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                                                                                              *33912191W*
   Illinois Department of Revenue                                                                                                                  Year ending

   Schedule NB                                 Nonbusiness                                    Income                                              Month           Year
   Attach to your Form IL-1120, IL-1120-ST, or IL-1065.                                                                                                IL Attachment No. 17

Enter your name as shown on your Form IL-1120, IL-1120-ST, or IL-1065.                               Enter your federal employer identification number (FEIN). 

                            Read the instructions before completing this form.

                                                                                                     Column A                                     Column B
                                                                                              Total everywhere                              Allocable to Illinois

1  Interest*                                                                        1

2  Dividends*                                                                     2 

3  Rental income                                                                  3 

4  Patent royalties                                                                 4

5  Copyright royalties                                                            5 

6  Other royalty income                                                           6 

7  Capital gain (loss) from real property                                           7

8  Capital gain (loss) from tangible personal property                            8 

9  Capital gain (loss) from intangible personal property                            9

10  Other (specify)                                                              10 

11  Recaptured business expense (see instructions).
            You must complete the apportionment factor 
   worksheet below to get the correct figure for Column B.                       11 

12 Totals. Add Lines 1 through 11 for each column.                               12 
Apportionment factor worksheet (see instructions) 
a  Enter your apportionment factor from two years ago (if applicable).  a
b  Enter your apportionment factor from last year’s tax return.                      b 
c  Enter your apportionment factor from this year’s tax return.                      c 
d  Add Lines a, b, and c.                                                            d 
e  If you have an amount on Line a, divide Line d by 3.
   If you do not have an amount on Line a, divide Line d by 2.                       e 
f  Enter the greater of Line c or Line e. 
   This is your apportionment factor.                                                f 
g  Multiply Column A, Line 11 by Line f, and enter the result 
   here and in Column B, Line 11.                                                    g  

* Interest and dividends are allocable to Illinois if your commercial domicile  was in Illinois at the time the interest or dividend was paid or accrued.

                                          This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this Printed by the authority of the State 
   Schedule NB (R-12/19)                  information is REQUIRED. Failure to provide information could result in a penalty.     of Illinois - web only - one copy.

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