Fillable Printable 2016 Form Il-941, Illinois Withholding Income Tax Return
Fillable Printable 2016 Form Il-941, Illinois Withholding Income Tax Return
2016 Form Il-941, Illinois Withholding Income Tax Return
Illinois Department of Revenue
Form IL-941 2016
Illinois Withholding Income Tax Return
Step 2: Tell us about your W-2 forms and your business
A Enter the total number of W-2 forms reporting Illinois withholding, 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 or withhold Illinois taxes from other payments, check the box and enter the date
you stopped withholding. B __ __ / __ __ / 2016
Step 3: Tell us about the amount subject to withholding
1 Enter the total dollar 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 (Do not leave this line blank. )
2 Enter the total dollar amount of Illinois Income Tax actually withheld from your employees or others for this
reporting period. 2 __________________
Step 5: Tell us about your payments and credits
3 Enter the total dollar amount of withholding payments you made to the Illinois Department of Revenue (IDOR)
for this period. This includes all IL-501 payments (electronic and paper coupons). Do not estimate this amount. 3 __________________
4 Enter the amount of IDOR-approved credit you are using this period. Credits are only valid if you have
received written confirmation from IDOR. See instructions. 4 __________________
5 Enter the amount of credit through DCEO you are using this period. See instructions. 5 __________________
6 Add Lines 3, 4, and 5 and enter the total amount here. 6 __________________
Step 6: Figure your balance
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 or make your remittance payable
to “Illinois Department of Revenue.” (Semi-weekly payers must pay electronically.) 7 __________________
8 If Line 2 is less than Line 6, subtract Line 2 from Line 6. IMPORTANT: This amount is not available for use on
future IL-941 returns until you receive written verification of this amount as an IDOR-approved credit. See
instructions for requesting a refund or for more information. 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
___________________________________ _____________________ (____)________________ __ __ / __ __ / __ __ __ __
Paid Preparer (please print) PTIN Daytime telephone number Month Day Year
NS DR_______________
Month Day
IL-941 (R-12/15)
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*
Quarterly filers: File only one IL-941 return per quarter. Make your payments using IL-501.
Step 1: Provide your information
___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Federal employer identification number (FEIN)
Seq. number
____________________________________________________________
Business name
____________________________________________________________
C/O
____________________________________________________________
Mailing address
______________________________ _______ __________________
City State ZIP
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)
due May 2, 2016
2nd (April, May, June)
due August 1, 2016
3rd (July, August, September)
due October 31, 2016
4th
(October, November, December)
due January 31, 2017
If you are an annual filer:
Check the box if you are not required to file quarterly.
January — December
due January 31, 2017
File electronically using MyTax Illinois at tax.illinois.gov. Do not mail this form if you file electronically.
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
0 0 0
Reset
Print
