Form Rut-50-X - Amended Vehicle Use Tax Transaction Return
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2Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
RUT-50-X
Amended Vehicle Use Tax
Rev 02 Form 108 Station 485
Transaction Return
E S ____/____/____
EC RC CA ED NS
Read this information first
Everyone must complete Parts 1, 2, and 4. You must also
Amount you are paying: $ _________________________
complete Part 3 if you are changing financial information.
Make your check payable to “Illinois Department of Revenue.”
Part 1: Identify yourself
1
5
(
)
—
PV number from original return
PV __ __ __ __ __ __ __ __ __
Daytime telephone number ______________________________
2
6
Your name ____________________________________________
Your SSN ___ ___ ___ ___ ___ ___ ___ ___ ___
Social Security number
3
7
Co-owner’s name ______________________________________
FEIN
___ ___ ___ ___ ___ ___ ___ ___ ___
Federal employer identification number
4
8
Your address from original return
Driver’s license number
__ __ __ __ __ __ __ __ __ __ __ __
_____________________________________________________
Number and street
_____________________________________________________
City
State
ZIP
Part 2: Check the reason you are correcting your return
(See instructions.)
1
5
____ The purchase date should have been
____ The purchase qualified for one of the $15 exceptions
__ __ __ __ __ __ __ __.
because
(Check one.)
Month
Day
Year
a
____ you are a beneficiary who is not a surviving
2
____ The vehicle was returned and the deal was cancelled.
spouse, and the vehicle is an estate gift.
b
Attach proof.
____ the vehicle was transferred in a business
reorganization and the beneficial ownership has
3
____ The seller’s name, seller’s address, or vehicle description
not been changed.
c
( i.e., year, make, model, odometer reading, or VIN, ) is
____ you are the spouse, parent, brother, sister, or child
incorrect. Write the correct information below.
of the seller or transferor.
Name: _________________________________________
6
Address: _______________________________________
____ The purchase was reported incorrectly as a motor vehicle
Year: _________________________________________
but is actually a motorcycle or an ATV.
Make: _________________________________________
7
Model: _________________________________________
____ Either the incorrect tax due amount was figured from Table A
Odometer reading:_______________________________
or Table B, or the incorrect table was used to figure the tax
VIN:____________________________________________
due amount. Write the original purchase price or fair market
value of the vehicle on the line below.
4
____ The purchase was exempt from tax because
$ ______________________________________________
(Check one.)
Purchase price or fair market value
a
____ the purchase is exempt based on the tax-exempt
status of the organization.
8
(Tax-exempt no.: E -
____ Other. Please explain.______________________________
___________________________)
b
____ the vehicle is a farm implement, ready-mix concrete
_______________________________________________
truck, or, for purchases before July 1, 2003, a
_______________________________________________
replacement vehicle.
_______________________________________________
c
____ the vehicle is used for rolling stock.
_______________________________________________
(Certificate of authority number: ______________)
_______________________________________________
d
____ you were an out-of-state resident and you used
_______________________________________________
the vehicle, which was titled and registered in your
_______________________________________________
name, in another state for at least three months.
_______________________________________________
e
____ you are a surviving spouse, and the vehicle is an
_______________________________________________
estate gift.
_______________________________________________
f
____ the vehicle qualifies for the CDF sales tax
_______________________________________________
exemption (purchases made on or after
Please turn this page over to complete Parts 3 and 4.
July 1, 2003 through June 30, 2005 only).
This form is authorized by the Vehicle 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-492-0012
RUT-50-X (R-8/05)
Page 1 of 4
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