Form Il-516-I And Form Il-516-B Worksheet - 2016 Page 6

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Form IL-516-I
2016
Reminders to avoid processing delays:
•
If you pay electronically, do not send in Form IL-516-I.
•
Ensure the amount written on Step 7, Line 1, is the amount you are paying with Form IL-516-I.
If you wrote “0” on Step 7, Line 1, do not submit Form IL-516-I.
•
Enter your federal employer identification number (FEIN) and tax year ending on your voucher.
•
Enter your name, address, and phone number on your voucher.
•
Detach the voucher and enclose a check or money order for the amount you are paying.
•
Write your FEIN, tax year, and “Form IL-516-I” on your payment.
•
Mail your completed voucher and payment to the address shown on the voucher.
Form IL-516-I (R-12/15)
Page 6 of 7
Pass-through Prepayment Voucher
Illinois Department of Revenue
IL-516-I
(for withholding from individuals and estates)
(R-12/15) Station no: 774
Official use only
Prepayment schedule
Mail to: ILLINOIS DEPARTMENT OF REVENUE
• 15th day of the 4th month
PO BOX 19017
• 15th day of the 6th month
SPRINGFIELD IL 62794-9017
• 15th day of the 9th month
• 15th day of the 1st month of the following year
FEIN:
Tax year ending
Name:
Month
Year
00
$
C/O:
Amount of payment (Whole dollars only)
Mailing
Return this voucher with check or money order
address
:
payable to “Illinois Department of Revenue.”
City:
State:
ZIP:
Reset IL-516-I
Print IL-516-I
Phone:
(
)

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