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Illinois Department of Revenue
RHM-1
Hotel Operators’ Occupation Tax Return
Do not write above this line.
Liability period: _______________________
Registration number: ______________________________________
Due by: ______________________________
Is this an amended return?
yes
no
Name: _________________________________________________
Is this a final return?
yes
no
Address: _______________________________________________
(See instructions.)
Number and street
If “yes,” check the appropriate box.
_______________________________________________________
Sold business
City
State
ZIP
Discontinued business
Date business was sold or discontinued:
__ __ __ __ __ __ __ __
(See instructions.)
Month
Day
Year
Step 1: Write your taxable receipts
Step 7: Figure your discount
1
1
11
11
Total receipts (include tax)
_______________
If you filed and paid on time,
_______________
multiply Line 10 by .021.
Step 2: Figure your total deductions
12
12
Net tax due
_______________
(Subtract Line 11 from Line 10.)
2
2
Local tax deduction
_______________
Step 8: Figure your payment due
3
Other deductions
13
13
(Non-itemized deductions will be disallowed.)
Credit memorandum
_______________
(See instructions.)
Description
Amount
______________ ______________
Credit no.
Credit amount
______________ ______________
______________ ______________
______________ ______________
______________ ______________
3
Total other deductions
_______________
______________ ______________
______________ ______________
4
4
Total deductions
_______________
14
14
(Add Lines 2 and 3.)
Payment due
_______________
(Subtract Line 13 from Line 12.)
Step 3: Figure your subtotal base
Make your check payable to “Illinois Department of Revenue.”
5
5
Subtotal base
_______________
Step 9: Sign below
(Subtract Line 4 from Line 1.)
Step 4: Figure your MPEA Hotel Tax
Under penalties of perjury, I state that I have examined this return
and, to the best of my knowledge, it is true, correct, and complete.
Complete only for hotels located in Chicago.
The information in this return is taken from the records of the
business for which it is filed.
6
6
MPEA Hotel Tax collected
_______________
(Or multiply Line 5 by .02234.)
__________________________________________ _ _/_ _/_ _ _ _
Paid preparer’s signature
Phone
Date
Step 5: Figure your taxable base
__________________________________________ _ _/_ _/_ _ _ _
Taxpayer’s signature
Phone
Date
7
7
Taxable base
_______________
(Subtract Line 6 from Line 5.)
Mail this return and any payment you owe to:
ILLINOIS DEPARTMENT OF REVENUE
Step 6: Figure your tax
PO BOX 19019
SPRINGFIELD IL 62794-9019
8
8
State tax
_______________
(Multiply Line 7 by .0564.)
If you have any questions, call 217 782-6045.
9
9
Chicago taxes
_______________
(Multiply Line 7 by .05235.)
10
10
Total tax
_______________
(Add Lines 8 and 9.)
RHM-1 Front (R-12/05)
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