Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes

Download a blank fillable Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Use your 'Mouse' or the 'Tab' key to move through the fields, use your 'Mouse' or 'Space Bar' to enable the "Check Boxes".
Illinois Department of Revenue
Application for Permit to Purchase
RL-4
Alcoholic Liquors Tax Free for Nonbeverage Purposes
Read this information first
Permit no.: __________
File this application if you have been issued a nonbeverage user’s
Mail your completed application to:
Date issued: ___/___/___
license and want to purchase alcoholic liquors from a manufacturer
EXCISE TAXES DIVISION
or an importing distributor without paying the Illinois Liquor Tax.
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19039
Your application must be made out for the exact quantity of alcoholic
SPRINGFIELD IL 62794-9039
liquor you intend to purchase.
All permits are subject to the rules and regulations issued by the
Illinois Liquor Control Commission and the Illinois Department of
Revenue under authority contained in the Liquor Control Act of 1934.
If you have questions, call us weekdays at 217 782-6045.
Step 1: Identify your business
Name __________________________________________________
Nonbeverage user license number ___________________________
Address _______________________________________________
FEIN or FTIN ____________________________________________
Number and street
_ ______________________________________________________
City State ZIP
Step 2: Complete the following statement
I, ___________________________________, state that I am the ____________________________ of the business applying for a permit
Name
Title (e.g., president, secretary, partner, sole owner)
to purchase ____________ wine gallons of alcoholic liquor of the following classification: ____ cider ____ beer ____ wine ____ spirits
Quantity
without paying the Illinois Liquor Tax. I have complete knowledge of the use to which the alcoholic liquor will be put, and I am authorized to
make these statements for the purpose of receiving permission to purchase alcoholic liquors from a manufacturer or an importing distributor
who is not liable for paying the tax imposed by the Liquor Control Act of 1934 with respect to this sale. I also certify that the alcoholic liquors
that will be purchased with this permit are exclusively for use in _____________________________________________________________;
Details of usage
that when they are used, they will be rendered unfit for beverage purposes; and that none of the alcoholic liquors will be sold or otherwise
disposed of in the same condition as received.
Step 3: Sign below
Under penalties of perjury, I state that I have examined this application and, to the best of my knowledge, it is true, correct, and complete.
______________________________________________________
_________________________________________ ____________
Signature
Title
Date
Print
Reset
This form is authorized by the Liquor Control Act of 1934.
Disclosure of this information is REQUIRED. Failure to provide
*034511110*
information could result in denial of this application. This form
has been approved by the Forms Management Center.
RL-4 (R-04/10)
IL-492-1487

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes Financial
Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes - 1999 Form Rl-4 - Application For Permit To Purchase Alcoholic Liquors Tax Free For Nonbeverage Purposes - 1999 Financial
Form Rl-48 - Application For Certificate Of Registration To Warehouse Alcoholic Liquors For Compensation - Illinois Department Of Revenue Form Rl-48 - Application For Certificate Of Registration To Warehouse Alcoholic Liquors For Compensation - Illinois Department Of Revenue Financial
Form Rl-26-af - Schedule A Or F - Alcoholic Liquor Transactions - 2012 Form Rl-26-af - Schedule A Or F - Alcoholic Liquor Transactions - 2012 Financial
Form 5170.7 - Application And Permit To Ship Liquors And Articles Of Puerto Rican Manufacture Taxpaid To The United States - 2015 Form 5170.7 - Application And Permit To Ship Liquors And Articles Of Puerto Rican Manufacture Taxpaid To The United States - 2015 Legal
Form T-4 - Application For Exemption Filed Pursuant To Section 304(c) Of The Trust Indenture Act Of 1939 Form T-4 - Application For Exemption Filed Pursuant To Section 304(c) Of The Trust Indenture Act Of 1939 Legal
Form Nhct-4 - Application For Extension Of Time To File Annual Report With Charitable Trusts Unit Form Nhct-4 - Application For Extension Of Time To File Annual Report With Charitable Trusts Unit Legal
Form Inh-4 - Application For Determination Of Estate Tax Form Inh-4 - Application For Determination Of Estate Tax Financial
Form Inh-4 - Application For Determination Of Estate Tax Form Inh-4 - Application For Determination Of Estate Tax Financial
Form Sv 4 - Application For Refund Of Severance Tax Form Sv 4 - Application For Refund Of Severance Tax Financial

Related Categories

Parent category: Financial
Download
Go