Illinois Department of Revenue 2021 Schedule IL-E/EIC Illinois Exemption and Earned Income Credit

Attach to your Form IL-1040

IL Attachment No. 30 Read this information first Complete this schedule only if you are claiming dependents or are eligible for the Illinois Earned Income Credit. If you fraudulently claim the Earned Income Credit, you may not be allowed to claim the credit for up to ten years. You also may have to pay penalties. 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. IL-1040 Schedule IL-E/EIC Front (R-12/21) Printed by authority of the State of Illinois - web only, one copy. Step 1: Provide the following information

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Your name as shown on your Form IL‑1040 Your Social Security number Illinois Dependent Exemption Allowance Step 2: Dependent information Complete the table for each person you are claiming as a dependent. Note: If you are claiming more than ten dependents, complete and attach additional Dependent information tables. 1 Multiply the total number of dependents you are claiming by $2,375. _____ X $2,375 Enter the result here and on Form IL-1040, Line 10d. 1 .00 *66112211W* Dependent’s first name Dependent’s last name Social Security number Dependent’s relationship to you Dependent’s date of birth (mm/dd/yyyy) Full time student Person with disability Number of months living with you Eligible for Earned Income Credit You must have claimed the federal Earned Income Credit in order to claim the Illinois Earned Income Credit. The total amount of Illinois Earned Income Credit may exceed the amount of tax. If claiming the Illinois Earned Income Credit, you must attach a copy of pages 1 and 2 of your federal Form 1040 or 1040-SR to this schedule. Continue to Page 2 to calculate Illinois Earned Income Credit Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.

Issuing Agency License, Registration, or Certification Number IL-1040 Schedule IL-E/EIC Back (R-12/21) *66112212W* Illinois Earned Income Credit Complete this section only if you qualify for the Illinois Earned Income Credit. Attach a copy of federal Form 1040 or 1040-SR, Pages 1 and 2. If you are not claiming a qualifying child, do not complete the table below. Step 3: Qualifying Child Information Complete the table for qualifying children that are not included in Step 2. 1 Enter your wages, salaries and tips from your federal Form 1040 or 1040-SR, Line 1. 1 .00 2 Enter your business income or (loss) from your federal Form 1040 or 1040-SR, Schedule 1, Line 3. If you report an amount on Line 2, you must answer the question in Line 2a below. 2 .00 2a Does your occupation require a city, state, or county issued professional license, registration, or certification? 2a Yes No 2b If you answered “Yes” to Line 2a, you must enter the name of the issuing agency and your license, registration, or certification number. 3 If you are filing your 2021 federal return as married filing jointly but are filing your 2021 Illinois return as married filing separately, enter your federal adjusted gross income (AGI) from your married filing jointly federal Form 1040 or 1040-SR, Line 11. 3 .00 3a If you entered an amount on Line 3, enter your spouse’s Social Security number from your married filing jointly federal return. 3a - - 4 Is the statutory employee box marked on your W-2, Wage and Tax Statement, Box 13? 4 Yes No Step 4: Figure your Illinois Earned Income Credit 5 Enter the amount of federal Earned Income Credit from your federal Form 1040 or 1040-SR, Line 27a. 5 .00 6 Multiply the amount on Line 5 by 18% (.18). 6 .00 7 Illinois residents: Enter 1.0. Nonresidents and part-year residents: Enter the decimal from Schedule NR, Line 48. 7 8 Multiply Line 6 by the decimal on Line 7. This is your Illinois Earned Income Credit. Enter this amount here and on your Form IL-1040, Line 29. 8 .00 Remember: Intentionally submitting false information is a crime under Section 1301 of the Illinois Income Tax Act Child’s first name Child’s last name Social Security number Child’s relationship to you Child’s date of birth (mm/dd/yyyy) Full time student Person with disability Number of months living with you Reset Print