Form Rc-44 - Cigarette Use Tax Return - 1998

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Illinois Department of Revenue
RC-44
Cigarette Use Tax Return
Station 067
E S NS DP CA__/__/__
Read this information first
Do not write above this line.
Illinois taxpayers who purchase cigarettes outside Illinois for use in Illinois owe a use tax on two levels. They owe a specific use tax on
cigarettes based on a per-unit rate; this form is provided for the purpose of paying that tax. They also owe a general sales (use) tax at the
6.25 percent rate for general merchandise; to pay the general sales (use) tax, taxpayers must use Form ST-44, Illinois Use Tax Return. To
use Form ST-44, it will be necessary to complete the worksheet on the reverse side and to transfer figures from that worksheet to Form
ST-44.
Part 1: Identify yourself
1
3
Purchaser’s name _________________________________
Number and street __________________________________
(
)
-
2
Daytime phone ___________________________________
City, state, ZIP ______________________________________
Area code
Part 2: Describe the cigarettes you purchased
1
3
Brand name of cigarettes ___________________________
Quantity of cigarettes
(Specify the unit, and write the number of units.)
individual cigarettes
____________
2
pack of 10 cigarettes
Place cigarettes were purchased
____________
pack of 20 cigarettes
____________
pack of 25 cigarettes
Name of seller ____________________________________
____________
4
Number and street ________________________________
Date cigarettes were purchased
__ __/__ __ /__ __ __ __
Month
Day
Year
City, state, ZIP ___________________________________
Part 3: Figure the Cigarette Use Tax
(From Part 2:)
1
1
Write the number of individual cigarettes.
____________ X .029 =
_____________|____
2
2
Write the number of packs of 10.
____________ X .29 =
_____________|____
3
3
Write the number of packs of 20.
____________ X .58 =
_____________|____
4
4
Write the number of packs of 25.
____________ X .725 =
_____________|____
5
5
Add Lines 1 through 4. This is the amount of cigarette use tax due.
_____________|____
6
6
Penalty (see instructions)
_____________|____
7
7
Interest (see instructions)
_____________|____
8
8
Add Lines 5, 6, and 7. This is your total payment due.
_____________|____
Make your check payable to “Illinois Department of Revenue.”
Part 4: 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.
___________________________________________________
____________________________
________________
Your signature
Title
Date
Mail this form and any payment you owe to:
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
This form is authorized as outlined by the Retailers’ Occupation Tax Act, related tax acts, and the Cigarette Use Tax Act. Disclosure of information is
REQUIRED. Failure to comply may result in a penalty. This form has been approved by the Forms Management Center.
IL-492-3872
RC-44 front (N-12/98)

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