Form Rl-26-L - Form Out-Of-State Sellers' Shipment Report

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Illinois Department of Revenue
Page ____ of ____
RL-26-L
Schedule L
Out-of-state Sellers’ Shipment Report
Read this information first
Make a copy of this schedule before completion if you need to report more than provided for here. After you have
completed your schedule(s), make a photocopy and retain the copy for your records.
Step 1: Identify your business and your type of transaction
a Name:_
Illinois Business Tax number (IBT no.): __ __ __ __ __ __ __ __
______________________________________________
Address:_
Federal Employer Identification number: ____ _______________
____________________________________________
Number and street
(FEIN)
Tax period: __ __ __ __ __ __
__________________________________________________
City
State/Providence
ZIP
Month
Year
Country/Territory:___________________________
Telephone: ______________________
Ext: __________
b
Check here if you had no shipments to report during this tax period.
Step 2: Tell us about the alcoholic liquors you shipped into Illinois
Equivalent in wine gallons
Invoice no.
Account no. of
Name and complete address of
Cider 0.5 %
Alcohol 14 % Alcohol > 14% Alcohol 20%
and date whom you sold and
whom you sold and shipped to
to 7% or beer
or less
and < 20%
or more
shipped to
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ _ _ _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _ / _ _ / _ _ _ _
______________________________________________
______________________________________________
Page subtotal
_________ __________ _________ _________
Grand total
_________ __________ _________ _________
RL-26-L (R-04/06)
(See instructions.)
IL-492-1493

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