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                                                                                      *61812191W*
     Illinois Department                  of Revenue
                              Gains from Sales of Employer’s Securities 
     IL-4644 Received from a Qualified Employee Benefit Plan
     Attach this form and a copy of your federal Schedule D to your Form IL-1040 or Form IL-1041.                                                                     IL Attachment No. 20

Step 1: Provide the following information
 1 This form is for calendar year                     or other taxable year beginning                /                              and ending                          /            .      
                                              Year                                      Month          Year                                        Month                    Year
 2 Enter your name as shown on your Form IL-1040 or Form IL-1041.  

 3 Enter your Social Security number (SSN) or federal employer identification number (FEIN).  

 4 Check one                   Individual                  Estate or trust

Step 2: Provide general security information
                             Column A                                               Column B  Column C                                             Column D
                             Description of security                                Date distributed                               Date sold          Federal gain
                             (List each sale separately)                            (month, year)                                 (month, year)        on disposition 

 5                                                                                                                                                                                    00
 6                                                                                                                                                                                    00
 7                                                                                                                                                                                    00
 8                                                                                                                                                                                    00

Step 3: Calculate net unrealized appreciation
     Column E                                        Column F                                      Column G                                           Column H
     Market value of stock                          Federal tax basis of stock         Column E minus Column F                                     Lesser of Columns G or D
     on date of distribution.                       on date of distribution.          (If Column F is greater than
     See instructions.                                   See instructions.                         Column E, enter zero.)

 9                            00                                               00                                                   00                                                      00
  10                          00                                               00                                                   00                                                      00
  11                          00                                               00                                                   00                                                      00
  12                          00                                               00                                                   00                                                      00
 13  Enter the total here and on Form IL-1040, Line 5 or Form IL-1041, Line 14.                                                                 13                                          00
  If you must file a Schedule F (because Line 18 below is a gain), also enter this amount on Form IL-1040, Schedule F, Line 13, or 
  Form IL-1041, Schedule F, Line 14.

Step 4: Identify securities received in a distribution prior to August 1, 1969 
     Column I                 Column J                                       Column K                  Column L                                          Column M 
     August 1, 1969, value    Federal tax basis                            Column I minus Column J The greater of Columns H or K                         Subtract Column H  
     or applicable fraction.  August 1, 1969.                  or fraction in Column I times       but not greater than Column D                         from Column L  
     See instructions.        See instructions.                Column D. See instructions.

14 _________________                                     00                           00                                                        00                                    00
  15 _________________                                   00                           00                                                        00                                    00
16 _________________                                     00                           00                                                        00                                    00
17_________________                                      00                           00                                                        00                                    00 
18  Total                                                                                                                                          18                                 00 
If this amount is a gain, you must complete Schedule F. Enter this amount on Form IL-1040, Schedule F, Line 3 or Form IL-1041, Schedule F, Line 3.

                                          This form is authorized as outlined under the Illinois Income Tax Act.  Disclosure of                 Printed by the authority of the State 
     IL-4644 (R-12/19)                    this information is required.  Failure to provide information could result in a penalty.              of Illinois - web only - one copy.
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