Form Rlg-3 Real Estate Transfer Tax Claim For Credit
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Illinois Department of Revenue
RLG-3
Real Estate Transfer Tax Claim for Credit
Who should fi le this form?
Counties must complete Form RLG-3 to receive credit for returned real estate transfer tax stamps that cannot be used.
How do I fi gure my claim amount?
There are two options available to purchase stamps. Depending on the option used, the county must complete either:
Line 5: State tax only option — If you paid only the state tax (purchased at full value and affi xed at the rate of $0.50 per $500 value),
write the full value of stamps returned.
2
Line 6: State tax and county taxes — If you paid both state tax and county taxes (purchased at 66
/
percent (.66666666667) of face
3
value and affi xed at the rate of $0.75 per $500 value), multiply the full value of stamps by .66666666667.
Where do I send my completed Form RLG-3?
Mail your completed Form RLG-3 and attachments to
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19018
SPRINGFIELD IL 62794-9018
Step 1: Provide your purchaser information
__ __ __ __-__ __ __ __
Illinois Business Tax number (IBT no.):
County: _______________________________________________
Address: _______________________________________________
City:______________________________
ZIP:________________
Step 2: Check all that apply as to the reason you are completing this claim
1
_____ Stamps used improperly or issued in excess of required amount - Attach a copy of the document with the cancelled stamp(s)
included and clearly showing the amount(s).
2
_____ Damaged stamp - Attach the original stamp.
3
_____ Stamp meter malfunction - Attach the original stamp.
4
_____ Other - Describe the situation. Attach additional sheets if needed.
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Step 3: Figure your claim amount
5
State tax only option — Write the full value of the stamps returned.
$_________________________
6
2
State and county taxes option — Multiply the full value of stamps returned by 66
/
% (.66666666667).
$_________________________
3
Step 4: Sign below -
The county offi cial must complete this Step.
Offi cial Use
No
____________
I certify that, to the best of my knowledge, the information on this credit claim is true and accurate.
Amt
____________
Apv
____________
_______________________________________________
___ ___/___ ___/___ ___ ___ ___
Vrf
____________
Signature of county offi cial
Date
DR
____________
Int D
____________
Title: _________________________________________________
This form is authorized by the Real Estate Transfer Tax Law in the Property Tax Code (35 ILCS 200/ 31-1 et seq.). Disclosure of information is
IL-492-1613
RLG-3 (R-03/09)
REQUIRED. Failure to comply may result in a penalty. This form has been approved by the Forms Management Center.
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