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Illinois Department of Revenue
Telecommunications Tax Schedule
RT-2-M
Read this information first -
Page ____ of ____
Attach to Form RT-2, Telecommunications Tax Return.
Step 1:
Tell us your identification numbers and tax period
a
b
T
c
Account ID: __ __ __ __ __ __ __ __
License number: ___ - __ __ __ __ __
Tax period: __ __/__ __ __ __
Step 2:
Identify by name and code where you provide service and figure your tax due
15a _ ________________ X _____
= 15b ________________
Code: __ __ __-__ __ __ __-__
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
18 _________________
Credit for tax paid. See instructions.
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
16a ____________________
16b ________________
Name:__________________________________________
Total tax due. Add Lines 15b and 16b.
17 _________________
Credit for tax paid. See instructions.
18 _________________
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
Credit for tax paid. See instructions.
18 _________________
15a _ ________________ X _____
= 15b ________________
Code: __ __ __-__ __ __ __-__
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
18 _________________
Credit for tax paid. See instructions.
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
16a ____________________
16b ________________
Name:__________________________________________
Total tax due. Add Lines 15b and 16b.
17 _________________
Credit for tax paid. See instructions.
18 _________________
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
18 _________________
Credit for tax paid. See instructions.
15a _ ________________ X _____
= 15b ________________
Code: __ __ __-__ __ __ __-__
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
18 _________________
Credit for tax paid. See instructions.
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
16a ____________________
16b ________________
Name:__________________________________________
Total tax due. Add Lines 15b and 16b.
17 _________________
Credit for tax paid. See instructions.
18 _________________
Code: __ __ __-__ __ __ __-__
15a _ ________________ X _____
= 15b ________________
(Rate)
Name:__________________________________________
16a ____________________
16b ________________
Total tax due. Add Lines 15b and 16b.
17 _________________
18 _________________
Credit for tax paid. See instructions.
*016621110*
RT-2-M (R-04/10)
This form is authorized as outlined by the Telecommunications Excise Tax Act and Simplified Municipal Telecommunications Tax Act. Disclosure of this information
is REQUIRED. Failure to provide information could result in a fine. This form has been approved by the Forms Management Center. IL-492-4298
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