Form Rc-6-A-W - Out-Of-State Cigarette Revenue Return Worksheet 2010 Page 2

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Step 3:
List the number of cigarettes in your inventory -
Do not include cigarettes you returned for credit.
11
Illinois Department of Revenue use only. Go to Line 12.
12
Figure the total number of cigarettes with Illinois stamps affixed to originial packages at the rate of 29 mills.
A
B
C
Cigarettes in packages
Number of packages
Number of cigarettes
10
X
_______________________ = _ ______________________
20
X
_______________________ = _ ______________________
25
X
_______________________ = _ ______________________
12 _______________________
Add all totals in Column C. This is the number of cigarettes in your inventory
13
13 _______________________
Total number of cigarettes with Illinois stamps affixed as reported on Schedule CF, Part 2b.
14
14 _______________________
Add Lines 12 and 13. Write this amount here.
Step 4:
List your inventory of stamps
-
15
Illinois tax stamps at the rate of 29 mills that are affixed to packages
Do not include the affixed stamps on packages you returned to the manufacturer.
A
B
C
Stamp value
Number of tax stamps
Gross amount
.29
X
_______________________ = $ _______________________
.58
X
_______________________ = $ _______________________
.725
X
_______________________ = $ _______________________
15
______________________
Add all totals in Column C. This is the value of your affixed stamps.
$
16
16
______________________
Total gross amount of Illinois stamps affixed as reported on Schedule CF, Line 3a.
$
17
17
______________________
Add Lines 15 and 16. Write this amount here and on Form RC-6-A, Line 23.
$
-
18
Illinois tax stamps at the rate of 29 mills that are not affixed to original packages
Do not include the tax stamps you returned to us.
A
B
C
Stamp value
Number of tax stamps
Gross amount
.29
X
_______________________ = $ _______________________
.58
X
_______________________ = $ _______________________
.725
X
_______________________ = $ _______________________
18
______________________
Add all totals in Column C. This is the value of your unaffixed stamps.
$
19
19
______________________
Total gross amount of Illinois unaffixed tax stamps as reported on Schedule CF, Line 3b.
$
20
20
______________________
Add Lines 18 and 19. Write this amount here and on Form RC-6-A, Line 24.
$
21
Number of Illinois stamps (at the rate of 29 mills) returned during this reporting period to the
Illinois Department of Revenue for credit and/or attached to original packages returned to the manufacturer.
A
B
C
D
Dept. Use
Manufacturer Code
Number of stamps
Value
Gross amount
______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
_______________________
___/___/_____ _ ________________________ _______________________ ___________
$
21
______________________
Add all totals in Column D.
$
22
22
______________________
Total gross amount of Illinois tax stamps returned as reported on Schedule CF, Line 3c.
$
23
23
______________________
Add Lines 21 and 22. Write this amount here and on RC-6-A, Line 20.
$
RC-6-A-W Page 2 (R-4/10)
*043402110*
This form is authorized as outlined by the Illinois Cigarette Use 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-492-4310
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