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                  Illinois Department of Revenue                                                                                                      
                                                                         *33512221W*                                                   Year ending
                  2022 Schedule UB/INS 
                                                                                                                                       _____  _____
                  Tax for a Unitary Business Group with Foreign Insurer Members                                                         Month       Year
                  For tax years ending on or after December 31, 2022. Attach to your Form IL-1120.                                                   IL Attachment No.  7
 
__________________________________________________________                                       ___  ___  -  ___  ___  ___  ___  ___  ___  ___
Enter your name as shown on the tax return of the member filing the Schedule UB.                    Enter your federal employer identification number (FEIN).
         You must complete Steps 1 through 7 of your Form IL-1120 and all steps of your Schedule UB, Combined Apportionment  
or Unitary Business Groups, before completing this schedule.
Step 1:  Figure your foreign insurer member’s                                                     A                            B                                C
              tentative tax                                                              __ __-__ __ __ __ __ __ __       __ __-__ __ __ __ __ __ __   __ __-__ __ __ __ __ __ __ 
                                                                                         FEIN                             FEIN                        FEIN       
 1   Enter your combined business income (loss) from Form IL-1120, Line 27.             1 ____________ 00                 ____________ 00             ____________ 00
 2   Compute the foreign insurer member’s apportionment factor. 
     a Enter the foreign insurer member’s Illinois net sales from Step 4, Line 3 
      of your Schedule UB. 
        Enter the total in this space:  ______________________                           2a ____________ 00               ____________ 00             ____________ 00
     b Enter the total everywhere sales from Form IL-1120, Line 28.                      2b____________ 00 ____________ 00                            ____________ 00
     c Divide Line 2a by Line 2b. Round to six decimal places.
      This is the foreign insurer member’s apportionment factor.                         2c  ___• ____________            ___•____________            ___•____________
 3   Multiply Line 1 by Line 2c. This is the foreign insurer member’s business 
    income (loss) apportioned to Illinois.                                              3 ____________ 00                 ____________ 00             ____________ 00
   4 Enter the foreign insurer member’s nonbusiness income (loss) allocable to IL.  4        ____________ 00              ____________ 00             ____________ 00
 5   Enter the foreign insurer member’s non-unitary partnership business  
    income (loss) apportioned to Illinois.                                              5 ____________ 00                 ____________ 00             ____________ 00
 6   Add Lines 3 through 5. This is the foreign insurer member’s base income  
    or loss allocable to Illinois.                                                      6 ____________ 00                 ____________ 00             ____________ 00
 7   Enter the unitary group’s base income or loss allocable to Illinois 
    from your Form IL-1120, Line 34.                                                    7 ____________ 00                 ____________ 00             ____________ 00
 8   Divide Line 6 by Line 7. Round to six decimal places. This is the foreign insurer
    member’s share of Illinois base income or loss allocable to Illinois.
     If negative, enter zero.                                                           8___•____________                 ___•____________            ___•____________
 9   Enter the Illinois net loss deduction from your Form IL-1120, Line 38.             9 ____________ 00                 ____________ 00             ____________ 00
10   Multiply Line 9 by Line 8. This is the foreign ins. member’s share of the NLD.    10 ____________ 00                 ____________ 00             ____________ 00
11   Subtract Line 10 from Line 6. This is the foreign insurer member’s net 
    income or loss.                                                                    11 ____________ 00                 ____________ 00             ____________ 00
12   Multiply Line 11 by 2.5% (.025).  
     This is the foreign insurer member’s tentative replacement tax.                   12 ____________ 00                 ____________ 00             ____________ 00
13   See Instructions. This is the foreign insurer member’s tentative
    income tax.                                                                        13 ____________ 00                 ____________ 00             ____________ 00
14   Enter the recapture of investment credits from your Form IL-1120, Line 46.        14 ____________ 00                 ____________ 00             ____________ 00
15   Multiply Line 14 by Line 8. This is the foreign ins. member’s share of recapture. 15 ____________ 00                 ____________ 00             ____________ 00
16   Add Lines 13 and 15. This is the tentative income tax plus recapture.             16 ____________ 00                 ____________ 00             ____________ 00
17   Enter the Schedule 1299-D credits from your Form IL-1120, Line 48.                17 ____________ 00                 ____________ 00             ____________ 00
18   Multiply Line 17 by Line 8. This is the foreign insurer member’s share of 
    Schedule 1299-D credits.                                                           18 ____________ 00                 ____________ 00             ____________ 00
19   Subtract Line 18 from Line 16 (cannot be less than zero). This is the 
    foreign insurer member’s tentative net income tax.                                 19 ____________ 00                 ____________ 00             ____________ 00
20   Add Lines 12 and 19. 
    This is the foreign insurer member’s tentative total net tax.                      20 ____________ 00                 ____________ 00             ____________ 00

                                       This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this 
        Schedule UB/INS (R-12/22)      information is REQUIRED. Failure to provide information could result in a penalty.                            Page 1 of 3

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                                                                              *33512222W*

Step 2:  Figure the tax imposed by the foreign insurer member’s state or country  
               of domicile (See instructions.)                                              A                          B                             C
                                                                                       __ __-__ __ __ __ __ __ __ __ __-__ __ __ __ __ __ __ __ __-__ __ __ __ __ __ __
                                                                                       FEIN                       FEIN                        FEIN   
21  Enter the foreign ins. member’s state or country of domicile. State or country: 21  ______________  _______________                      ______________
22  Enter the base income (loss) from your Form IL-1120, Line 23.                   22  ____________ 00 ____________ 00                      ____________ 00
23  Enter the foreign insurer member’s net income from Line 11.                     23 ____________  00 ____________ 00                      ____________ 00
24   Multiply Line 22 by Line 8. This is the foreign insurer member’s share of  
    base income (loss).                                                             24  ____________ 00 ____________ 00                      ____________ 00
25  Figure the pro forma tax imposed by the foreign insurer member’s 
    state or country of domicile, using the income shown on Lines 22 
    and 23. If the state or country of domicile does not impose an 
    income tax on insurance companies, check the box and 
    enter zero on this line.                                                        25     _________ 00             _________ 00               _________ 00

Step 3:  Figure your foreign insurer member’s income tax reduction limit
26  Enter the foreign insurer member’s net premiums taxable under  
    Section 409 of the Illinois Insurance Code and included in your  
    Form IL-1120, Step 4, Line 29.                                                  26 ____________ 00  ____________ 00      ____________ 00
27  Multiply Line 26 by 1.75% (.0175). This is the total tax reduction limit.       27 ____________ 00  ____________     00     ____________            00
28  Enter the following amounts deducted when you computed this year’s
    federal taxable income for the foreign insurer members:
    a  The privilege tax imposed under Section 409 of the 
      Illinois Insurance Code. Do not include retaliatory tax.                28a      ____________ 00  ____________ 00  ____________                 00
    b  The fire insurance company tax imposed under Section 12 of the 
      Fire Investigation Act.                                                 28b      ____________  00  ____________ 00  ____________                00
    c  Any fire department tax imposed under Section 11-10-1 of the 
      Illinois Municipal Code.                                                28c      ____________  00  ____________ 00    ____________              00
29  Add Lines 28a through 28c.                                                      29 ____________  00  ____________    00         ____________ 00
30  Subtract Line 29 from Line 27 (cannot be less than zero).
    This is the 1.75 percent income tax reduction limit.                            30  ____________ 00  ____________ 00     ____________             00

Step 4:  Figure your foreign insurer member’s tax 
31  Enter the foreign insurer member’s pro forma tax from Line 25.                  31  ____________ 00  ____________    00         ____________ 00
32   Enter the foreign insurer member’s 1.75 percent income tax reduction 
    limit from Line 30.                                                             32  ____________ 00  ____________    00   ____________            00
33  Enter the greater of Line 31 or Line 32.                                        33  ____________ 00  ____________    00   ____________            00
34  Enter the foreign insurer member’s tentative replacement 
    tax from Line 12.                                                               34   ____________ 00  ____________   00     ____________ 00
35   Enter the lesser of Line 33 or Line 34. This is the foreign insurer member’s
    replacement tax. Enter the total in this space: ______________                  35   ____________ 00  ____________   00   ____________            00
36  If Line 33 is greater than Line 35, subtract Line 35 from Line 33. 
    Otherwise, enter zero. This is the maximum net income tax 
    after applying credits.                                                         36  ____________ 00  ____________    00   ____________            00
37  Enter the foreign insurer member’s tentative 
    net income tax from Line 19.                                                    37 ____________  00  ____________    00   ____________            00
38  Enter the lesser of Line 36 or Line 37. This is the net income tax after 
    applying credits. Enter the total in this space: ______________                 38  ____________ 00  ____________    00    ____________           00
    Enter the amounts from Page 2, Line 38 on Page 3, Line 39.                       

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*33512223W*

39 Enter the amounts from Page 2, Line 38.
Enter the total from Line 38 in this space: ______________ 39 ____________ 00 ____________ 00 ____________ 00
40 Enter the foreign insurer member’s share of Schedule 1299-D credits
from Line 18. Enter the total in this space: ______________ 40 ____________ 00 ____________ 00 ____________ 00
41 Add Lines 39 and 40. This is the foreign insurer member’s income tax
before applying credits.Enter the total in this space: _______________ 41 ____________ 00 ____________ 00 ____________ 00

Step 5: Figure the net income of your other (domestic insurer and non-insurer)
members
42 Enter the business income (loss) of the unitary business group from Form IL-1120, Line 27. 42 ____________ 00
43 Figure the apportionment formula.
a Enter the total Illinois net sales from Form IL-1120, Line 29. 43a ____________ 00
b Enter the foreign insurer members’ total sales from the total line of Line 2a. 43b ____________ 00
44 Subtract Line 43b from Line 43a. This is the other members’ total Illinois sales. 44 ____________ 00
45 Enter the total sales everywhere from your Form IL-1120, Line 28. 45 ____________ 00
46 Divide Line 44 by Line 45. Round to six decimal places. This is the other members’ apportionment factor. 46 ___ • ____________
47 Multiply Line 42 by Line 46. This is the other members’ business income (loss) apportioned to Illinois. 47 ____________ 00
48 Enter the other members’ nonbusiness income (loss) allocable to Illinois. 48 ____________ 00
49 Enter the other members’ non-unitary partnership business income (loss) apportioned to Illinois. 49 ____________ 00
50 Add Lines 47 through 49. This is the other members’ base income or loss allocable to Illinois. 50 ____________ 00
51 Enter the unitary group’s base income or loss allocable to Illinois from your Form IL-1120, Line 34. 51 ____________ 00
52 Divide Line 50 by Line 51. Round to six decimal places. This is the other members’ share of Illinois
base income or loss. If negative, enter zero. 52 ___ • ____________
53 Enter the Illinois net loss deduction from your Form IL-1120, Line 38. 53 ____________ 00
54 Multiply Line 53 by Line 52. This is the other members’ share of the Illinois net loss deduction. 54 ____________ 00
55 Subtract Line 54 from Line 50. This is the other members’ net income. 55 ____________ 00

Step 6: Figure your unitary group’s total tax
56 Multiply Line 55 by 2.5% (.025). This is the other members’ replacement tax. 56 ____________ 00
57 Enter the foreign insurer members’ total replacement tax from the total line of Line 35. 57 ____________ 00
58 Add Lines 56 and 57. 58 ____________ 00
59 Enter the replacement tax after credits from your Form IL-1120, Step 6, Line 44. 59 ____________ 00
60 Subtract Line 58 from Line 59. This is your unitary group’s replacement tax reduction.
Enter this amount on your Form IL-1120, Step 8, Line 51. 60 ____________ 00
61 See Instructions. This is the other members’ income tax. 61 ____________ 00
62 Enter the recapture of investment credits from your Form IL-1120, Line 46. 62 ____________ 00
63 Multiply Line 62 by Line 52. This is the other members’ share of recapture. 63 ____________ 00
64 Add Lines 61 and 63. This is the total other members’ tentative income tax plus recapture. 64 ____________ 00
65 Enter the Schedule 1299-D credits from your Form IL-1120, Line 48. 65 ____________ 00
66 Multiply Line 65 by Line 52. This is the other members’ share of Schedule 1299-D credits. 66 ____________ 00
67 Subtract Line 66 from Line 64 (cannot be less than zero). This is the other members’ net income tax. 67 ____________ 00
68 Enter the foreign insurer members’ total income tax before credits from the total line of Line 41. 68 ____________ 00
69 Enter the foreign insurer members’ total share of credits from the total line of Line 40. 69 ____________ 00
70 Subtract Line 69 from Line 68. This is the foreign insurer members’ total net income tax. 70 ____________ 00
71 Add Lines 67 and 70. 71 ____________ 00
72 Enter the income tax after credits from your Form IL-1120, Step 7, Line 49. 72 ____________ 00
73 Subtract Line 71 from Line 72. This is your unitary group’s income tax reduction.
Enter this amount on your Form IL-1120, Step 8, Line 54. 73 ____________ 00

Schedule UB/INS (R-12/22) Printed by the authority of the State of Illinois - web only - one copy. Page 3 of 3
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