Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
                  Illinois Department of Revenue 
                                                                             *70712221W*
                  Form IL-941-X
                  2022 Amended Illinois Withholding Income Tax Return 

Important Information
    Electronically file this form on MyTax Illinois at mytax.illinois.gov or using an IDOR approved Tax-Prep software program, OR   
  Mail this form and any required support to: ILLINOIS DEPARTMENT OF REVENUE, PO BOX 19052, SPRINGFIELD IL  62794-9052   
  Attach a completed Schedule P-X and if required, a Schedule WC. Note: Do not attach additional correspondence.

Step 1:  Provide your information 
 
___ ___    ___ ___ ___ ___ ___ ___ ___        ___ ___ ___ 
Federal employer identification number (FEIN) Seq. number                              Check this                                             Reporting Period 
____________________________________________________________                                     box if your                                Check the quarter you are amending.
  Business name                                                                         businessname has                                          1st(January, February, March)
 ____________________________________________________________                          changed.
C/O                                                                                                                                               2nd (April, May, June)
                                                                                       Check this 
____________________________________________________________                                 box  if you                                          3rd (July, August, September)
  Mailing address                                                                        have an 
                                                                                       address                                                4th (October, November, December)
 ______________________________     _______     __________________                        change.
City                                          State         ZIP

Step 2:  Tell us about your business
 A1   Enter the total number of Forms W-2 reporting Illinois withholding you issued for the entire year.*    A1 ________________
   A2 Enter the total number of Forms 1099 reporting Illinois withholding you issued for the entire year.*                                    A2 ________________ 
      *Only complete Lines A1 and A2 when you file your 4th quarter or final return.
  B   If your business has permanently stopped withholding because it has closed, or you                                                              Month     Day
      no longer pay Illinois wages or withhold Illinois taxes from other payments, check the box 
      and enter the date you stopped withholding. This is considered your final return. Do not file future
      returns unless you resume withholding Illinois income tax.                                                                              B       __ __  /  __ __  /  2022 

Step 3:  Tell us about the amount subject to withholding                                                                                            Corrected amount
  1   Enter the total dollar amount subject to Illinois withholding tax this reporting 
      period,  including payroll, compensation, and other amounts. See instructions.                                                              1 __________________

Step 4: Tell us about the amount withheld and previous overpayments 
  2  Enter the exact amount of Illinois Income Tax you actually withheld from your employees or others on the day 
      you paid the compensation. Only enter amounts on days you made withholding - leave the remaining “Day” lines  
      blank. If you withheld no Illinois Income Tax during the month, enter “0” on the corresponding “Total” line - Line 2a, 
      2c, or 2d (noted by “ ”). 
      2a  First month of quarter (i.e., January for 1st quarter; April for 2nd quarter; July for 3rd quarter; and October for 4th quarter)   
      Day     Amount                 Day     Amount                    Day     Amount                    Day     Amount

      1 ____________.___                   ____________.___9              17 ____________.___                                             25____________.___
      2 ____________.___               10 ____________.___                18 ____________.___                                             26 ____________.___
      3 ____________.___               11 ____________.___                19 ____________.___                                             27 ____________.___
      4 ____________.___               12 ____________.___                20 ____________.___                                             28 ____________.___
      5 ____________.___               13 ____________.___                21 ____________.___                                             29 ____________.___
      6 ____________.___               14 ____________.___                22 ____________.___                                             30 ____________.___
      7 ____________.___               15 ____________.___                23 ____________.___                                             31 ____________.___
      8 ____________.___               16 ____________.___                24 ____________.___
      Total Illinois Income Tax withheld this month. (Add Section 2a, Lines 1-31.)                                                        2a ____________.___

                                       Printed by the authority of the state of Illinois - web only, 1 copy
                                       This form is authorized under the Income Tax Act. Disclosure of this information is required. Failure
           IL-941-X Front (R-12/21)    to provide information may result in this form not being processed and may result in a penalty.         Continue to Page 2.

                                                                                            *70712222W*
  Step 4:  Continued                                                                               
    2b  Enter the amount from Page 1, Step 4, Line 2a.                                                     2b ____________.___
     2c   Second month of quarter (i.e., February for 1st quarter; May for 2nd quarter; August for 3rd quarter; and November for 4th quarter)  
        Day     Amount                 Day     Amount                    Day     Amount                   Day     Amount
       1 ____________.___            ____________.___9                           17 ____________.___       25 ____________.___
       2 ____________.___        10 ____________.___                             18 ____________.___       26 ____________.___
       3 ____________.___        11 ____________.___                             19 ____________.___       27 ____________.___
       4 ____________.___        12 ____________.___                             20 ____________.___       28 ____________.___
       5 ____________.___        13 ____________.___                             21 ____________.___       29 ____________.___
       6 ____________.___        14 ____________.___                             22 ____________.___       30 ____________.___
       7 ____________.___        15 ____________.___                             23 ____________.___       31 ____________.___
       8 ____________.___        16 ____________.___                             24 ____________.___
       Total Illinois Income Tax withheld this month. (Add Section 2c, Lines 1-31.)                        2c ____________.___
      2d  Third month of quarter (i.e., March for 1st quarter; June for 2nd quarter; September for 3rd quarter; and December for 4th quarter)   
        Day     Amount                 Day     Amount                    Day     Amount                   Day     Amount
       1 ____________.___            ____________.___9                           17 ____________.___       25 ____________.___
       2 ____________.___        10 ____________.___                             18 ____________.___       26 ____________.___
       3 ____________.___        11 ____________.___                             19 ____________.___       27 ____________.___
       4 ____________.___        12 ____________.___                             20 ____________.___       28 ____________.___
       5 ____________.___        13 ____________.___                             21 ____________.___       29 ____________.___
       6 ____________.___        14 ____________.___                             22 ____________.___       30 ____________.___
       7 ____________.___        15 ____________.___                             23 ____________.___       31 ____________.___
       8 ____________.___        16 ____________.___                             24 ____________.___
       Total Illinois Income Tax withheld this month. (Add Section 2d, Lines 1-31.)                        2d ____________.___
       Add Lines 2b, 2c, and 2d and enter the total amount here. This is the total dollar amount of 
       Illinois Income Tax actually withheld from your employees or others for this quarter.
       Note: If you are reducing your tax based on Form W-2c, see instructions.                                         2 _________________ 
  3     If your original return or previously filed IL-941-X resulted in a credit that you were 
       previously allowed to use, any IDOR-approved credit for the period, or a refund you 
       have already received, please enter this amount.  See instructions.                                              3 _________________ 
  4    Add Lines 2 and 3 and enter the total amount here.                                                               4 _________________
Step 5:  Tell us about your payments and credits
 5     Enter the amount of credit from the Schedule WC you are using this period. See instructions.                     5 _________________ 
 6     Enter the total dollar amount of withholding payments you made to the Illinois Department of 
      Revenue (IDOR) for this period. This  includes all IL-501 payments (electronic and paper 
      coupons). Do not estimate this amount.                                                                            6 _________________
 7     Add Lines 5 and 6 and enter the total amount here.                                                               7 _________________

Step 6:  Figure your balance 
  8    If Line 4 is greater than Line 7, subtract Line 7 from Line 4. This is yourremaining balance due. 
      Make your payment electronically  or make your remittance payable to “Illinois Department of 
      Revenue.”   (Semi-weekly payersmust pay electronically.)                                                          8 _________________
  9    If Line 7 is greater than Line 4, subtract Line 4 from Line 7. This amount is your overpayment.                  9 _________________
                                                                                                                                                        
Step 7:  Sign here Under penalties of perjury, I state that, to the best of my knowledge, this return is true, correct, and complete.

Sign                                                                                                                          Check if the Department 
Here                                                   07/09/2021                              (      )               may discuss this return with the 
       Signature                                       Date (mm/dd/yyyy)  Title               Phone                   paid preparer shown in this step.
                                                                                                                         Check if  
Paid      Paid preparer’s name                                    Paid preparer’s signature    Date (mm/dd/yyyy)  self-employed    Paid Preparer’s PTIN
Preparer
          Firm’s name                                                                                        Firm’s FEIN
Use Only
          Firm’s address                                                                                     Firm’s phone  (      )
               NS                                   IR DR                                      IL-941-X Back (R-12/21)

                                                *72212221W*
          Illinois Department of Revenue
                                                                                                                                   Filing period:
    2022 Schedule P-X Amended Illinois Withholding Schedule   __________   

Complete and attach to Form IL-941-X to verify Illinois income and withholding records. This form is required. Note: 
Check the box in the first column if the income and withholding information for the payee or employee has changed.

Business name: _____________________________________  FEIN: ________________________

          Payee’s/Employee’s            SSN (do not include Income for                                                              Withholding 
X #
                         name           dashes)             Quarter                                                                 for Quarter
  1
  2
  3
  4
  5
  6
  7
  8
  9
  10
  11
  12
  13
  14
  15
  16
  17
  18
  19
  20
  21
  22
  23
  24
  25
  26
  27
  28
  29
  30
  31
  32
  33
  34
                              This form is authorized under the Income Tax Act. Disclosure of this information is required. Failure
  Schedule P-X (R-12/21)      to provide information may result in this form not being processed and may result in a penalty.       Page 3 of 3

                                        Reset   Print