Form Rut-25-X - Amended Use Tax Transaction Return Form - 2004
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Illinois Department of Revenue
RUT-25-X
Amended Use Tax
Transaction Return
Rev 04
Form 23
Station 536
E S ____/____/____
EC RC CA DP NS
Read this information first
Amount you are paying: $ ______________________
Everyone must complete Parts 1, 2, and 4.
You must also complete Part 3 if you are changing financial
Make your check payable to “Illinois Department of Revenue.”
information.
Part 1: Identify yourself
1
5
MV number from original return MV __ __ __ __ __ __ __ __
Purchaser’s SSN
___ ___ ___ ___ ___ ___ ___ ___ ___
Social Security number
2
If none, then FEIN ___ ___ ___ ___ ___ ___ ___ ___ ___
Your name
_________________________________________
Federal employer identification number
6
(
)
—
3
Daytime telephone number __________________________
Co-owner’s name
___________________________________
4
7
Your address at the time of purchase
“X” if outside city limits
Who are you? (Check one of the following.)
a
____________________________________________________
____ I am an Illinois resident who purchased a vehicle at retail
Number and street
outside the state of Illinois.
b
____ I am either an out-of-state motor vehicle dealer or a leasing
____________________________________________________
City
State
Zip
company and I am leasing a vehicle to an Illinois resident.
c
____ I am a leasing company and I have sold, to an Illinois
Municipality, if different from above
resident, a vehicle that I previously leased to an Illinois
____________________________________________________
resident.
d
____ Other (Please explain.) __________________________
County ______________________________________________
_____________________________________________
Township ____________________________________________
_____________________________________________
_____________________________________________
Part 2: Check the reason you are correcting your return
1
e
____ The purchase date should have been __ __ __ __ __ __ __ __.
____ I am a retailer, and the item is for interim use.
Month Day
Year
(My IBT no. is __ __ __ __ __ __ __ __ )
2
____ The date brought into Illinois should have been
f
____ I was an out-of-state resident (individuals only)
__ __ __ __ __ __ __ __.
and used the item outside Illinois for at least three
Month
Day
Year
months. (Leases do not apply.)
3
____ I made a computational error ( e.g., a math error or an
g
____ I am redeeming the item due to a loan default.
incorrect rate of depreciation was used).
h
____ The item qualifies for the CDF sales tax exemption
4
____ The vehicle was returned and the deal was cancelled.
(Purchases on or after July 1, 2003 only through
June 30, 2005 only).
5
____ The seller’s name and address or the vehicle description
is incorrect. Write the correct information on the lines below.
7
____
I am a leasing company and I am claiming credit for tax that
_______________________________________________
I previously paid to the state of Illinois on Form RUT-25 on
_______________________________________________
an item that I purchased for leasing purposes, leased to an
Illinois resident, and then sold at retail to an Illinois
6
____ The purchase was exempt from tax for the following reason
(check one):
resident. Attach a copy of the Form ST-556 on which you
a
____ The purchase is exempt based on the tax-exempt
reported the retail sale of the item and write the tax return
status of the organization.
number of the ST-556 here. _________________________
(Tax-exempt no. E - _________________________)
b
____ The item is a farm implement or a ready-mix
8
____ Other (Please explain.) _____________________________
concrete truck.
_________________________________________________
c
____ The item is used as rolling stock. (My certificate of
_________________________________________________
authority no. is _____________________________)
_________________________________________________
d
____ I am in the business of renting autos, RV’s, or
_________________________________________________
motorcycles, and this purchase is for rental use.
(My IBT no. is __ __ __ __ __ __ __ __ )
Please turn this page over to complete Parts 3 and 4.
This form is authorized as outlined in the Use Tax Act. 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-492-2733
RUT-25-X (R-12/04)
Page 1 of 4
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