Form Rl-1 - Liquor Tax Statement Of Liability

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Illinois Department of Revenue
RL-1
Liquor Tax Statement of Liability
Read this information first:
You must complete this form and submit it to us with your completed bond forms.
Step 1: Identify your business
Name: ____________________________________________ IBT no. ____ ____ ____ ____ – ____ ____ ____ ____
DBA: ____________________________________________
Address: __________________________________________
Number and street
_ ________________________________________________
City
State
ZIP
Step 2: Estimate your average monthly tax liability and bond amount
1
What is your estimated average monthly liquor tax liability? $______________________
2
Multiply Line 1 by two. This is your bond amount.
$______________________
Note: The minimum bond amount is $1,000 and the maximum amount is $100,000.
Step 3: Sign below
Mail this form to
ILLINoIS DEpaRTMENT of REvENuE
Under penalty of perjury, I state that I have examined this form
po Box 19039
and, to the best of my knowledge, it is true, correct, and complete.
SpRINgfIELD IL 62794-9039
__________________________________________________
If you have any questions, call us at 217 782-6997.
Signature
Date
SOY-BASE INK
RL-1 (R - 05/08) IL-492-3536
RECYCLED PAPER
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