Form Rmft-33-Df - Schedule Dd-1 - Tax-Free Sales Of Dyed Diesel Fuel Products To Other Than A Distributor Or Supplier In Illinois - 2010

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Illinois Department of Revenue
Page_____ of _____
Schedule DD-1
Motor Fuel Tax
Tax-Free Sales of Dyed Diesel Fuel Products
to Other than a Distributor or Supplier in Illinois
Attach to Form RMFT-5
Step 1: Complete the following information
_______________________________________
Company name
_______________________________________
Your license number
Reporting period ___ ___/____ ____ ____ ____
Month
Year
Step 2: Report your tax-free sales
Use these fuel use codes for Column 3:
A - Agriculture
C - Construction
F - Refrigeration
H - Home heating
I - Industrial
L - Lawn
M - Marine
R - Railroad
O - Other (identify)
1
2
3
4
Name of purchaser
Address of purchaser
Fuel use
Total monthly
(street address, city, state, ZIP)
code
gallons
1 ______________________________________________________________________________________________________________________________
2 ______________________________________________________________________________________________________________________________
3 ______________________________________________________________________________________________________________________________
4 ______________________________________________________________________________________________________________________________
5 ______________________________________________________________________________________________________________________________
6 ______________________________________________________________________________________________________________________________
7 ______________________________________________________________________________________________________________________________
8 ______________________________________________________________________________________________________________________________
9 ______________________________________________________________________________________________________________________________
10 ______________________________________________________________________________________________________________________________
11 Add the total monthly gallons in Column 4, Lines 1 through 10. Write the total here.
11 ________________
12 If you are fi ling only one Schedule DD-1, write the amount from Line 11 here and on Form RMFT-5, Line 8b, Column 3.
12 ________________
If you are fi ling more than one Schedule DD-1, add Line 11 from each schedule, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5, Line 8b, Column 3.
This form is authorized as outlined by the Motor Fuel Tax Law. 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-492-3981
RMFT-33-DF front (R-08/10)

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