Form Il-1041-X - Amended Fiduciary Income And Replacement Tax Return - 2011
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Illinois Department of Revenue
Amended Fiduciary
2011 IL-1041-X
Income and 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
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 fiduciary
F
Write your federal employer identification no. (FEIN).
A
Check the box that identifies your fiduciary.
Trust
Estate
___ ___ - ___ ___ ___ ___ ___ ___ ___
B
G
Write your complete legal business name.
Check the box if you are an
If you have a name change check this box.
Electing small business trust (ESBT)
Individual bankruptcy estate
_______________________________________________________
Name:
H
Check the box if you are not an Illinois resident
C
If you have an address change check this box and complete the
and attach Illinois Schedule NR.
following information.
I
Check the box if Schedule 1299-D is attached.
_______________________________________________________
C/O:
J
Check the box if Schedule I is attached.
_________________________________________________
Mailing address:
K
Check the box if you attached Form IL-4562.
___________________________
______
__________
City:
State:
ZIP:
L
Check the box if you attached Schedule M.
D
Check the applicable box for the type of change being made .
M
Check the box if Schedule 80/20 is attached.
NLD
State change
Federal change
N
If you have completed federal Form 8886,
check the box and attach it to this return.
If a federal change, check one:
Partial agreed
Finalized
Write the finalization date ____________ Attach federal finalization.
O
Check the box if you are making a discharge of
indebtedness adjustment on Line 28 or
E
Check the box if you are filing this form only to report an increased
Schedule NLD and attach federal Form 982.
net loss on Column B, Line 29.
Step 2: Explain the changes on this return
Step 3: Figure your income or loss
A
B
As most recently
Corrected
reported or adjusted
amount
Beneficiaries
Fiduciary
Beneficiaries
Fiduciary
1
Federal taxable income from
1
1
U.S. Form 1041, Line 22.
_____________ 00
_____________ 00
2
Federal net operating loss deduction
from U.S. Form 1041, Line 15a.
2
2
This amount cannot be negative.
_____________ 00
_____________ 00
3
3
3
Taxable income of ESBT, if required.
_____________ 00
_____________ 00
4
4
4
Exemption claimed on U.S. Form 1041.
_____________ 00
_____________ 00
5
Illinois income and replacement tax
5a
5b
5a
5b
deducted in arriving at Line 1.
_____________ 00
_____________ 00
_____________ 00
_____________ 00
6
State, municipal, and other interest
6a
6b
6a
6b
income excluded from Line 1.
_____________ 00
_____________ 00
_____________ 00
_____________ 00
7
Illinois Special Depreciation addition
7a
7b
7a
7b
(Form IL-4562).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
8
Related-party expenses addition
8a
8b
8a
8b
(Schedule 80/20).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
9
Distributive share of additions
9a
9b
9a
9b
(Schedule(s) K-1-P or K-1-T).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
10
Other additions
10a
10b
10a
10b
(Schedule M for businesses).
_____________ 00
_____________ 00
_____________ 00
_____________ 00
11
Add Lines 1 through 4 and Lines 5b
11
11
through 10b. This is your total income or loss.
_____________ 00
_____________ 00
*164101110*
Page 1 of 4
IL-1041-X (R-12/11)
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