Fillable Printable 2014 Form Il-941, Illinois Withholding Income Tax Return
Fillable Printable 2014 Form Il-941, Illinois Withholding Income Tax Return
2014 Form Il-941, Illinois Withholding Income Tax Return
Illinois Department of Revenue
Form IL-941 2014
Illinois Withholding Income Tax Return
Quarterly filers: File only one IL-941 return per quarter. Make your payments using IL-501.
Step 2: Tell us about your W-2 forms and your business
A Write the total number of W-2 forms you were required to issue for the entire year.
(Quarterly filers — Only complete this line when you file your 4th quarter or final return.) A __________________
B If your business has permanently stopped withholding because it has closed or you no longer
pay Illinois wages, check the box and write the date you stopped paying wages. B __ __ / __ __ / 2014
Step 3: Tell us about the amount subject to withholding
1 Write the total amount subject to Illinois withholding tax this reporting period, including payroll,
compensation, and other amounts. See instructions. 1 __________________
Step 4: Tell us about the amount withheld
2 Write the amount of Illinois Income Tax actually withheld for this reporting period. 2 __________________
Step 5: Tell us about your payments and credits
3 Write the total amount of withholding payments you have made for this
period. This includes all IL-501 payments (electronic and paper coupons). 3 ________________
4 Write the amount of credit carried forward from your previous Form IL-941. 4 ________________
5 Write the total amount of credits you have received through DCEO. 5 ________________
6 Add Lines 3, 4, and 5 and write the total amount here. 6 __________________
Step 6: Figure your credit or the amount you owe
7 If Line 2 is greater than Line 6, subtract Line 6 from Line 2. This is your remaining
balance due. Make your payment electronically (semi-weekly payers must pay electronically)
or make your remittance payable to “Illinois Department of Revenue.” 7 __________________
8 If Line 2 is less than Line 6, subtract Line 2 from Line 6. Claim this amount on your next Form IL-941. 8 __________________
Step 7: Sign here
Under penalties of perjury, I state that, to the best of my knowledge, this return is true, correct, and complete.
___________________________________(____)________________ __ __ / __ __ / __ __ __ __
Signature Daytime telephone number Month Day Year
___________________________________(____)________________ __ __ / __ __ / __ __ __ __
Signature of Preparer Daytime telephone number Month Day Year
NS DR____
Mail to: ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19052
SPRINGFIELD IL 62794-9052
Reporting Period
If you are a quarterly filer:
Check the quarter you are reporting.
1st (January, February, March)
2nd (April, May, June)
3rd (July, August, September)
4th
(October, November, December)
If you are an annual filer:
Check the box if you are not required to file quarterly.
January — December
Month Day
IL-941 (R-12/13)
Check this
box if your
business
name has
changed.
Check this
box if your
address
has
changed.
Check this
box if this is
your first
return.
Check this box if we may
discuss this return with the
preparer shown in this step.
*IL-941*
Step 1: Provide your information
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Federal employer identification number (FEIN)
Seq. number
____________________________________________________________
Business name
____________________________________________________________
C/O
____________________________________________________________
Mailing address
______________________________ _______ __________________
City State ZIP
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