PTAX-401 Form PDF Details

The Illinois Department of Revenue PTAX-401 Pollution Control Facility Tax Return is a comprehensive document designed to facilitate the reporting of pollution control measures by businesses operating within the state. As part of the state's commitment to environmental conservation and pollution control, this form plays a critical role in ensuring that facilities engaged in activities that have the potential to impact air quality, water quality, and other environmental areas are properly assessed and taxed according to the value and operational status of their pollution control facilities. The form requires detailed information including the assessment year, principal nature of the business, certification status of the facility, contact information, and Federal Employer Identification Number (FEIN) or Social Security number (SSN), as well as an Illinois Business Tax number (IBT) where applicable. Additionally, businesses are asked to provide specifics on the type of pollution control facility in operation, including air pollution, water pollution, and low-sulfur dioxide emission coal-fueled devices, among others, alongside information on the facility's installation, cost, useful life, and any fiscal contributions attributed to byproducts or efficiencies gained through the operation of the facility. The PTAX-401 form not only serves as a declaration of continued compliance with Illinois statutes regarding pollution control but also plays a part in the broader effort to manage environmental impact at the state level, highlighting the dual role of businesses in fostering economic development and environmental stewardship.

QuestionAnswer
Form Name PTAX-401 Form
Form Length 2 pages
Fillable? No
Fillable fields 0
Avg. time to fill out 30 sec
Other names illinois ptax 401 instructions, can you file the il form ptax 401 online, illinois ptax401, idor ptax 203 pin

Form Preview Example

Illinois Department of Revenue

 

 

 

 

 

PTAX-401

 

Pollution Control Facility Tax Return

Step 1: Complete the following information

 

 

 

 

 

 

 

3

Write the assessment year.

___ ___ ___ ___

 

 

 

4 Write the principal nature of your business.

 

 

 

 

 

_____________________________________________

______________________________________________

 

 

 

 

Name

 

 

5

a Is your facility still in use?

Yes

No

______________________________________________

 

 

 

 

Street address

 

 

 

b If no, do you wish to revoke

 

 

______________________________________________

 

your certification?

Yes

No

City

State

ZIP

 

 

 

 

(_______)______________________________________

6

a Do you have a federal employer

 

 

Phone

 

 

 

identification number (FEIN)?

Yes

No

 

 

 

 

 

 

 

 

 

b If yes, write

 

 

 

 

 

 

 

 

 

your FEIN.

___ ___ - ___ ___ ___ ___ ___ ___ ___

 

 

 

 

 

 

Federal employer identification number (FEIN)

 

1

Is the information on

 

 

 

 

 

 

 

 

 

your preprinted label correct?

Yes

No

 

c If no, write

 

 

 

 

If no, cross through it and write the correct information here.

 

your SSN.

___ ___ ___ - ___ ___ - ___ ___ ___ ___

 

______________________________________________

 

 

Social Security number (SSN)

 

 

______________________________________________

 

 

 

 

 

 

 

______________________________________________

7

a Do you have an Illinois

 

 

 

______________________________________________

 

business tax number (IBT)?

Yes

No

2

Write the name and telephone number of the person we

 

b If yes, write

 

 

 

 

 

should contact for additional information. (If different than label.)

 

your IBT.

___ ___ ___ ___ - ___ ___ ___ ___

 

 

____________________________ (____)___________

 

 

Illinois business tax number (IBT)

 

 

Name

Phone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Step 2: Identify the pollution control facility

 

 

 

 

 

 

1 Check the box that identifies the type of pollution control facility.

 

 

1a

Air pollution

 

 

 

 

 

 

 

 

1b

Water pollution

 

 

 

 

 

 

 

 

1c

Low-sulfur dioxide emission

 

 

 

 

 

 

 

 

coal-fueled device

 

2 Write the number written on the facility’s Illinois EPA certification.

 

2______________________

 

3

Write the three-digit classification number of the pollution control facility. (See instructions.)

3 ___ ___ ___

 

4Write the complete description of the pollution control facility written on the Illinois EPA certification.

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

5Write the location of the pollution control facility.

______________________________________________

_______________________________________________

Street address

 

 

Township

______________________________________________

_______________________________________________

City

State

ZIP

County

6 Write that location’s property index number (PIN).

 

6 _______________________________________________

PTAX-401 Front (R-8/99)

This form is authorized as outlined by 35 ILCS 200/1-1 et seq. Disclosure of this information is

REQUIRED. This form has been approved by the Forms Management Center.

IL-492-0272

Step 3: Complete the assessment information

1

Write the month and year that the facility was placed into use.

1

___ ___ /___ ___ ___ ___

 

 

 

Month

Year

2

Write the estimated remaining useful life of the facility. (See instructions.)

2

________________ years

3

Write the original cost of the certified portion of the facility as of the date placed into use.

3

$ ____________________

4If any portion of the facility was assessed as personal property before January 1, 1979,

write the original cost of the certified portion of the facility as of January 1, 1978.

4

$ ____________________

5 Subtract Line 4 from Line 3.

5

$ ____________________

6Write the total original cost of all additions and improvements made to the certified portion

of the facility from the date placed into use through January 1 of this assessment year.

6

$ ____________________

7 Add Lines 5 and 6.

7

$ ____________________

8Write the total original cost of all certified portions of the facility that have been retired

 

or removed from use through January 1 of this assessment year.

8

$

____________________

9

Subtract Line 8 from Line 7.

9

$

____________________

10

Write the net earnings attributable to the certified portion of the facility.

10

$

____________________

11 Does the operation of the facility produce a byproduct that can be commercially sold?

11

If you answered yes, please explain: _________________________________________

 

12Does the operation of the facility result in increased production or reduced production cost? 12 If you answered yes, please explain: _________________________________________

Yes

Yes

No

No

Step 4: Complete the following information

1Have there been any changes in the use of the facility within the previous assessment year? 1 If you answered yes, please explain: _________________________________________

2a Have there been any additions or improvements made to the certified portion

of the facility within the previous assessment year?

2a

If you answered yes, complete the following.

 

b Write the original cost of the addition or improvement.

2b

c Write the date placed into use.

2c

d Check the classification of the addition or improvement.

2d

Describe the addition or improvement: _____________________________________

 

3a Has any part of the certified portion of the facility been retired or removed from use

within the previous assessment year?

3a

If you answered yes, complete the following.

 

b Write the original cost of the retired or removed portion.

3b

c Write the date retired or removed from use.

3c

YesNo

YesNo

$___________________

___ ___/___ ___ ___ ___

Month Year

Real Personal

YesNo

$___________________

___ ___/___ ___ ___ ___

Month Year

Step 5: Sign below

I state that, to the best of my knowledge, the information contained in this return is true, correct, and complete.

___________________________________________/____/____ ___________________________________________________

Pollution control facility owner’s or authorized representative’s signature

Date

Print the pollution control facility owner’s or authorized representative’s name and title

 

 

 

Mail this return to:

Local Government Services Bureau, Illinois Department of Revenue, P.O. Box 19033, Springfield, IL 62794-9033

PTAX-401 Back (R-8/99)

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Part # 1 of filling out illinois ptax 401 form

2. Right after the last part is done, go on to type in the applicable information in all these: Write the name and telephone, should contact for additional, Phone, b If yes write, your IBT, Illinois business tax, Step Identify the pollution, a b c, Air pollution Water pollution, Write the number written on the, Write the threedigit, and Write the complete description of.

Part no. 2 in filling in illinois ptax 401 form

3. Completing Write the location of the, Street address City, State, ZIP, Township County, Write that locations property, PTAX Front R, and This form is authorized as is essential for the next step, make sure to fill them out in their entirety. Don't miss any details!

Township  County, This form is authorized as, and State in illinois ptax 401 form

4. It is time to fill in this next section! Here you'll get all of these Step Complete the assessment, Write the month and year that the, Write the estimated remaining, Month, Year, years, Write the original cost of the, If any portion of the facility, write the original cost of the, Subtract Line from Line, Write the total original cost of, of the facility from the date, Add Lines and, Write the total original cost of, and or removed from use through form blanks to do.

Step no. 4 of completing illinois ptax 401 form

5. To finish your document, this final segment features some additional blank fields. Filling out Write the net earnings, Does the operation of the, Yes, If you answered yes please explain, Does the operation of the, Yes, If you answered yes please explain, Step Complete the following, Have there been any changes in, Yes, If you answered yes please explain, a Have there been any additions, of the facility within the, b Write the original cost of the, and c Write the date placed into use should conclude the process and you'll definitely be done in no time at all!

Stage no. 5 of filling out illinois ptax 401 form

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