Form IL-1040-RCPT Receipt for Qualified K-12 Education Expenses - Illinois

Form IL-1040-RCPT or the "Receipt For Qualified K-12 Education Expenses" is a form issued by the Illinois Department of Revenue.

The form was last revised in April 1, 2018 and is available for digital filing. Download an up-to-date Form IL-1040-RCPT in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
Receipt for Qualified K-12 Education Expenses
To be completed by school personnel and distributed to parents or guardians
Calendar year
Read this information first
Recipients: Do not attach this receipt to your Form IL-1040, Individual Income Tax Return. Keep this receipt with your income
tax records. You must send us this information if we request it.
To figure the amount of your education credit, you must complete Schedule ICR, Illinois Credits.
Step 1:
Payments received from:
Payments paid to:
Name of parent or guardian
Name of school
Social Security number of parent or guardian
Address of school
(This required information may be provided by the recipient)
City, State, ZIP of school
Step 2: To be completed by authorized school personnel
Complete the table below. For column G, provide only the amount of qualified expenses paid to the school by the parent or guardian
named in Step 1 during the calendar year indicated at the top of this form. See Publication 112 for a list of qualified expenses.
Do not include any amounts paid by scholarship, grant, or another entity. Also, do not include any balances not paid during the
calendar year.
A
B
C
D
E
F
G
Name of Student
Social Security number
Grade
Qualified
Qualified
Qualified
Total Amount of
(K-12 only)
(This required information may be
Tuition
Book Fees
Lab Fees
Qualified Expenses
Paid
Paid
Paid
Paid by Parent
provided by the recipient)
or Guardian
$
$
$
$
1
-
-
$
$
$
$
2
-
-
$
$
$
$
3
-
-
$
$
$
$
4
-
-
$
$
$
$
5
-
-
Add the amounts in the “Total Amount of Qualified Expenses Paid by Parent or Guardian” column for each student.
Total
$
Use this total to complete the K-12 Education Expense Credit Worksheet on Schedule ICR.
Step 3: Signature of authorized school personnel
I state that I have prepared this receipt and, to the best of my knowledge, it is true, correct, and complete.
Name
Signature
Date
(
)
This form is authorized as outlined under the Illinois Income
Title
Phone Number
Tax Act. Disclosure of this information is required.
Failure to provide information could result in a penalty.
IL-1040-Rcpt (R-04/18)
Printed by authority of the State of Illinois - Web only
Reset
Print
Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
Receipt for Qualified K-12 Education Expenses
To be completed by school personnel and distributed to parents or guardians
Calendar year
Read this information first
Recipients: Do not attach this receipt to your Form IL-1040, Individual Income Tax Return. Keep this receipt with your income
tax records. You must send us this information if we request it.
To figure the amount of your education credit, you must complete Schedule ICR, Illinois Credits.
Step 1:
Payments received from:
Payments paid to:
Name of parent or guardian
Name of school
Social Security number of parent or guardian
Address of school
(This required information may be provided by the recipient)
City, State, ZIP of school
Step 2: To be completed by authorized school personnel
Complete the table below. For column G, provide only the amount of qualified expenses paid to the school by the parent or guardian
named in Step 1 during the calendar year indicated at the top of this form. See Publication 112 for a list of qualified expenses.
Do not include any amounts paid by scholarship, grant, or another entity. Also, do not include any balances not paid during the
calendar year.
A
B
C
D
E
F
G
Name of Student
Social Security number
Grade
Qualified
Qualified
Qualified
Total Amount of
(K-12 only)
(This required information may be
Tuition
Book Fees
Lab Fees
Qualified Expenses
Paid
Paid
Paid
Paid by Parent
provided by the recipient)
or Guardian
$
$
$
$
1
-
-
$
$
$
$
2
-
-
$
$
$
$
3
-
-
$
$
$
$
4
-
-
$
$
$
$
5
-
-
Add the amounts in the “Total Amount of Qualified Expenses Paid by Parent or Guardian” column for each student.
Total
$
Use this total to complete the K-12 Education Expense Credit Worksheet on Schedule ICR.
Step 3: Signature of authorized school personnel
I state that I have prepared this receipt and, to the best of my knowledge, it is true, correct, and complete.
Name
Signature
Date
(
)
This form is authorized as outlined under the Illinois Income
Title
Phone Number
Tax Act. Disclosure of this information is required.
Failure to provide information could result in a penalty.
IL-1040-Rcpt (R-04/18)
Printed by authority of the State of Illinois - Web only
Reset
Print
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