Illinois Department of Revenue
TP-1
Tobacco Products Tax Return
Do not write above this line.
Step 1: Identify your business
1
3
Business name________________________________________
IBT no. _____ _____ _____ _____ – _____ _____ _____ _____
2
4
TP –
Business address______________________________________
License no.
___ ___ ___ ___ ___
Number and street
5
____________________________________________________
For what month are you filing this return?
__ __/__ __ __ __
City
State
ZIP
Month
Year
6
Is this a final return?
yes
no
Check here if your address has changed.
A “final” return indicates that you no longer intend to conduct
business.
Step 2: Figure the wholesale price of products removed from your inventory
1
1
Wholesale price of products you manufactured and then sold or otherwise disposed of during this month
_______________|____
2
2
Wholesale price of products you purchased and then sold or otherwise disposed of during this month
_______________|____
3
3
Add Lines 1 and 2. This is the total cost of all tobacco products you sold or otherwise disposed of.
_______________|____
Step 3: Figure your deductions
4
4
Wholesale price of tobacco products you sold in interstate commerce
_______________|____
5
5
Wholesale price of products you sold to someone other than a retailer or consumer
_______________|____
6
6
Other deductions. (Please specify. _________________________________________________________)
_______________|____
7
7
Add Lines 4, 5, and 6. This is your total deduction.
_______________|____
Step 4: Figure your payment
8
8
Subtract Line 7 from Line 3. This is your tobacco products tax base.
_______________|____
9
9
Multiply Line 8 by 18% (.18). This is your total tax.
_______________|____
10
10
Credit you wish to apply. Attach the original credit memorandum issued by the Illinois Dept. of Revenue.
_______________|____
11
11
Subtract Line 10 from Line 9, and pay this amount.
_______________|____
Make your check payable to “Illinois Department of Revenue.”
Step 5: 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.
_______________________________________________________
Mail to:
ATTN TOBACCO PRODUCTS TAX
Preparer’s signature
Title
ILLINOIS DEPARTMENT OF REVENUE
_____________________________
(_____)__________________
PO BOX 19019
Date
Telephone
SPRINGFIELD IL 62794-9019
This form is authorized as outlined by the Tobacco Products Tax Act of 1995. Disclosure of this information is REQUIRED. Failure to
TP-1 front (R-10/96)
provide information could result in penalties. This form has been approved by the Forms Management Center.
IL-492-3268