Form Rl-26-G - Schedule G - Illinois Department Of Revenue
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1Illinois Department of Revenue
Page ____ of ____
Schedule G
(Attach to Form RL-26.)
Step 1: Identify your business
Business name
_________________________________________
Tax period
__ __/__ __ __ __
Month
Year
Address _______________________________________________
License no. ________________
IBT no. __ __ __ __ - __ __ __ __
Number and street
______________________________________________________
City
State
ZIP
Step 2: Tell us about tax-paid purchases or returns from retailers, distributors, and
manufacturers
Purchased from
Containers
Equivalent in wine gallons
Name
Cider
Alcohol
Alcohol
Alcohol
Invoice no.
Street address
No. of
0.5% - 7%
14%
> 14% and
20%
Date shipped
City, state, ZIP
cases
Size
or Beer
or less
< 20%
or more
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Page subtotal
_________ __________ _________ _________
Grand total
_________ __________ _________ _________
(See instructions.)
RL-26-G front (R-5/99) IL-492-1498
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Parent category: Financial