Form Rc-7 Schedule Ca - Cigarettes Imported For Sale With No Illinois Cigarette Revenue Stamps Affixed To Original Packages

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Illinois Department of Revenue
RC-7
Schedule CA
Cigarettes Imported for Sale with No Illinois
Cigarette Revenue Stamps Affixed to Original Packages
Read this information first
Sheet no. __________
After you have completed this schedule, make a photocopy and retain the copy for your records; and
Attach the completed original schedule to either Form RC-6, Cigarette Revenue Return, or Form RC-6-X, Amended
Cigarette Revenue Return.
For additional instructions, see the back of Form RC-6, or Form RC-6-X.
Step 1: Identify your business
Name: ____________________________________________
Account ID: __ __ __ __ __ __ __ __
Address: __________________________________________
License no.: C- ___ ___ ___ ___ ___
Number and street
_________________________________________________
Tax period: __ __ / __ __ __ __
City
State
ZIP
Month
Year
Step 2: Identify your purchases
Date
Invoice no.
FEIN of whom
Name and address of whom
Number of cigarettes
you purchased from
you purchased from
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Page total
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*043801110*
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Grand total
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RC-7 (R-004/10)
This form is authorized as outlined by the Illinois Cigarette Tax Act. Disclosure of this information is REQUIRED. Failure to provide
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-1504
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