Form Rc-6 - Cigarette Revenue Return

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Illinois Department of Revenue
REV 1
RC-6
Cigarette Revenue Return
E S ___/___/___
Station no. 065
NS
DP
CA
Read this information first
Do not write above this line.
Do not send any payment with Form RC-6 .Keep a copy of your completed Form RC-6 for your records.
Step 1: Identify your business
1
5
Illinois Business Tax number (IBT no.):____ ____ ____ ____ - ____ ____ ____ ____
For what tax period are you filing this return?
___ ___/___ ___ ___ ___
Month
Year
C –
2
License no.:
________________________________________________________
6
Check here if your address has changed.
3
Business name:__________________________________________________________
7
Is this a final return?
yes
no
4
Business address:_______________________________________________________
“Final” indicates you will no longer conduct
Number and street
business.
_______________________________________________________________________
City
State
ZIP
Step 2: Report your cigarette stock
Number of cigarettes
,
,
,
8
8
Inventory of all cigarettes on hand at the beginning of the month
______
_________
_________
_________
9
Cigarettes transferred during the month
,
,
,
a
9a
Imported into Illinois and not stamped (From Schedule CA)
______
_________
_________
_________
,
,
,
b
9b
Purchased in Illinois and not stamped (From Schedule CB)
______
_________
_________
_________
,
,
,
c
9c
Purchased with stamps affixed (From Schedule CC)
______
_________
_________
_________
,
,
,
10
10
Add Lines 8 through 9c.
______
_________
_________
_________
,
,
,
11
11
Inventory of all cigarettes on hand at the end of the month (From Schedule CF, Part 2c)
______
_________
_________
_________
,
,
,
12
12
Subtract Line 11 from Line 10. This is the quantity to be accounted for.
______
_________
_________
_________
,
,
,
13
13
Sales in interstate commerce (From Schedule CD)
______
_________
_________
_________
,
,
,
14
14
Sales to other licensed distributors (From Schedule CE)
______
_________
_________
_________
,
,
,
15
15
Other deductions (From Schedule CH)
______
_________
_________
_________
,
,
,
16
16
Add Lines 13, 14, and 15. This amount is your total deduction.
______
_________
_________
_________
,
,
,
17
17
Subtract Line 16 from Line 12. This is the number of cigarettes sold subject to tax.
______
_________
_________
_________
18
18
$
Multiply Line 17 by 29 mills (.029).
________________________|_________
Step 3: Report your cigarette revenue stamp usage
Dollar value
19
19
$
Value of all stamps on hand at the beginning of the month
________________________|_________
20
20
$
Value of cigarette stamps transferred from another licensed distributor.
________________________|_________
21
21
$
Value of stamps purchased during the month (From Schedule CF-1, Step 4)
________________________|_________
22
Value of stamps affixed to original packages when purchased -
22
$
Multiply Step 2, Line 9c by 29 mills (.029)
________________________|_________
23
Add Lines 19, 20, 21, & 22. Value of stamps on hand at the beginining of the month
23
$
plus purchases
________________________|_________
24
24
$
Value of cigarette stamps transferred to another licensed distributor.
________________________|_________
25
25
$
Subtract Line 24 from Line 23. This is the total value of stamps to be accounted for.
________________________|_________
26
Value of all stamps not affixed to original pkgs on hand at the end of the month
26
$
(Schedule CF, Part 3d)
________________________|_________
27
27
$
Value of all stamps affixed to original pkgs on hand at the end of the month. (Schedule CF, Part 3a)
________________________|_________
28
28
$
Add Line 26 & Line 27 -Value of all cigarette stamps on hand at the end of the month
________________________|_________
29
29
$
Subtract Line 28 from 25 - Value of stamps affixed to original pkgs sold during the month.
________________________|_________
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return and 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
This form is authorized by the Cigarette Tax Act. Disclosure of this information is REQUIRED. Failure to provide information
RC-6 front (R-07/01)
could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-0029

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