Form Cmft-1-X - Amended County Motor Fuel Tax Return
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Illinois Department of Revenue
CMFT-1-X
Amended County Motor Fuel
Rev 02 Form 026
Tax Return
E S ____/___/____
NS DP CA RC
Do not write above this line.
Read this information first
Everyone must complete Parts 1, 2, and 5.
You must also complete
Amount you are paying: $ _________________
• Part 3 if you believe you have overpaid.
Make your check payable to “Illinois Department of Revenue.”
• Part 4 if you are changing financial information.
Part 1: Identify your business
1
IBT no. ____ ____ ____ ____ - ____ ____ ____ ____
“X” only if your address is different from the address on your
Illinois business tax number
original return and complete item 4 below.
2
4
Tax period being amended
_____________________________
Mailing address _______________________________________
Number and street
3
Business name _______________________________________
____________________________________________________
City
State
ZIP
Part 2: Check the reason you are correcting your return
1
4
____ I made a computational error.
____ I took a deduction on my original return that was
not allowed or was too large.
2
____ I should have taken a deduction or a larger deduction
5
on my original return because I sold motor fuel
____ The original IBT number was incorrect. The
correct IBT number is __ __ __ __ - __ __ __ __.
a
____ to another Illinois business for resale.
6
(business’ IBT no. __ __ __ __ - __ __ __ __)
____ The original tax period was incorrect. The
b
____ to an exempt organization (government, school,
correct tax period is ______________________________.
religious, or charitable).
7
(tax-exempt no. E- __ __ __ __ - __ __ __ __)
____ Other. Please explain. _____________________________
c
____ that was returned by my customer.
______________________________________________________
______________________________________________________
3
____ I put an amount on the wrong line on
______________________________________________________
either Form CMFT-1 or Form CMFT-2.
______________________________________________________
Part 3: If you are claiming an overpayment, you must answer the following
1
Did you collect the overpaid tax from your customer on the sale?
____ yes ____ no
2
If yes, did you unconditionally refund the overpaid tax?
____ yes ____ no
Please turn page over to complete Parts 4 and 5
This form is authorized by the County Motor Fuel Tax law. Disclosure of this information is REQUIRED. Failure to provide
CMFT-1-X front (R-1/03)
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2461
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