Use your 'Mouse' or the 'Tab' key to move through the fields, use your 'Mouse' or 'Space Bar' to enable the "Check Boxes".
Illinois Department of Revenue
Page ____ of ____
RL-53
Deliveries of Alcoholic Liquors from Public Warehouse
Step 1: Identify your warehouse and the account for whom you store alcoholic liquors
Warehouse name ________________________________________
Tax period
__ __/__ __ __ __
Month
Year
Street address ___________________________________________
City, state, ZIP ___________________________________________
Class of alcoholic liquor:
cider 0.5% to 7% or beer
WH -
Certificate no. _______________ IBT no. __ __ __ __ - __ __ __ __
alcoholic liquors 14% or less
(Check only one class per page.)
alcoholic liquors > 14% and < 20%
Account you store liquors for _______________________________
alcoholic liquors 20% or more
Street address __________________________________________
City, state, ZIP __________________________________________
Step 2: Write the total number of units you delivered
Date delivered
Name
Units
City
50 ml
187 ml 200 ml 355 ml 375 ml 500 ml 750 ml 1.0 liter 1.5 liter 1.75 liter 4 liter
Misc.
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
_ _/_ _/_ _ _ _
______
______
______
______
______
______
______
______
______
______
______ ______
______________________________
______________________________
Subtotal
______
______
______
______
______
______
______
______
______
______
______ ______
Grand total
______
______
______
______
______
______
______
______
______
______
______ ______
(See instructions.)
RL-53 front (R-5/99) IL-492-1500
Reset
Print