Fillable Printable 2017 Form Il-941, Illinois Withholding Income Tax Return
Fillable Printable 2017 Form Il-941, Illinois Withholding Income Tax Return
2017 Form Il-941, Illinois Withholding Income Tax Return
Illinois Department of Revenue
Form IL-941 2017
Illinois Withholding Income Tax Return
Step 2: Tell us about your business
A Enter the total number of W-2 forms reporting Illinois withholding you were required to issue for
the entire year. 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 Box B and
enter the date you stopped withholding. B __ __ / __ __ / 2017
C Check Box C if
• you are not subject to the Illinois Secure Choice Savings Program Act (820 ILCS 80/), or
• you are subject to the Illinois Secure Choice Savings Program Act (820 ILCS 80/) and you offer
a qualified retirement savings plan, such as a pension or 401(k), to your employees.
For more information, see the instructions or go to illinoisretirement.gov. C
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
2 Enter the exact amount of Illinois Income Tax you actually withheld from your employees or others on the date
you paid the compensation. Only enter amounts on days you made withholding - leave the remaining “Day” lines
blank. If you withheld no Illinois Income Tax during the month, enter “0” on the corresponding “Total” line - Line 2a,
2c, or 2d (noted by “ ”).
2a First month of quarter (i.e., January for 1st quarter; April for 2nd quarter; July for 3rd quarter; and October for 4th quarter)
Day Amount Day Amount Day Amount Day Amount
1 ____________.___ 9 ____________.___ 17 ____________.___ 25 ____________.___
2 ____________.___ 10 ____________.___ 18 ____________.___ 26 ____________.___
3 ____________.___ 11 ____________.___ 19 ____________.___ 27 ____________.___
4 ____________.___ 12 ____________.___ 20 ____________.___ 28 ____________.___
5 ____________.___ 13 ____________.___ 21 ____________.___ 29 ____________.___
6 ____________.___ 14 ____________.___ 22 ____________.___ 30 ____________.___
7 ____________.___ 15 ____________.___ 23 ____________.___ 31 ____________.___
8 ____________.___ 16 ____________.___ 24 ____________.___
Total Illinois Income Tax withheld this month. (Add Section 2a, Lines 1-31.) 2a ____________.___
Month Day
IL-941 front (R-12/16)
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.
*177100001*
File only one Form IL-941 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
Reporting Period
Check the quarter you are reporting.
1st (January/February/ March)
due May 1, 2017
2nd (April/May/June)
due July 31, 2017
3rd (July/August/September)
due October 31, 2017
4th
(October/November/December)
due January 31, 2018
This form is authorized as outlined under the Illinois Income Tax Act. Disclosure of
this information is required. Failure to provide information could result in a penalty.
Continue on the next page.
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
0 0 0
2c Second month of quarter (i.e., February for 1st quarter; May for 2nd quarter; August for 3rd quarter; and November for 4th quarter)
Day Amount Day Amount Day Amount Day Amount
1 ____________.___ 9 ____________.___ 17 ____________.___ 25 ____________.___
2 ____________.___ 10 ____________.___ 18 ____________.___ 26 ____________.___
3 ____________.___ 11 ____________.___ 19 ____________.___ 27 ____________.___
4 ____________.___ 12 ____________.___ 20 ____________.___ 28 ____________.___
5 ____________.___ 13 ____________.___ 21 ____________.___ 29 ____________.___
6 ____________.___ 14 ____________.___ 22 ____________.___ 30 ____________.___
7 ____________.___ 15 ____________.___ 23 ____________.___ 31 ____________.___
8 ____________.___ 16 ____________.___ 24 ____________.___
Total Illinois Income Tax withheld this month. (Add Section 2c, Lines 1-31.) 2c ____________.___
2d Third month of quarter (i.e., March for 1st quarter; June for 2nd quarter; September for 3rd quarter; and December for 4th quarter)
Day Amount Day Amount Day Amount Day Amount
1 ____________.___ 9 ____________.___ 17 ____________.___ 25 ____________.___
2 ____________.___ 10 ____________.___ 18 ____________.___ 26 ____________.___
3 ____________.___ 11 ____________.___ 19 ____________.___ 27 ____________.___
4 ____________.___ 12 ____________.___ 20 ____________.___ 28 ____________.___
5 ____________.___ 13 ____________.___ 21 ____________.___ 29 ____________.___
6 ____________.___ 14 ____________.___ 22 ____________.___ 30 ____________.___
7 ____________.___ 15 ____________.___ 23 ____________.___ 31 ____________.___
8 ____________.___ 16 ____________.___ 24 ____________.___
Total Illinois Income Tax withheld this month. (Add Section 2d, Lines 1-31.) 2d ____________.___
Add Lines 2b, 2c, and 2d and enter the total amount here. This is the total dollar amount of
Illinois Income Tax actually withheld from your employees or others for this quarter. 2 _________________
Step 5: Tell us about your payments and credits
3 Enter the amount of credit through DCEO you are using this period. See instructions. 3 _________________
4 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. 4 _________________
5 Enter the amount of IDOR-approved credit you are using this period. Credits are only valid if you
received written confirmation from IDOR. 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.” If Line 6 is greater than Line 2, see the instructions.
(Semi-weekly payers must pay electronically.) 7 _________________
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 IR DR_______________
IL-941 back (R-12/16)
Check this box if we may
discuss this return with
the paid preparer shown
in this step.
Mail to: ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19052
SPRINGFIELD IL 62794-9052
Step 4: Continued
2b Enter the amount from Page 1, Step 4, Line 2a. 2b ____________.___
*177100002*
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