Form Rc-14 Schedule Cl - Shipments Of Stamped Cigarettes And Little Cigars Into Illinois

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Illinois Department of Revenue
REV 01 FORM 446
RC-14
Schedule CL
Shipments of Stamped Cigarettes and Little Cigars into Illinois
Read this information first
Sheet no. __________
Attach the completed original schedule to either Form RC-6-A, Out-of-State Cigarette and Little Cigar Revenue Return, or
Form RC-6-A-X, Amended Out-of-State Cigarette and Little Cigar Revenue Return.
For additional instructions, see Form RC-6-A or Form RC-6-A-X.
Step 1: Identify your business
Name: _ ____________________________________________ Account ID: __ __ __ __ __ __ __ __
Address: ___________________________________________ License no.: U - ___ ___ ___ ___ ___
Number and street
__________________________________________________ Tax period: __ __ / __ __ __ __
City
State
ZIP
Month
Year
Step 2: Identify your shipments
Invoice date
Common carrier
FEIN of customer
Name and address of customer
Number of sticks
and number
name
to whom you shipped
to whom you shipped cigarettes
cigarettes or little cigars
or little cigars
,
,
,
_ _/_ _/_ _ _ _
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___________________
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Page total
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Grand total
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*344611110*
Reset
Print
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
RC-14 (R-07/13) Schedule CL

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