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                             To pay the amount you owe, complete the following steps:
                             1.   Enter your federal employer identification number (FEIN).
                             2.   Enter your name, C/O information (if applicable), address, and phone number.
                             3.   Enter the month and year your tax year ends.
                             4.  Enter the amount you are paying. Use whole dollars only.
                             5.   Detach the voucher and enclose a check or money order for the amount you are paying. 
                                    Write your FEIN, tax year ending, and “IL-1120-X-V” on your payment. 
                                    Make your check or money order payable to “Illinois Department of Revenue.” 
                                    Attach your completed voucher and payment to your amended return, and mail them to 
                                      the address shown on the voucher. 

        Printed by the authority of the state of Illinois - electronic only - one copy.

                 Illinois Department of Revenue
                                                                               Payment Voucher for 
                                                                               Amended Corporation                                         
                 IL-1120-X-V
                 IL-1120-X-V (R-12/23)                                                                                                                   Official use only
                                                             Income and Replacement Tax                               
                                      Mail to: Illinois Department of Revenue, P.O. Box 19016, Springfield, IL  62794-9016
                                If no payment is due or you make your payment electronically, do not file this form.
                                                                                                                                               Tax year ending
                                                 FEIN:                                                                                         
                                                                                                                                                                                 
          Name:                                                                                                                            Month           Year
                                                                                                                                                          
                        C/O:                                                                                                    $                                       00
                                                                                                                                Payment Amount (Whole dollars only)
          Mailing                                                                                             Write  your FEIN,   tax year ending, and “IL-1120-X-V”    on your check or 
          address:                   
                                                                                                              money order and make it payable to “Illinois Department of Revenue.”
          City:                                                               State:                      ZIP:

          Phone:             (         )                                              Reset                   Print                        *64812231W*
        






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