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Illinois Department of Revenue
REV 2
RPU-13
E S ___/___/___
Electricity Excise Tax Return
Station 053
NS
DP
CA
Do not write above this line.
Step 1: Identify your business
7
Tell us the liability period for which you are filing this
return:
1
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
Month of ___ ___/___ ___
Quarter ending ___ ___/___ ___
2
Federal Employer Identification number (FEIN): __ __ - __ __ __ __ __ __ __
Year ___ ___ ___ ___
3
E
License no.: __ - __ __ __ __ __
8
Check here if your address has changed.
4
Taxpayer name: __________________________________________________
9
Is this a final return (you are no longer in business)?
yes
no
5
Business name: __________________________________________________
6
Business address: ________________________________________________
*041101110*
Number and street
_______________________________________________________________
City
State
ZIP
Step 2: Figure your receipts subject to tax
(See instructions “Which Steps Do I Have to Complete?”)
1 0
10
Gross receipts from sales of electricity taxed on a gross-receipts basis.
______________|____
1 1
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: _______________________________________________
______________|____
1 2
12
Add Lines 11a, 11b, and 11c. This is your total deduction.
______________|____
1 3
13
Subtract Line 12 from Line 10. This is your receipts subject to tax.
______________|____
Step 3: Figure your kilowatt-hours subject to tax
(See instructions “Which Steps Do I Have to Complete?”)
1 4
14
Total kilowatt-hours taxed on a per-kilowatt-hour basis.
__________________
1 5
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: _______________________________________________
__________________
1 6
16
Add Lines 15a, 15b, and 15c. This is your total deduction.
__________________
1 7
17
Subtract Line 16 from Line 14. This is your kilowatt-hours subject to tax.
__________________
Step 4: Figure your tax due
1 8
18
Multiply Line 13 by 5% (.05). This is the tax on your receipts.
_____________|_____
1 9
19
Multiply Line 17 by .32¢ (.0032) per kilowatt-hour. This is the tax on your kilowatt-hours.
_____________|_____
2 0
20
Tax due from Worksheet A, Line o, or Worksheet B, Line d, if required to complete either worksheet.
_____________|_____
2 1
21
Add Lines 18, 19, and 20. This is your total Electricity Excise Tax due.
_____________|_____
2 2
22
If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”
_____________|_____
2 3
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.)
_____________|_____
2 4
24
Add Lines 22 and 23. This is the tax you have already paid.
_____________|_____
2 5
25
If Line 24 is greater than Line 21, subtract Line 21 from Line 24. This amount is your overpayment.
_____________|_____
2 6
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.
_____________|_____
2 8
28
Subtract Line 27 from Line 26. This amount is the total payment due.
_____________|_____
Make your check payable to “Illinois Department of Revenue.”
Step 5: 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
Mail return and payment to: Electricity Excise Tax, Illinois Department of Revenue, P.O. Box 19019, Springfield, IL 62794-9019
Note: If you prefer, you can file Form RPU-13 using our WebFile program at tax.illinois.gov.
RPU-13 (R-04/10)
This form is authorized by the Electricity Excise Tax Law. Disclosure of this information is REQUIRED. Failure to
comply may result in a penalty. This form has been approved by the Forms Management Center.
IL-492-3842
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