Form Rpu-13-X - Amended Electricity Excise Tax Return - Illinois
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Illinois Department of Revenue
REV 1
RPU-13-X
Amended Electricity Excise Tax Return
E S ___/___/___
NS
DP
CA
Station 053
Do not write above this line.
Step 1: Identify your business
1
Illinois Business Tax number (IBT no.): __ __ __ __ - __ __ __ __
7
Check the appropriate box and complete the tax
2
period for which you are filing this return:
Federal Employer Identification number (FEIN): __ __ - __ __ __ __ __ __ __
Month of __ __/__ __ __ __.
E
3
License no.: __ - __ __ __ __ __
Quarter ending __ __/__ __ __ __.
4
Taxpayer name: __________________________________________________
Year __ __ __ __.
5
8
Check here if your address has changed.
Business name: __________________________________________________
9
Is this a final return?
yes
no
6
Business address: ________________________________________________
Number and street
"Final” indicates you will no longer conduct business
If "yes," complete the following: My business was
_______________________________________________________________
City
State
ZIP
discontinued __ __/__ __/__ __ __ __.
sold: __ __/__ __/__ __ __ __.
Step 2: Receipts subject to tax
- Figures as they should have been reported
10
10
Gross receipts from sales of electricity taxed on a gross-receipts basis.
______________|____
11
Deductions (only tax-exempt receipts you included on Line 10.)
a
11a
Receipts from interstate commerce
______________|____
b
11b
Receipts from rebillable service (sale for resale)
______________|____
c
11c
Other. Explain: _______________________________________________
______________|____
12
12
Add Lines 11a, 11b, and 11c. This amount is your total deduction.
______________|____
13
13
Subtract Line 12 from Line 10. This amount is your receipts subject to tax.
______________|____
Step 3: Kilowatt-hours subject to tax
Figures as they should have been reported
-
14
14
Total kilowatt-hours taxed on a per-kilowatt-hour basis.
__________________
15
Deductions (only tax-exempt kilowatt-hours you included on Line 14.)
a
15a
Kilowatt-hours sold or distributed in interstate commerce
__________________
b
15b
Kilowatt-hours to be rebilled (sale for resale)
__________________
c
15c
Other. Explain: _______________________________________________
__________________
16
16
Add Lines 15a, 15b, and 15c. This amount is your total deduction.
__________________
17
17
Subtract Line 16 from Line 14. This amount is your kilowatt-hours subject to tax.
__________________
Step 4: Tax due
- Figures as they should have been reported
18
18
Multiply Line 13 by 5% (.05). This is the tax on your receipts.
______________|____
19
19
Multiply Line 17 by .32¢ (.0032) per kilowatt-hour. This is the tax on your kilowatt-hours.
______________|____
20
20
Tax due from Worksheet A, Line o, or Worksheet B, Line d, if required to complete either worksheet.
______________|____
21
21
Add Lines 18, 19, and 20. This is your total Electricity Excise Tax due.
______________|____
22
22
If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”
______________|____
23
Total qualified solid waste energy tax credit you wish to apply and the total tax paid to another state for
23
which you are taking credit. (See instructions.)
______________|____
24
24
Add Lines 22 and 23. This is the tax you have already paid.
______________|____
25
25
If Line 24 is greater than Line 21, subtract Line 21 from Line 24. This amount is your overpayment.
______________|____
26
26
If Line 24 is less than Line 21, subtract Line 24 from Line 21. This amount is your tax due.
______________|____
27
27
Total credit you wish to apply from a credit memorandum.
______________|____
28
28
Subtract Line 27 from Line 26. This is your net tax due.
______________|____
29
29
Total amount that you have paid for this reporting period.
______________|____
30
30
If Line 29 is greater than Line 28, figure your overpayment by subtracting Line 28 from Line 29.
______________|____
31
If Line 29 is less than Line 28, figure your underpayment by subtracting Line 29 from Line 28.
31
______________|____
Make your check payable to “Illinois Department of Revenue.”
Step 5: Check the reason you are filing this amended return
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
I should have taken a deduction for ________________________________________________________________________________
The original IBT no. was incorrect. The incorrect IBT no. is __ __ __ __-__ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
Other. Please explain.__________________________________________________________________________________________
Step 6: Sign below
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.
_______________________________________________________
_______________________________________________________
Taxpayer’s signature
Date
Telephone number
Preparer’s signature
Date
Telephone number
This form is authorized by the Electricity Excise Tax Law. Disclosure of this information is REQUIRED. Failure to
RPU-13-X (N-06/02)
comply may result in a penalty. This form has been approved by the Forms Management Center.
IL-492-4254
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