Form Rhm-1 - Hotel Operators' Occupation Tax Return

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Illinois Department of Revenue
REV 2
RHM-1
Hotel Operators' Occupation Tax Return
E S ___/___/___
NS DP CA
Station no. 515
Do not write above this line.
Step 1: Identify your business
1
5
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
Check here if your address has changed.
6
Tell us the liability period for which you are filing this return:
2
HM -
License no.
___ ___ ___ ___ ___
Month of: __ __/___ __
Quarter ending: __ __/___ __
3
Business name _______________________________________
Year: __ __ __ __
4
7
Business address _____________________________________
Is this a final return (you are no longer in business)? yes no
Number and street
___________________________________________________
City State ZIP
Step 2: Figure your taxable base
8
8
Total receipts. (Includes all room rental receipts, state, and local tax collected for this reporting period.)
______________|____
9
9
Local tax deduction
______________|____
10
Other deductions (non-itemized deductions will be disallowed)
Description
Amount
____________________________________________________
______________|____
____________________________________________________
______________|____
10
Total other deductions:
______________|____
11
11
Subtraction for MPEA Hotel Tax collected.
______________|____
12
12
Add Lines 9 through 11. This is your total deductions.
______________|____
13
13
Subtract Line 12 from Line 8 . This is your taxable base.
______________|____
Step 3: Figure your total tax
14
14
State tax. Multiply Line 13 by .0564
______________|____
15
15
Chicago taxes. Multiply Line 13 by .05235
______________|____
16
16
Add Lines 14 and 15. This is your total tax.
______________|____
Step 4: Figure your discount
17
17
If you file and pay on time, multiply Line 16 by .021
______________|____
Step 5: Figure your payment due
18
18
Subtract Line 17 from Line 16. This is your net tax due.
______________|____
19
19
If you collected too much tax, report the amount of excess tax you collected.
______________|____
20
20
Add Line 18 and Line 19. This is your tax due.
______________|____
21
21
If you have credit, tell us the amount of credit you wish to apply.
______________|____
22
22
Subtract Line 21 from Line 20. This is your total tax due. Pay this amount.
______________|____
Step 6: 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. The
information in this return is taken from the records of the business for which it is filed.
___________________________________________________
____________ ____/____/________ (____)____-____________
Taxpayer's signature Title
Date Telephone (Include area code)
___________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date Telephone (Include area code)
*047521110*
RHM-1 (R-4/10)
This form is authorized by the Hotel Operators’ Occupation 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-492-2117
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