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Illinois Department of Revenue
RUT-50-X
Amended Private Party
Rev 05 Form 108 Station 485
E S ____/____/____
Vehicle Use Tax Transaction
EC RC CA ED NS
Read this information first
Amount you are paying: $ _________________________
Everyone must complete Steps 1, 2, and 4. You must also
complete Step 3 if you are changing financial information.
Make your check payable to “Illinois Department of Revenue.”
Step 1: Identify yourself
1
5
PV number from original return
PV __ __ __ __ __ __ __ __ __
Your current mailing address (if different from original return)
__________________________________________________
Number and street
2
Your name
__________________________________________
__________________________________________________
City
State
ZIP
3
Co-owner’s name
____________________________________
6
County ___________________________________________
4
Your address from original return
(
)
—
7
Daytime telephone number ___________________________
__________________________________________________
Number and street
8
__________________________________________________
SSN
___ ___ ___ — ___ ___ — ___ ___ ___ ___
City
State
ZIP
Social Security number
or FEIN ___ ___ — ___ ___ ___ ___ ___ ___ ___
Federal employer identification number
9
Driver’s license number
__ __ __ __ - __ __ __ __ - __ __ __ __
Step 2: Mark the reason why you are filing an amended return
(See instructions.)
1
5
____ I have returned the vehicle and the deal was cancelled.
____ I reported the purchase incorrectly as a motor vehicle but it is
Attach proof.
actually a motorcycle or an ATV.
2
6
____ The vehicle description (i.e., year, make, model, odometer
____ I figured the incorrect Illinois tax due amount from Table A
reading, or VIN) is incorrect. The correct information is
or Table B, or I used the incorrect table to figure the Illinois
Year: _________________________________________
tax due amount. The original purchase price of the vehicle is
Make: _________________________________________
$____________________________________________.
Model: _________________________________________
Attach proof of purchase price
7
Odometer reading: _______________________________
____ I figured an incorrect amount of municipal or county private
VIN: ____________________________________________
party vehicle use tax due.
3
8
____ I should have marked one of the exemptions because I
____ Other. Please explain. ___________________________
qualify for the following reason
_____________________________________________
(check one).
a
____ Organization with tax-exempt status — Provide
_____________________________________________
exemption number: E-__
_____________________________________________
_______________________
b
____ Farm implement, or ready-mix concrete truck
_____________________________________________
c
____ Rolling stock — Provide certificate of authority
_____________________________________________
number: _________________________________
_____________________________________________
d
____ You were an out-of-state resident and the item was
_____________________________________________
used outside IL for at least three months. Enter
_____________________________________________
__ __/__ __/__ __ __ __
purchase date:
_____________________________________________
Month
Day
Year
_____________________________________________
e
____ Estate gift for surviving spouse
4
____ I should have marked one of the following exceptions to the
standard tax rate (check one):
a
____ Estate gift for beneficiary (not surviving spouse)
b
____ Business reorganization
c
____ Transferred or purchased from spouse, parent,
brother, sister, or child (circle one).
Please turn page to complete Steps 3 and 4.
This form is authorized by the Vehicle Use Tax Act. Disclosure of this information is REQUIRED. Failure to provide information
RUT-50-X (R-07/15)
Page 1 of 2
could result in a penalty.