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
– –
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
Earne d 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 1 040-SR to this schedule.
Continue to Page 2 to calculate Illinois Earned Income Credit
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