Form Rl-26-E - Schedule E - Sales For Non-Beverage Purposes

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Illinois Department of Revenue
RL-26-E
Schedule E - Sales for Non-Beverage Purposes
Page _____of_____
Read this information first
Make a copy of this schedule before completion if you need to report more tax-free sales than provided for here. After you have
completed your schedule(s), make a photocopy and retain the copy for your records; and
Attach your completed schedule to Form RL-26, Liquor Revenue Return or Form RL-26-X, Amended Liquor Revenue Return.
Step 1: Identify your business
a
Name:
Account ID:__ __ __ __ __ __ __ __
________________________________________________
Address:
License no.: ___ ___-___ ___ ___ ___ ___
______________________________________________
Number and street
Tax period:
______________________________________________________
___ ___/___ ___ ___ ___
City State ZIP Month Year
Step 2: Tell us about your tax-free sales - Attach all permits.
Equivalent in wine gallons
I nvoice, Permit FEIN to whom
Name and complete address
Cider 0.5 % Alcohol 14 % Alcohol > 14% Alcohol 20%
no and date you sold
to whom you sold
to 7% or beer
or less
and < 20%
or more
____________ ___________ _____________________________________________ __________ __________ __________ __________
_______
_____________________________________________
Permit:
_ _/_ _/_ _ _ _
_____________________________________________
____________ ___________ _____________________________________________ __________ __________ __________ __________
_______
_____________________________________________
Permit:
_ _/_ _/_ _ _ _
_____________________________________________
____________ ___________ _____________________________________________ __________ __________ __________ __________
_______
_____________________________________________
Permit:
_ _/_ _/_ _ _ _
_____________________________________________
____________ ___________ _____________________________________________ __________ __________ __________ __________
_______
_____________________________________________
Permit:
_ _/_ _/_ _ _ _
_____________________________________________
____________ ___________ _____________________________________________ __________ __________ __________ __________
_______
_____________________________________________
Permit:
_ _/_ _/_ _ _ _
_____________________________________________
Page subtotal
_________ __________ _________ _________
Grand total
_________ __________ _________ _________
(See instructions.)
*092101110*
RL-26-E(N-04/10)
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