Form Rc-6-X - Amended Cigarette Revenue Return With Instructions

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Illinois Department of Revenue

REV 1

RC-6-X

E S ___/___/___

Amended Cigarette Revenue Return

Read this information first

Do not write above this line.

Do not send any payment with Form RC-6-X. Keep a copy of your completed Form RC-6-X for your records.

Station no. 065

Step 1: Identify your business

Account ID: ____ ____ ____ ____ ____ ____ ____ ____

For what tax period are you filing this return?

___ ___/___ ___ ___ ___

Month

Year

License no.: C - ___ ___ ___ ___ ___

Business name: _________________________________________________________

Check here if your address has changed.

Business address: _______________________________________________________

Is this a final (you are no longer in business)

Number and street

return?

yes

_______________________________________________________________________

City

State

ZIP

Step 2: Report your cigarette stock -

Figures as they should have been reported

Number of cigarettes

Inventory of all cigarettes on hand at the beginning of the month

______

_________

Cigarettes purchased during the month that were:

Imported into Illinois & not stamped (Sch. CA)

______

_________

Purchased in Illinois & not stamped (Sch. CB)

______

_________

Purchased with stamps affixed (Sch. CC)

______

_________

Add Lines 8 through 9c. This is your beginning inventory plus purchases.

______

_________

Cigarettes with Illinois stamps affixed that you returned to manufacturers

______

_________

Sales in interstate commerce (Sch. CD)

______

_________

Sales to other licensed distributors (Sch. CE)

______

_________

Other deductions (Sch. CH)

______

_________

Add Lines 11, 12, 13, & 14. This amount is your total deduction.

______

_________

Subtract Line 15 from Line 10. This is your inventory minus deductions.

______

_________

Cigarette inventory on hand at the end of the month (Sch. CF, Part 2c)

______

_________

Subtract Line 17 from Line 16. This is the number of cigarettes sold subject to tax.

______

_________

19 $

Multiply Line 18 by the appropriate mill rate.

________________________|_________

Step 3: Report your cigarette revenue stamp usage-

Figures as they should have been reported

Dollar value

Value of all stamps on hand at the beginning of the month

________________________|_________

21 $

Value of unaffixed stamps transferred from another licensed distributor

________________________|_________

22 $

Value of stamps purchased during the month (Sch. CF-1, Step 2)

________________________|_________

Value of stamps affixed to original pkgs when purchased - Multiply Step 2, Line 9c

23 $

by the appropriate mill rate

________________________|_________

24 $

Add Lines 20 thru 23. Value of stamps on hand at the beginining of the month plus purchases

________________________|_________

25 $

Value of unaffixed stamps transferred to another licensed distributor

________________________|_________

26 $

Value of stamps returned for credit

________________________|_________

27 $

Add Lines 25 & 26. This is your total deductions.

________________________|_________

28 $

Subtract Line 27 from Line 24. This is the total value of stamps to be accounted for.

________________________|_________

29 $

Value of all stamps affixed on hand at the end of the month (Sch. CF, Part 3a)

________________________|_________

30 $

Value of all stamps not affixed on hand at the end of the month (Sch. CF, Part 3b)

________________________|_________

31 $

Add Line 29 & Line 30 -Value of all stamps on hand at the end of the month

________________________|_________

32 $

Subtract Line 31 from 28 -Value of stamps affixed to original pkgs sold during the month

________________________|_________

Step 4: Check the reason you are filing this amended return

❑

I made an error on a schedule or attachment.

❑

I should have taken a deduction for____________________________________________________________________________

❑

The original License no. was incorrect. The incorrect License no. is C - ___ ___ ___ ___ ___.

❑

The original reporting period was incorrect. The incorrect reporting period is ___________________________.

❑

Other. Please explain. ______________________________________________________________________________________

Step 5: Sign below

Under penalties of perjury, I state that I have examined this return and all accompanying schedules, and, to the best of my knowledge, it is

true, correct, and complete. I also state that such information is taken from the books and records of the business for which this return is filed.

_____________________________

________________________ (____)____-___________

____/____/________

Title:

Owner or officer’s signature and title (state if individual owner, member of firm, or corporate officer title)

Telephone number (include area code)

Date

_____________________________

________________________ (____)____-___________

____/____/________

Title:

Preparer’s signature and title (state if individual owner, member of firm, or corporate officer title)

Telephone number (include area code)

Date

RC-6-X (R-04/10)

*043701110*

This form is authorized by the 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-492-4252

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Form Rc-6-X - Amended Cigarette Revenue Return With Instructions - 2010

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