Form Rg-1-X - Amended Gas Tax Return - 2010

Download a blank fillable Form Rg-1-X - Amended Gas Tax Return - 2010 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Rg-1-X - Amended Gas Tax Return - 2010 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
REV 3
RG-1-X
Amended Gas Tax Return
E S ___/___/___
Station no. 051
NS
DP
CA
Step 1:
Identify your business
*042401110*
1
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
G
2
License no.: ___ - ___ ___ ___ ___ ___
6
Check here if your address has changed.
7
Complete to indicate the tax period for
3
Taxpayer’s name: ____________________________________________________
which you are filing this return:
4
Month of __ __/__ __ __ __
Business name: _____________________________________________________
Quarter ending __ __/__ __ __ __
5
Address:___________________________________________________________
Year __ __ __ __
Number and street
8
Is this a final (you are no longer in business)
_______________________________________________________________
return?
yes
no
City
State
ZIP
Step 2:
Figure your receipts subject to tax - Figures as they should have been filed
9
9
Receipts (defined on back) from sales or purchases of gas.
___________|___
10
Suppliers only - Deductions (only tax-exempt receipts you included on Line 9).
a
10a
Receipts from interstate commerce
___________|___
b
10b
Receipts from rebillable service (sale for resale)
___________|___
c
10c
Other. Explain:________________________________________________
___________|___
11
11
Suppliers only - Add Lines 10a through 10c. This is your total deduction.
___________|___
12
12
Subtract Line 11 from Line 9. This is your receipts subject to tax.
___________|___
Step 3:
Figure your therms of gas subject to tax - Figures as they should have been filed
13
13
Total therms of gas taxed on a per-therm basis.
___________|___
14
Suppliers only - Deductions (only tax-exempt therms you included on Line 13).
a
14a
Therms of gas sold or distributed in interstate commerce
___________|___
b
14b
Therms of gas to be rebilled (sale for resale)
___________|___
c
14c
Other. Explain:______________________________________________
___________|___
15
15
Suppliers only - Add Lines 14a through 14c. This is your total deduction.
___________|___
16
16
Subtract Line 15 from Line 13. This amount is your therms of gas subject to tax.
___________|___
16a
a Total therms of gas taxed on a per therm basis subject to Gas Revenue Tax.
___________|___
16b
b Total therms of gas taxed on a per therm basis subject to Gas Use Tax.
___________|___
Step 4:
Figure your tax due - Figures as they should have been filed
17
17
Multiply Line 12 by 5% (.05). This is the tax on your receipts or purchases.
___________|___
18 a
18a
Multiply Line 16a by 2.4¢ (.024) per therm of gas. This is the Gas Revenue Tax per therms.
___________|___
b
18b
Multiply Line 16b by 2.4¢ (.024) per therm of gas. This is the Gas Use Tax per therms.
___________|___
19
19
Add Lines 17, 18a and 18b. This is the total gas tax due.
___________|___
20
20
Suppliers only - See instructions for Gas Use Tax discount information. Self-assessors write “0.”
___________|___
21
21
Subtract Line 20 from Line 19. This is your tax due.
___________|___
22
22
If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”
___________|___
23
23
If Line 22 is greater than Line 21, subtract Line 21 from Line 22. This is the amount you overpaid. Go to Step 5.
___________|___
24
24
If Line 22 is less than Line 21, subtract Line 22 from Line 21. This is the balance due.
___________|___
25
25
Write the total credit you wish to apply.
___________|___
26
26
Subtract Line 25 from Line 24 - This is your net tax due.
___________|___
27
27
Total amount that you have paid for this reporting period.
___________|___
28
28
If Line 27 is greater than Line 26, subtract Line 26 from Line 27. This is the amount you have overpaid.
___________|___
29
If Line 27 is less than Line 26, subtract Line 27 from Line 26. This is the amount you have underpaid.
29
Pay this amount and make your check payable to “Illinois Department of Revenue.”
___________|___
Step 5:
Check the reason you are filing this amended return
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
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 G - __ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
Other. Please explain_ ______________________________________________________________________________________
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.
_____________________________
________________________ (____)____-___________
____/____/________
Title:
Taxpayer’s signature and title (state if individual owner, member of firm, or corporate officer title)
Telephone number (include area code)
Date
_____________________________
________________________ (____)____-___________
____/____/________
Firm:
Preparer’s signature and name of the firm or employer (if applicable)
Telephone number (include area code)
Date
RG-1-X (R-04/10)
This form is authorized as outlined by the Gas Revenue Tax and Gas Use Tax Acts. Disclosure of this information is RE-
QUIRED. Failure to provide information could result in a fine. This form has been approved by the Forms Management Center.
Reset
Print

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go