Form Tp-1 - Tobacco Products Tax Return - 2010

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Illinois Department of Revenue
REV 1
TP-1
Tobacco Products Tax Return
E S ___/___/___
Station no. 036
NS DP CA
Do not write above this line.
Step 1: Identify your business
1
5
Account ID: ____ ____ ____ ____ ____ ____ ____ ____
For what month are you filing this return?
__ __/__ __ __ __
Month Year
2
TP –
___ ___ ___ ___ ___
License no.
6
Check here if your address has changed.
3
Business name _______________________________________
7
Is this a final (you are no longer in business) return? yes no
4
Business address _____________________________________
Number and street
___________________________________________________
City State ZIP
Step 2: Figure the wholesale price of products removed from your inventory
8
8
W holesale price of products you manufactured and then sold or otherwise disposed of during this month.
______________|____
9
9
W holesale price of products you purchased and then sold or otherwise disposed of during this month.
______________|____
10
10
Add Lines 8 and 9. This is the total cost of all tobacco products you sold or otherwise disposed of.
______________|____
Step 3: Figure your deductions
11
11
Wholesale price of tobacco products you sold in interstate commerce. Attach Schedule TP-11.
______________|____
12
12
Wholesale price of products you sold to someone other than a retailer or consumer. Attach Schedule TP-12.
______________|____
13
13
Other deductions. Attach Schedule TP-7 (Returned merchandise) or Schedule TP-13 (Other deductions).
______________|____
14
14
Add Lines 11, 12, and 13. This is your total deduction.
______________|____
Step 4: Figure your payment
15
15
Subtract Line 14 from Line 10. This is your tobacco products tax base.
______________|____
16
16
Multiply Line 15 by 18% (.18). This is your total tax.
______________|____
17
17
Credit you wish to apply.
______________|____
18
18
Subtract Line 17 from Line 16, and pay this amount.
______________|____
Make your check payable to “Illinois Department of Revenue.”
Step 5: 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.
___________________________________________________
____________ ____/____/________ (____)____-____________
Taxpayer's signature Title
Date Telephone (Include area code)
___________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date Telephone (Include area code)
Step 6: Mail your return and payment or WebFile at tax.illinois.gov
ATTN TOBACCO PRODUCTS TAX
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
*040011110*
SPRINGFIELD IL 62794-9019
This form is authorized as outlined by the Tobacco Products Tax Act of 1995. Disclosure of this information is REQUIRED. Failure to
TP-1 (R-04/10)
provide information could result in penalties. This form has been approved by the Forms Management Center.
IL-492-3268
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