Form Rl-26-D - Schedule D - Tax-Free Bulk Purchases Used In Rectification, Bottling, And Blending - 2010

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Illinois Department of Revenue
RL-26-D
Schedule D
Tax-free Bulk Purchases Used in Rectification,
Bottling, and Blending
Page _____of_____
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; and
Attach your completed schedule to Form RL-26, Liquor Revenue Return or Form RL-26-X, Amended Liquor Revenue Return.
Step 1: Identify your business
Name:
Account ID: __ __ __ __ __ __ __ __
_ ________________________________________________
Address:
License no.: __ __ - __ __ __ __ __
_ ______________________________________________
Number and street
Tax period:
_ ______________________________________________________
__ __/__ __ __ __
City State ZIP Month Year
Step 2: Tell us about your tax-free bulk purchases used in rectification, bottling, or blending
Equivalent in wine gallons
Invoice no. FEIN from whom
Name and complete address of
Cider 0.5 % Alcohol 14 % Alcohol > 14% Alcohol 20%
and date
you purchased
whom you purchased from
to 7% or beer
or less
and < 20%
or more
____________ ___________ ______________________________________________ _ _________ __________ __________ __________
_ _/_ _/_ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ _ _________ __________ __________ __________
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______________________________________________
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____________ ___________ ______________________________________________ _ _________ __________ __________ __________
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______________________________________________
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____________ ___________ ______________________________________________ _ _________ __________ __________ __________
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____________ ___________ ______________________________________________ _ _________ __________ __________ __________
_ _/_ _/_ _ _ _
______________________________________________
______________________________________________
Page subtotal
_________ __________ _________ _________
Grand total
_________ __________ _________ _________
(See instructions.)
*035211110*
RL-26-D (R-04/10)
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