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Illinois Department of Revenue
Page ____ of ____
RL-115
Other Illinois Liquor Tax Deductions
(R- 04/10)
Read this information first
Make a copy of this form before completion if you need to report more than provided for on this form. After you have
completed your Form RL-115, make a photocopy and retain the copy for your records; and
Attach your completed form to Form RL-26, Liquor Revenue Return, or Form RL-26-X, Amended Liquor Revenue Return.
Step 1: Identify your business
Name:
Account ID: __ __ __ __ __ __ __ __
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Address:
License no.: __ __ - __ __ __ __ __
________________________________________________
Number and street
Tax period: __ __/__ __ __ __
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City
State
ZIP
Month
Year
Step 2: Tell us about your other liquor tax deductions
Deduction information
Equivalent in wine gallons
Invoice no.
FEIN of
Name and complete address of whom you shipped to
Cider 0.5 % Alcohol 14 % Alcohol > 14% Alcohol 20%
or
and date
whom you
other deduction explanation
to 7% or beer
or less
and < 20%
or more
shipped to
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Page subtotal
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Grand total
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(See instructions.)
*036311110*
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