Instructions For Preparing The Emergency Telephone System Form Surcharge Return - 2906 Wireless Telephone Numbers - State Of Illinois

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U s e t h e s e i n s t r u c t i o n s f o r t a x p e r i o d s b e g i n n i n g J a n u a r y 1 , 2 0 0 0 .

I N S T R U C T I O N S

F O R P R E P A R I N G

T H E

E M E R G E N C Y

T E L E P H O N E

S Y S T E M

S U R C H A R G E

R E T U R N

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ACCOUNT NUMBER

W I R E L E S S

T E L E P H O N E

N U M B E R S

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+

NOTE: YOU MUST ATTACH ALL SITE SCHEDULES TO THIS RETURN. THE TOTALS ON THE SITE

SCHEDULES MUST REPRESENT THE CURRENT TAX YEAR.

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LINE 1.

LINE 2.

LINE 3.

LINE 4.

LINE 5.

LINE6.

LINE7.

LINE 8.

LINE 9.

LINE 10.

LINE 11.

LINE 12.

LINE 13.

LINE 14.

14a.

Enter the number of wireless telephone numbers where the wireless communications service is billed to an address within the corporate

limits of the City of Chicago (see section 7-50-020 of the Municipal Code of Chicago).

Enter the number of exemptions for wireless telephone numbers provided to all governmental bodies witl'tn the corporate limits of the

City of Chicago. You must receive a completed exemption certificate from the govemmental body.

Subtotal (subtract line 2 from line 1 ).

Preprinted rate of fee.

Total computed fee before prorations (multiply line 3 by line 4).

Enter the proration for wireless telephone numbers in service less than a month (see section 7-50-020(D) of the Municipal Code of

Chicago). You must maintain a schedule detailing the number of wireless telephone numbers laced in service or taken out of service during

the month and the supporting calculations..

Total computed fee before commission (sub,act line 6 from line 5).

3.00% commission if total fee is paid timely (multiply line 7 by .03)

Enter fee due before determining credits (subtract line 8 from line 7).

Enter the total amount of all the current year's tax payments you have remitted to the depar'cnent.

Enter credit for overpayment of tax only if you have received a letter of credit from the Chicago Department of Revenue. Enter the l e ~ r of credit

number and submit the original applicable credit letter or the credit will be disallowed.

Enter total credit balance (add lines 10 and 11 ).

Enter total fee due (subtract line 12 from line 9). If line 13 is greater than line

please skip to line 17.

Determine the amount of interest owed based on tax past due.

Enter number of days late (August 16 being one day late, etc.) ...............

14b. Enter the amount from line 7

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14c.

LINE 15.

0, enter the amount owed. If line 13 is lees than 0,

LINE 16.

LINE 17.

LINE 18.

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! ~ ....... i I ...... !i ..... i! ..... ii .......... ii ....... ~ ............ ! .........................

Total amount of interest 14b * [t 4a / 365]) * 12% .....................................

:

:

. . . . . . . . . . . . . . . . . . . . . . . . . . . i ...... ......... .......

.......

EXAMPLE: If you determine that you owe $100,000 on the due date (August 15) and you file and pay the tax on

August 26, then you are 11 days late in making the payment. The calculation of the interested owed is as follows:

[$100,000 * (11/365)] * 12% = $361.64.

Enter 5% of line 13 to compute penalty if tax is not paid when due. The tax is due on or before the 15th day of the second

month following the fiscal year in which taxable receipts are received.

Enter the total fee, penalty and interest due.

Overpayment. If line 13 is lessthan 0, enter the amount of overpayment.

If you want the amount of the overpayment to be credited to next year's estimated tax, check the credit box. Otherwise, check

the refund box.

Note: Any amounts overpaid will first be applied to deficiencies outstanding for this tax and to deficiencies for any other City of

Chicago tax for which you are registered.

FOR ADDITIONAL INFORMATION CALL 312-747-9723 (TDD 312.744-2975).

NOTE: YOU MUST COMPLETE ALL INFORMATION ON THIS PAGE FOR THIS RETURN TO BE CONSIDERED COMPLETE.

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Rev 004 0612