment amount
A
B
As most recently
Corrected
reported or adjusted
amount
1
Write your total amount of business income apportioned to Illinois
1
1
(cannot be less than zero).
______________ 00
______________ 00
Lines 2a through 5b, write the amount of business income
that is distributable to partners, shareholders, or beneficiaries subject
to Illinois Income Tax. (See instructions.)
2a
2a
Nonresident individuals/estates (as originally reported)
______________ 00
2b
2b
Nonresident individuals/estates share from Col. B, Line 1. _______________ x .05
=
______________ 00
3a
3a
Partnerships/S corporations (as originally reported)
______________ 00
3b
3b
Partnerships/S corporations share from Col. B, Line 1. _______________ x .015
=
______________ 00
4a
4a
Nonresident trusts (as originally reported)
______________ 00
4b
4b
Nonresident trusts share from Col. B, Line 1
_______________ x .065
=
______________ 00
5a
5a
Corporations (as originally reported)
______________ 00
5b
5b
Corporations share from Col. B, Line 1
_______________ x .095
=
______________ 00
6
6a
6b
Add Lines 2 through 5 for Columns A and B.
______________ 00
______________ 00
7
Write any pass-through entity payment reported to you on
Schedule(s) K-1-P or K-1-T that you choose to apply toward your
7
7
pass-through entity payment obligations. (Schedule(s) K-1-P or K-1-T.)
______________ 00
______________ 00
8
8
Total amount paid on Form IL-1000-P and with original return, IL-1000.
______________ 00
9
9
Add Lines 7 and 8
______________ 00
10
10
Subtract Line 9 from Line 6b. This is your total tax due.
______________ 00
11
11
Penalty. See instructions.
______________ 00
12
12
Interest. See instructions.
______________ 00
13
13
Add Lines 10, 11, and 12. This is the amount you owe.
______________ 00
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.
____________________________________________
_____ _____ _____ ____________________
(_____)__________
Date
Signature of partner, authorized officer, or fiduciary’s representative
Title
Phone
____________________________________________ _____ _____ _____ __________________________________________
Signature of preparer
Date
Preparer’s Social Security number or firm’s FEIN
_________________________________ _____________________________________________
(_____)__________
Phone
Preparer firm’s name (or yours, if self-employed)
Address
Make your check payable to “Illinois Department of Revenue” and attach to this form.
Write the amount of your payment on the top of this form in the space provided.
*159901110*
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-1000-X front (R-12/11)
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