Form Rpu-6 - Assistance Charges Return For Electricity Distributors Form
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Illinois Department of Revenue
REV 1
RPU-6
E S ___/___/___
Assistance Charges Return for Electricity Distributors
NS DP CA
Station 254
Do not write above this line.
Step 1: Identify your business
1
6
Account ID: __ __ __ __ __ __ __ __
Liability period ___ ___/___ ___ ___ ___
Month
Year
2
7
FEIN:
___ ___ - ___ ___ ___ ___ ___ ___ ___
Check here if your address has changed.
Federal Employer Identification number
8
Is this a final (you are no longer in business) return? yes no
E
A
3
License no.: ___ ___ - ___ ___ ___ ___ ___
4
Name: _ _______________________________________________
5
Address: _ _____________________________________________
Number and street
_ ____________________________________________________
City
State
ZIP
Step 2: Figure your assistance charges due
Total number
Energy
Renewable
of accounts
Assistance Charge
Energy Charge
9
Total number of accounts to which you delivered residential electric
service and from which you collected the assistance charges during
9
this liability period.
_____________
1 0
10
Multiply Line 9 by the appropriate rate. See instructions.
__________|___
1 1
11
Multiply Line 9 by $0.05.
__________|___
1 2
Total number of accounts
• to which you delivered nonresidential electric service and which
had less than 10 megawatts of peak demand during the previous
calendar year, and
12
• from which you collected the assistance charges.
_____________
1 3
13
Multiply Line 12 by the appropriate rate. See instructions.
__________|___
1 4
14
Multiply Line 12 by $0.50.
__________|___
1 5
Total number of accounts
• to which you delivered nonresidential electric service and which
had 10 megawatts or more of peak demand during the previous
calendar year, and
15
• from which you collected the assistance charges.
_____________
1 6
16
Multiply Line 15 by the appropriate rate. See instructions.
__________|___
1 7
17
Multiply Line 15 by $37.50.
__________|___
18
18
Energy Assistance Charge - Add Lines 10, 13, and 16.
__________|___
18a
18a
Arrearage Reduction Program subtraction. See instructions.
__________|___
18b
18b
Subtract Line 18a from Line 18. This is your total Energy Assistance Charge.
__________|___
1 9
19
Add Lines 11, 14, and 17. This amount is your total Renewable Energy Charge due.
__________|___
2 0
Add Lines 18b and 19. This amount is the total assistance charges due.
20
M ake your check payable to “Illinois Department of Revenue.”
___________________________|_____
Step 3: 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.
_____________________________
________________________ (____)____-___________ ____/____/________
Title:
Taxpayer’s signature and title (state if individual owner, member of firm, or corporate officer title) Telephone number (include area code) Date
_____________________________
________________________ (____)____-___________ ____/____/________
Firm:
Preparer’s signature and name of the firm or employer (if applicable) Telephone number (include area code) Date
Step 4: Mail your return
ASSISTANCE CHARGES
Mail your completed Form RPU-6 and payment to:
ILLINOIS DEPARTMENT OF REVENUE
If you prefer, you can file Form RPU-6 using our
PO BOX 19019
WebFile program at tax.illinois.gov.
SPRINGFIELD IL 62794-9019
*936611110*
RPU-6 (R-04/10)
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Parent category: Financial