Form Il-1040-X - Amended Individual Income Tax Return - 2015
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Illinois Department of Revenue
2015 Form IL-1040-X
Amended Individual Income Tax Return
REV 12
Step 1: Personal information
Do not write above this line.
A
Print or type your current Social Security number(s), name(s), and address.
–
–
–
–
Your Social Security number
Spouse’s Social Security number
Your first name and initial
Spouse’s first name and initial (and last name - only if different)
Your last name
Mailing address
Apt. number
City
State
ZIP or Postal Code
Foreign Nation, if not U.S.A.
B
Check if your Social Security number(s), name(s), or address listed above are different from your previously filed return. See instructions.
C
Filing Status:
Single or head of household
Married filing jointly
Married filing separately
Widowed
D
**
Check the box that identifies why you are making this change.
Attach a copy of your federal finalization. See instructions.
____ ___ ____
____ ____ ____
**
**
Federal change accepted on
NOL accepted on
State change
Month
Day
Year
Month
Day
Year
______/______/______
E
On what date did you file your original Form IL-1040 or your latest Form IL-1040-X?
F
Did you file a U.S. Form 1040X or Form 1045? If "yes," you must attach a copy to this form. See instructions.
yes
no
G
Explain, in detail, the reason(s) for filing this amended return. Attach a separate sheet if necessary.
If you are changing your Illinois return due to a change to your federal return that resulted in an overpayment, do not file this form
until you receive notification that the Internal Revenue Service (IRS) accepted the changes.
Column A
Column B
As originally reported or adjusted
Corrected figures
Step 2:
1
1
1
Federal adjusted gross income
.00
.00
2
2
2
Federally tax-exempt interest and dividend income
.00
.00
Income
3
3
3
Other additions. Attach Schedule M with amended figures.
.00
.00
4
4
4
Total income. Add Lines 1 through 3.
.00
.00
Step 3:
5
Social Security benefits and certain retirement plan income.
5
5
Attach U.S. 1040 or 1040A, page 1 with amended figures.
.00
.00
Base
6
Illinois Income Tax overpayment included in U.S. 1040, Line 10.
Income
6
6
Attach U.S. 1040, page 1 with amended figures.
.00
.00
7
7
7
Other subtractions. Attach Schedule M with amended figures.
.00
.00
8
8
8
Total subtractions. Add Lines 5 through 7.
.00
.00
9
9
9
Illinois base income. Subtract Line 8 from Line 4.
.00
.00
Step 4:
10 a
10a
10a
Number of exemptions
X $2,150
.00
.00
b
10b
10b
Claimed as a dependent. See instructions.
X $2,150
.00
.00
Exemptions
c
10c
10c
65 or older
X $1,000
.00
.00
d
10d
10d
Legally blind
X $1,000
.00
.00
10
10
Exemption allowance. Add Lines 10a through 10d.
.00
.00
Step 5:
11
11
11
Residents only: Net income. Subtract Line 10 from Line 9.
.00
.00
12
Nonresidents and part-year residents only: Attach Schedule NR.
Net
Write your Illinois base income from Schedule NR and check the box
Income
12
12
that applies to you during 2015.
Nonresident
Part-year resident
.00
.00
13
Step 6:
Residents: Multiply Line 11 by 3.75% (.0375).
13
13
Nonresidents and part-year residents: Enter the tax from Schedule NR.
.00
.00
Tax
14
14
14
Recapture of investment tax credits. Attach Schedule 4255.
.00
.00
15
15
15
Income tax. Add Lines 13 and 14.
.00
.00
Step 7:
16
16
16
Credit from Schedule CR. Attach Schedule CR with amended figures.
.00
.00
17
Property tax and K-12 education expense credit from Schedule ICR.
Tax After
17
17
Attach Schedule ICR with amended figures.
.00
.00
Non-
18
Credit from Schedule 1299-C. Attach Schedule 1299-C with amended
refundable
18
18
figures.
.00
.00
Credits
19
19
19
Nonrefundable credits. Add Lines 16, 17, and 18.
.00
.00
20
20
20
Tax after nonrefundable credits. Subtract Line 19 from Line 15.
.00
.00
Official Use
*561501110*
IL-1040-X front (R-12/15)
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