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Illinois Department of Revenue
RUT-75-X
Amended Aircraft/Watercraft
Use Tax Transaction Return
Rev 02 Form 105 Station 434
E S ____/____/____
RC
CA
ED
NS
Read this information first
Everyone must complete Parts 1, 2, 3, and 5. You also must
Amount you are paying: $
_____________________________
complete Part 4 if you are changing financial information.
Make your check payable to “Illinois Department of Revenue.”
Part 1: Identify yourself
1
5
(
)
—
AV or AW number _____________________________________
Daytime telephone number ______________________________
(from original return)
2
6
Your name ____________________________________________
Your SSN ___ ___ ___ ___ ___ ___ ___ ___ ___
Social Security number
3
7
Co-owner’s name ______________________________________
FEIN
___ ___ ___ ___ ___ ___ ___ ___ ___
Federal employer identification number
4
Your address from original return
_____________________________________________________
Number and street
_____________________________________________________
City
State
ZIP
Part 2: Identify the seller, donor, or transferor
(
)
—
1
3
Name _______________________________________________
Daytime telephone number ______________________________
2
Address from original return
_____________________________________________________
Number and street
_____________________________________________________
City
State
ZIP
Part 3: Check the reason you are correcting your return
(See instructions.)
1
5
____ The seller’s name, seller’s address, or description
____ The transaction was exempt from tax because the item
(Check one.)
( i.e., year, make, model, serial number, “N” number, hull ID
a
number, aircraft/airframe hours) is incorrect. Write the
____ was purchased by a tax-exempt organization.
correct information below.
(Tax-exempt no.: E -_
__________________________)
b
Name: _________________________________________
____ is used for rolling stock to haul persons or
Address: _______________________________________
commodities for hire in interstate commerce.
Year: _________________________________________
(Certificate of authority number: ______________)
c
Make: _________________________________________
____ was a gift from an estate to a surviving spouse.
Model: _________________________________________
d
Serial number
:________________________
____ was being stored in Illinois temporarily.
(aircraft only)
Aircraft “N” no.: _________________________________
e
Watercraft Hull ID no.: ____________________________
____ is used primarily in production agriculture.
Aircraft/airframe hours:___________________________
f ____ is a watercraft that is exempt under Section 15-10(v)
2
____ The date acquired should have been
of the Watercraft Use Tax Act.
__ __ __ __ __ __ __ __.
Month
Day
Year
6
____ The purchase price or fair market value was incorrect.
3
____ The date brought into Illinois should have been
$ ______________________________________________
Correct purchase price or fair market value
__ __ __ __ __ __ __ __.
Month
Day
Year
7
____ Other. Please explain. ______________________________
4
____ The item was returned and the deal was cancelled.
_______________________________________________
Attach proof.
_______________________________________________
_______________________________________________
Please turn this page over to complete Parts 4 and 5.
This form is authorized by the Illinois Aircraft Use Tax Act and Illinois Watercraft Use Tax Act. Disclosure of this information is REQUIRED.
Failure to provide information could result in penalties. This form has been approved by the Forms Management Center.
IL-492-4367
RUT-75-X (R-10/05)
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