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IllinoisDepartmentofRevenue

AttachtoyourFormIL-1040

2011ScheduleMOtherAdditionsandSubtractionsforIndividuals

IL.AttachmentNo.15

Readthisinformationfirst

CompletethisscheduleifyouarerequiredtoaddcertainincomeonFormIL-1040,Line3,orifyouareentitledtotakesubtractionson FormIL-1040,Line7. IfyouarerequiredtocompleteSchedule1299-C,ScheduleF,orFormIL-4562,youmustdosobeforeyoucompletethisschedule.

Step1:Providethefollowinginformation

YournameasshownonFormIL-1040. ­ YourSocialSecuritynumber. ­

Step2:FigureyouradditionsforFormIL-1040,Line3

(Wholedollarsonly) Writetheamountof 1 Yourchild'sfederallytax-exemptinterestanddividendincomeasreportedonU.S.Form8814 1 ______________ 00 2 Distributiveshareofadditionsyoureceivedfromapartnership,Scorporation,trust,orestate. AttachIllinoisScheduleK-1-PorScheduleK-1-T. 2 ______________ 00 3 Lloydsplanofoperationsloss,ifreportedonyourbehalfonFormIL-1023-Candincludedin youradjustedgrossincome 3 ______________ 00 4 EarningsdistributedfromIRCSection529collegesavingsandtuitionprogramsifnotincluded inyouradjustedgrossincome(Donotincludedistributionsfrom"BrightStart,""BrightDirections,"or "CollegeIllinois"programsorprogramsthatmeetcertaindisclosurerequirements-seeinstructions.) 4 ______________ 00 5 IllinoisspecialdepreciationadditionamountfromFormIL-4562,Step2,Line4.Attach FormIL-4562. 5 ______________ 00 6 Businessexpenserecapture(nonresidentsonly) 6 ______________ 00 7 RecaptureofdeductionsforcontributionstoIllinoiscollegesavingsplanstransferredtoanout-of-stateplan 7 ______________ 00 8 CredittakenonSchedule1299-Cforstudent-assistancecontributionsyoumadeasanemployer 8 ______________ 00 9 Recaptureofdeductionsforcontributionstocollegesavingsplanswithdrawnfornonqualifiedexpenses orrefunded 9 ______________ 00 10 Otherincome-Identifyeachitem_______________________________________________ 10 ______________ 00 11 AddLines1through10.WritetheamounthereandonFormIL-1040,Line3. 11 ______________ 00

Step3:FigureyoursubtractionsforFormIL-1040,Line7

Writetheamountof 12 Contributionsmadetothefollowingcollegesavingsplans: a "BrightStart"CollegeSavingsPool b "CollegeIllinois"PrepaidTuitionProgram c "BrightDirections"CollegeSavingsPool 13 Distributiveshareofsubtractionsfromapartnership,Scorporation,trust,orestate.(Donotinclude anyamountscontainedinLines20or22ofthisschedule.)AttachIllinoisScheduleK-1-PorK-1-T identifyingyouasthepartner,shareholder,orbeneficiaryandlistingyourSocialSecuritynumber. 14 RestorationofamountsheldunderclaimofrightunderInternalRevenueCode,Section1341 15 Contributionstoajobtrainingproject 16 Expensesrelatedtofederalcreditsorfederallytax-exemptincome 17 InterestearnedoninvestmentsthroughtheHomeOwnershipMadeEasyProgram 18 IllinoisspecialdepreciationsubtractionamountfromFormIL-4562,Step3,Line10. AttachFormIL-4562. ritethefollowingonlyifincludedinFormIL-1040,Lines1,2,or3: W 19 Militarypayearned.AttachmilitaryW-2. 20 U.S.Treasurybonds,bills,notes,savingsbonds,andU.S.agencyinterestfromU.S.1040Aor1040. AttachacopyofU.S.1040Aor1040,ScheduleB,ifrequiredfederally. 21 August1,1969,valuationlimitationamountfromyourScheduleF,Line17.AttachScheduleFand requiredfederalforms. 22 Enterpriseorriveredgeredevelopmentzoneandhighimpactbusinessdividendsubtractionamount fromyourSchedule1299-C,Step2,Line10.AttachSchedule1299-C. 23 AddLines12athrough22andwritetheamounthereandonPage2,Line24.

12a ______________ 00 12b ______________ 00 12c ______________ 00 13 ______________ 00 14 ______________ 00 15 ______________ 00 16 ______________ 00 17 ______________ 00 18 ______________ 00 19 ______________ 00 20 ______________ 00 21 ______________ 00 22 ______________ 00 23 ______________ 00

IL-1040ScheduleMfront(R-12/11)

*160401110*

Step3:Continued

24 WritetheamountfromPage1,Line23. 25 RecoveryofitemspreviouslydeductedonU.S.1040,ScheduleA(includingrefundsofanystateandlocal incometaxes,otherthanIllinois).AttachacopyofU.S.1040,Page1,andrequiredfederalforms. 26 Ridesharingmoneyandotherbenefits 27 Paymentoflifeinsurance,endowment,orannuitybenefitsreceived 28 LloydsplanofoperationsincomeifreportedonyourbehalfonFormIL-1023-C 29 IncomeearnedbycertaintrustaccountsestablishedundertheIllinoisPre-NeedCemeterySalesAct 30 Educationloanrepaymentsmadeforprimarycarephysicianswhoagreetopracticeindesignated

shortageareasundertheFamilyPracticeResidencyAct

24 ______________ 00 25 ______________ 00 26 ______________ 00 27 ______________ 00 28 ______________ 00 29 ______________ 00 30 ______________ 00 31 ______________ 00

31 ReparationsorotheramountsreceivedasavictimofpersecutionbyNaziGermany 32 Interestonthefollowingtax-exemptobligationsofIllinoisstateandlocalgovernment.Donotinclude

a b c d e f g h i j k l m n

o p q r s t u v 33

a b c d e f

34

35 36 37

38

interestyoureceivedindirectlythroughowningsharesinamutualfund. IllinoisHousingDevelopmentAuthoritybondsandnotes(excepthousing-relatedcommercial facilitiesbondsandnotes) 32a ______________ 00 ExportDevelopmentActof1983bonds 32b ______________ 00 IllinoisDevelopmentFinanceAuthoritybonds,notes,andotherobligations(venturefundand infrastructurebondsonly) 32c ______________ 00 QuadCitiesRegionalEconomicDevelopmentAuthoritybondsandnotes(ifdeclaredtobeexempt fromtaxationbytheAuthority) 32d ______________ 00 CollegeSavingsbonds 32e ______________ 00 IllinoisSportsFacilitiesAuthoritybonds 32f ______________ 00 HigherEducationStudentAssistanceActbonds 32g ______________ 00 IllinoisDevelopmentFinanceAuthoritybondsissuedundertheIllinoisDevelopmentFinanceAuthority Act,Sections7.80through7.87 32h ______________ 00 RuralBondBankActbondsandnotes 32i ______________ 00 IllinoisDevelopmentFinanceAuthoritybondsissuedundertheAsbestosAbatementFinanceAct 32j ______________ 00 QuadCitiesInterstateMetropolitanAuthoritybonds 32k ______________ 00 SouthwesternIllinoisDevelopmentAuthoritybonds 32l ______________ 00 IllinoisFinanceAuthoritybondsissuedundertheIllinoisFinanceAuthorityAct,Sections820.60and 825.55ortheAsbestosAbatementFinanceAct 32m ______________ 00 IllinoisPowerAgencybondsissuedbytheIllinoisFinanceAuthority 32n ______________ 00 CentralIllinoisEconomicDevelopmentAuthoritybonds 32o ______________ 00 EasternIllinoisEconomicDevelopmentAuthoritybonds 32p ______________ 00 SoutheasternIllinoisEconomicDevelopmentAuthoritybonds 32q ______________ 00 SouthernIllinoisEconomicDevelopmentAuthoritybonds 32r ______________ 00 IllinoisUrbanDevelopmentAuthoritybonds 32s ______________ 00 DownstateIllinoisSportsFacilitiesAuthoritybonds 32t ______________ 00 WesternIllinoisEconomicDevelopmentAuthoritybonds 32u ______________ 00 UpperIllinoisRiverValleyDevelopmentAuthorityActbonds 32v ______________ 00 Interestonthefollowingnon-U.S.governmentbonds. BondsissuedbythegovernmentofGuam 33a ______________ 00 BondsissuedbythegovernmentofPuertoRico 33b ______________ 00 BondsissuedbythegovernmentoftheVirginIslands 33c ______________ 00 BondsissuedbythegovernmentofAmericanSamoa 33d ______________ 00 BondsissuedbythegovernmentoftheNorthernMarianaIslands 33e ______________ 00 Mutualmortgageinsurancefundbonds 33f ______________ 00 Amountofyourchild'sinterestfromU.S.TreasuryandU.S.agencyobligationsor fromsourcesinLine20,32or33asreportedonU.S.Form8814 34 ______________ 00 Railroadunemploymentincome.AttachForm1099-Gandacopyofpage1ofyourfederalreturn. 35 ______________ 00 UnjustimprisonmentcompensationawardedbyIllinoisCourtofClaims 36 ______________ 00 Distributionsfrom"BrightStart,""CollegeIllinois,"and"BrightDirections"collegesavingsplansifincluded inLine1becauseyouclaimedafederalAmericanOpportunityorLifetimeLearningCredit 37 ______________ 00 AddLines24through37.WritetheamounthereandonFormIL-1040,Line7. 38 ______________ 00

IL-1040ScheduleMback(R-12/11)

ThisformisauthorizedasoutlinedundertheIllinoisIncomeTaxAct.Disclosureof thisinformationisrequired.Failuretoprovideinformationcouldresultinapenalty.

*160402110*

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