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Illinois Department of Revenue
REV 1
RL-26-A-X
Amended Liquor Revenue Airline Return
E S ___/___/___
NS DP CA
(R-04/12)
Station no. 073
Do not write above this line.
Step 1: Identify your business
1
6
Account ID:__ __ __ __ __ __ __ __
Check here if your address has changed.
L A
2
7
License no.: ___ ___ - ___ ___ ___ ___ ___
Is this a final (you are no longer in buinsess) return?
yes no
3
Name: ______________________________________________
4
Address: ____________________________________________
Number and street
*034911110*
___________________________________________________
City State ZIP
5
Tax period: __ __/__ __ __ __
Month Year
Step 2: Figure your tax due -
Figures as they should have been reported
Cider 0.5% to
Alcoholic liquor
Alcoholic liquor
Alcoholic liquor
7 % or Beer
14% or less
> 14% – < 20%
20% or more
8
8
Liquor imported into Illinois, tax not paid (From Schedule A)
___________ ____________ ____________ ____________
9
9
Liquor purchased in Illinois, tax not paid (From Schedule F)
___________ ____________ ____________ ____________
1 0
Illinois revenue passenger miles: ________________________
11
System revenue passenger miles: ________________________
1 2
12
System gallonage purchases for aircraft (excluding in-bond)
___________ ____________ ____________ ____________
13
13
Percentage of system domestic revenue passenger miles
___________ ____________ ____________ ____________
allocated to Illinois
1 4
14
Multiply Line 12 by Line 13 - Total quantity subject to tax.
___________ ____________ ____________ ____________
$
.231 $
1.39 $
1.39 $
8.55
15
15
Tax rate per gallon (tax periods on and after September 1, 2009)
___________ ____________ ____________ ____________
$
$
$
$
16
16
Multiply Line 14 by Line 15 - Tax due for each liquor class.
___________ ____________ ____________ ____________
$
17
17
Add all columns’ Line 16 - Total tax due.
________________________
18
If you timely file and pay this tax electronically multiply Line 17 by
Electronic
$
Use Only
18
the appropriate rate. See instructions.
________________________
$
19
19
Subtract Line 18 from Line 17.
________________________
$
20
20
Credit you wish to apply.
________________________
$
21
21
Subtract Line 20 from Line 19. This is your net tax due.
________________________
$
22
22
Total amount you have paid for this reporting period.
________________________
23
23
$
If Line 22 is greater than Line 21, subtract Line 21 from Line 22. This is your overpayment.
________________________
24
If Line 22 is less than Line 21, subtract Line 22 from Line 21.
$
24
Pay this amount and make your check payable to “Illinois Department of Revenue.”
________________________
Step 3: 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.
❑
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 LA - __ __ __ __ __.
❑
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
❑
Other. Please explain. ___________________________________________________________________________________________
_____________________________________________________________________________________________________________
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return, 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
Step 5: Mail your return or file electronically
ALCOHOL, TOBACCO AND FUEL DIVISION
Mail your completed return and attachments to:
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
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This form is authorized by the Liquor Control Act of 1934. 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-492-4249