The Illinois BoA 4 form, officially known as the Financial Information Statement for Individuals, is a detailed document designed by the Illinois Department of Revenue. It serves to collect comprehensive financial information from individuals, covering aspects like employment details, earnings, assets, liabilities, and monthly income and expenses. For those needing to submit their financial details to the state, understanding and accurately completing this form is crucial. To streamline the process, click the button below to start filling out your form.
Understanding the Illinois Department of Revenue BOA-4 Financial Information Statement for Individuals is vital for anyone navigating financial disclosure requirements in relation to state taxes. This detailed form serves multiple purposes, including but not limited to, providing a comprehensive snapshot of an individual’s or a couple’s financial situation. The form is divided into several sections that collectively paint a full picture of one’s financial health. Section 1 seeks personal and employment information, including marital status, employment details, and related personal data which is foundational for understanding the taxpayer's basic situation. Transitioning to financial specifics, Section 2 requires disclosure of bank accounts, credit lines, real property, insurance policies, and securities among other financial assets. Moreover, respondents must detail their liabilities and expenses, thereby offering a nuanced view of their financial obligations versus assets. Not only does this form assess the present state of an individual’s finances, but it also pointedly asks for information on pending financial legal matters such as foreclosure or bankruptcy. Completing the picture, the form closes by examining monthly income versus expenses, potentially affecting one's financial stability. This comprehensive approach ensures the Illinois Department of Revenue has a clear view of an individual’s ability to meet tax obligations, making the BOA-4 form a critical tool for both the state and its taxpayers.
Illinois Department of Revenue
BOA-4 Financial Information Statement for Individuals
Section 1: Tell us about yourself and your employment
Part A: Your information
1
Marital status
single
married
separated
If married, complete your spouse’s information in Part B.
2
Your name ___________________________________________ 11
Filing status
married filing jointly
3 Street address ________________________________________
head of household
married filing separately
____________________________________________________ 12
Average monthly take-home pay $___________________________
City
State
ZIP
13
Amounts withheld from your paycheck (e.g., savings, bonds,
4
Home phone (____)____________________________________
deferred amounts, car payments, etc.) $______________________
5
Social Security number
___ ___ ___- ___ ___- ___ ___ ___ ___
______________________________________________________
6
Unemployed
yes
no If “yes,” how long. _______________ 14
Dates paid _____________________________________________
7
Current or former employer’s name ________________________ 15
Length of employment ____________________________________
8
Address _____________________________________________ 16
Date of birth
___ ___/___ ___/___ ___ ___ ___
____________________________________________________ 17
Name and address of next of kin (other than spouse)
Name ________________________________________________
9
Work phone (_____)____________________________________
Street address _________________________________________
10
Occupation___________________________________________
Part B: Your spouse’s information
18
Spouse’s name _______________________________________ 25
Work phone(_____)______________________________________
19
Address (if different)____________________________________ 26
Occupation ____________________________________________
____________________________________________________ 27
28
20
Home phone (if different)(_____)__________________________
21
___ ___ ___-___ ___-___ ___ ___ ___
22
no If “yes,” how long._______________ 29
23
Current or former employer’s name ________________________ 30
24
Address _____________________________________________ 31
Date of birth ___ ___/___ ___/___ ___ ___ ___
____________________________________________________
Section 2: Complete the following financial information
Note: Attach additional sheets in the same format for any of the following parts if necessary.
Part A: Your bank accounts (include savings and loans, credit unions, IRA and retirement plans, and certificates of deposit)
A
B
C
D
E
Type of
Account
Name of institution
Address
account
number
Balance
32
______________________
_______________________________________
___________
____________
33______________________
34
35
36
37______________________
38
Add Lines 32 through 37, Column E, and write the total here and on Part G, Line 56, Column B.
BOA-4 (R-4/01)
Page 1 of 4
Part B: Your charge cards or credit lines from your banks, credit unions, and savings and loans
Type of account
Current
or card
Name and address of financial institution
balance
39
_________________
_______________________________________________________________________
40
41
42
43
44
Add Lines 39 through 43, Column C, and write the total here and on Part G, Line 57, Column C.
44 ___________
Part C: Real property you own
Brief description
How property
of property
is titled
Physical address
County
45
_____________________________
__________________
46
47
Part D: Your life and health insurance policies
Policy
Face
Available
Insurance company
Type
amount
loan value
48
__________________________________________________
49
50
Add Lines 48 and 49, Column E, and write the total here and on Part G, Line 60, Column B.
50 ___________
Part E: Your securities (e.g., stocks, bonds, annuities, mutual funds, money market funds, government securities, notes, personal, etc.)
Quantity or
of security
Location
Owner of record
denomination
Present value
51
______________________________
_________________________
52
53
Add Lines 51 and 52, Column E, and write the total here and on Part G, Line 61, Column B.
53 ___________
Part F: Miscellaneous information
54a Are foreclosure, bankruptcy, receivership, or assignment for benefit of creditors proceedings pending? b What is the bankruptcy number? ______________________
Yes
No
c What date was the bankruptcy filed? ___ ___/___ ___/___ ___ ___ ___
If closed, what was the date? ___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Page 2 of 4
Part G: Analyze your assets and liabilities
Note: Write amounts in all unshaded areas that apply
Fair market
Description
value
55
Cash
56
Total bank accounts
from Section 2, Part A,
Line 38
57Total charge cards balance from Section 2, Part B,
Line 44
58Vehicles (model, year)
a ___________________
b ___________________
c ___________________
59
Real property listed
in Section 2,
Part C, (Line 45)
(Line 46)
(Line 47)
60
Total cash or loan value
of insurance from
Section 2, Part D,
Line 50
61
Total securities from
Section 2, Part E,
Line 53
62
Other assets (specify)
Liabilities
balance due
Equity
(Column B minus
Column C)
Monthly payment amount
F
Pledgee or obligee
___________________
G
Date of
final
payment
a___________________
b___________________
c___________________
63 Other liabilities not covered above (e.g., judgments, charities, tuition)
64 Federal taxes owed
65 State taxes owed a Illinois individual
income tax
b Illinois business income tax
c Other state taxes
66Total
Page 3 of 4
Part H: Analyze your monthly income and expenses
Income
Source
Gross
Net
67
Your wages or salary
68
Your spouse’s
wages or salary
69
Interest or dividends
70
Business income
71
Rental income
72
Your pension
73
Your spouse’s pension
74
Child support
75
Alimony
76Other (specify)
________________ ___________________ ___________________
________________
77 Add Lines 67 through 76, Column C.
This amount is your total net income.
____________________
Necessary monthly living expenses
Expense
Amount
78Rent (not included
in Part G, Line 59)
79
Groceries
(number of people____)
80
Installment pmts. from
Part G, Line 66, Col. E
81
Utilities
a
gas
b
water
c
electric
d
telephone
82
Transportation
83
Insurance
life
(monthly
health
premiums) c
home
car
84Medical (not covered
in Line 83b above)
85
Estimated tax payments
86
Court-ordered payments
87Other (specify)
__________________ ___________________
88Add Lines 78 through 87. This amount is your
total expenses.
89 Subtract Line 88 from Line 77. This amount is your net income after expenses.
89 ___________________
Part I: Complete any additional asset or income information
90Write any additional information you have about your assets or income that was not included in any of the preceding parts. Be sure to include a statement regarding the prospect of any increase in the value of your assets or your present income.
_____________________________________________________________________________________________________________
Section 3: Sign below
Under penalties of perjury, I state that I have examined this statement of assets, liabilities, and other information and, to the best of my knowledge, it is true, correct, and complete.
______________________________________________/___/_____ ______________________________________________/___/_____
Petitioner’s signature (not representative)
Date
Spouse’s signature
Page 4 of 4
This form is authorized as outlined by the Illinois Income Tax Act. Disclosure of this information is REQUIRED. Failure to provide information
could result in this form not being processed. This form has been approved by the Forms Management Center.
IL-492-3683
The Illinois Department of Revenue requires the BOA-4 form to gather comprehensive financial information from individuals. This document plays a crucial role in financial assessments or for other state requirements. As such, ensuring accuracy and completeness when filling out this form is crucial. Below is a step-by-step guide to assist in the completion of the BOA-4 form, designed to make the process straightforward and more manageable.
After completing the BOA-4 form, double-check each section for completeness and accuracy. Once satisfied, submit the form to the designated Illinois Department of Revenue office. Proper submission of this form is a crucial step, as failure to provide accurate information could result in processing delays or the need for additional information. If assistance is needed at any point, consider reaching out to a financial advisor or the Department of Revenue directly.
What is the Illinois BOA-4 form?
The Illinois BOA-4 form, known as the Financial Information Statement for Individuals, is a document provided by the Illinois Department of Revenue. It's designed to collect comprehensive financial information from an individual, including personal details, employment information, income, bank accounts, real property, liabilities, and monthly expenses. This form is essential for various state-related financial assessments or procedures.
Who needs to fill out the BOA-4 form?
Any individual required by the Illinois Department of Revenue to report their financial situation for state tax purposes, applications for financial relief, or other state-related financial evaluation needs to complete the BOA-4 form. This could include individuals negotiating payment plans for tax liabilities or applying for certain state benefits.
What sections are included in the BOA-4 form?
The form is divided into several sections designed to capture a detailed financial portrait of the filer:
Are there any attachments I should include with my BOA-4 form?
Yes, if you run out of space in any section of the form or need to provide additional information that isn't accommodated by the provided fields, you're instructed to attach extra sheets in the same format as the pertinent section. Ensure these attachments are clear, detailed, and properly labeled to match the section to which they correspond.
How do I report my bank accounts and credit lines in the form?
In the relevant sections of the BOA-4 form, you'll provide details about your bank accounts and credit lines, including the type of account, the name and address of the institution, account numbers, and current balances or credit lines. For bank accounts, include any savings, loans, credit unions, IRA and retirement plans, and certificates of deposit.
What if I'm unemployed at the time of filling out the form?
If you're unemployed when completing the BOA-4 form, you should indicate this status in the space provided by answering "yes" to the unemployment question. You'll also need to specify how long you have been unemployed. This information helps the Illinois Department of Revenue understand your current financial situation more accurately.
How do I disclose real property and insurance policies?
For real property, include a brief description, how the property is titled, its physical address, and the county. For life and health insurance policies, detail each policy's number, type, face amount, available loan value, and the insurance company.
Can I report my spouse's financial information on the same form?
Yes, the Illinois BOA-4 form provides a separate section for your spouse's information if you are married. This part asks for similar detail regarding your spouse's employment, financial situation, and personal information, allowing a joint financial profile to be compiled on a single form.
What happens if I don't fill out the BOA-4 form completely?
Failing to provide complete information on the BOA-4 form could result in the form not being processed. It's essential to fill out each section accurately and thoroughly to avoid delays or issues with the Illinois Department of Revenue assessments or procedures that require this form.
Where do I sign the BOA-4 form?
At the end of the BOA-4 form, there's a section labeled "Section 3" that contains a declaration. You (and your spouse, if applicable) must sign and date this part, asserting under penalties of perjury that the information provided throughout the form is true, correct, and complete to the best of your knowledge.
Filling out the Illinois BOA-4 form accurately is crucial for individuals dealing with financial information statements. However, several common mistakes can potentially derail the process. Being aware of these errors can help individuals navigate this form more confidently and accurately.
Avoiding these mistakes can lead to a smoother process and more accurate representation of an individual’s financial situation. Attention to detail and thoroughness are key when completing the Illinois BOA-4 form.
Completing the Illinois Department of Revenue BOA-4, the Financial Information Statement for Individuals, is a crucial step in managing your tax obligations or resolving tax-related issues in Illinois. However, this form doesn't stand alone; several other documents may be necessary to provide a comprehensive view of your financial situation. Understanding these documents can help streamline the process and ensure accuracy in your reporting.
Combining the BOA-4 form with these associated documents forms a solid foundation for a thorough and accurate portrayal of your financial situation to the Illinois Department of Revenue. Whether you're dealing with tax liabilities, seeking payment plans, or ensuring compliance, the proper preparation and inclusion of these documents can significantly impact the outcome.
The Illinois BOA-4 form, a comprehensive financial information statement required by the Illinois Department of Revenue, shares similarities with several other financial and personal information gathering documents. These forms are essential for various financial, legal, and personal situations, helping in the collection and assessment of individual financial standings. The following list elaborates on documents that resemble the Illinois BOA-4 form in purpose and content:
IRS Form 433-A (OIC) - The Internal Revenue Service (IRS) utilizes Form 433-A (Offer in Compromise) to collect detailed information about an individual's financial situation. This form assesses the ability of an individual to pay back taxes. Similar to the BOA-4 form, it requests exhaustive details about income, assets, expenses, and debts to evaluate a suitable payment plan or settlement.
Uniform Borrower Assistance Form - Used by mortgage lenders, this form helps in understanding a borrower's financial situation to provide assistance options like modifications to loan terms. It parallels the BOA-4 form by asking for personal, income, and expense details to aid in making decisions regarding mortgage assistance.
Loan Application Forms - Similar to parts of the BOA-4 form, loan applications require comprehensive personal and financial information to evaluate the borrower's creditworthiness and ability to repay the loan. This includes employment details, income, expenses, assets, and liabilities.
Financial Affidavit Forms - Often used in legal proceedings such as divorce, these affidavits collect detailed financial information from an individual to determine alimony, child support, and the division of assets. Like the BOA-4, they require full disclosure of financial circumstances.
Bankruptcy Forms - Filing for bankruptcy necessitates detailed disclosure of an individual's financial status, similar to the BOA-4 form. This includes listing all assets, liabilities, income, and expenses to evaluate the filer's financial position and determine the type of bankruptcy filing they are eligible for.
College Financial Aid Applications (e.g., FAFSA) - These applications gather detailed financial information about students and their families to determine eligibility for financial aid. Like the BOA-4 form, they require data on income, assets, and household finances.
State Tax Forms - Similar to the BOA-4 form but specific to each state, these forms collect information on income, deductions, and credits to calculate and file state taxes. They require detailed financial and personal information to ensure accurate tax assessment and compliance.
Each of these documents, while serving different purposes, shares the common thread of requiring detailed personal and financial information to assess the individual's financial health or to make informed decisions regarding financial assistance, legal outcomes, or tax obligations.
Filling out the Illinois Department of Revenue BOA-4 Financial Information Statement for Individuals necessitates accuracy and attention to detail. Here are three recommendations on what individuals should do and three cautions on what they should avoid to ensure the form is completed correctly:
By adhering to these dos and don'ts, individuals can ensure a thorough and correctly filled out BOA-4 form, facilitating a more efficient review process by the Illinois Department of Revenue.
There are several misconceptions about the Illinois Department of Revenue BOA-4, Financial Information Statement for Individuals, that need clarification. Misunderstandings can lead to errors in completing the form or misinterpretation of its requirements. Here are six common misconceptions explained:
Understanding these nuances is crucial for accurately completing the BOA-4 form and ensuring compliance with the Illinois Department of Revenue requirements. The form is a detailed declaration of an individual's financial situation and must be approached with thoroughness and accuracy.
Understanding and completing the Illinois BOA-4 Financial Information Statement for Individuals requires attention to detail and accuracy. Here are key takeaways to ensure the form is filled out correctly and utilized effectively:
The completion and proper use of the Illinois BOA-4 form are instrumental in providing a detailed financial statement. It's designed to aid in various financial assessments, including those by the Illinois Department of Revenue. Attention to detail across every segment ensures that the financial information presented is both accurate and complete, aiding in effective financial management and planning.
Do Lien Waivers Need to Be Notarized - The affidavit section reinforces the waiver's validity, requiring signatories to swear to the accuracy of the information provided.
Guardianship Forms for Adults in Illinois - Adjust to life's uncertainties in Illinois by designating a short-term guardian, permitting your child's care to seamlessly continue regardless of unexpected events.