Form Rut-50-X - Amended Vehicle Use Tax Transaction Return 1998
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1
2Illinois Department of Revenue
RUT-50-X
Amended Vehicle Use Tax
Rev 01
Form 23
Station 485
Transaction Return
E S ____/____/____
EC RC CA DP NS BS ___
Read this information first
Everyone must complete Parts 1, 2, and 4. You must also
Amount you are paying: $ ________________
complete Part 3 if you are changing financial information.
Make your check payable to “Illinois Department of Revenue.”
Part 1: Identify yourself
1
5
PV number from the original return
PV __ __ __ __ __ __ __ __
Your SSN
__ __ __ - __ __ - __ __ __ __
Social Security number
2
Your name ___________________________________________
If no SSN, then FEIN.
__ __ - __ __ __ __ __ __ __
Federal employer identification number
3
6
Co-owner’s name ______________________________________
Daytime telephone no. (_____)___________________________
4
Your address from the original return
____________________________________________________
Number and street
____________________________________________________
City
State
ZIP
Part 2: Check the reason you are correcting your return
1 __
5
__ The purchase date should have been
____ The purchase qualified for one of the $15 exceptions
__ __/__ __/__ __ __ __.
because
Month
Day
Year
a
____ you are a beneficiary who is not a surviving spouse,
2
____ The vehicle was returned, and the deal was cancelled.
and the vehicle is an estate gift.
b
____ the vehicle was transferred in a business
3
____ The seller’s name, seller’s address, or vehicle description
reorganization and the beneficial ownership has
( i.e., year, make, model, VIN) is incorrect. Write the correct
not been changed.
c
information on the lines below.
____ you are the spouse, parent, brother, sister, or child
_______________________________________________
of the seller or transferrer.
_______________________________________________
6
_______________________________________________
____ The purchase was incorrectly reported as a motor vehicle
_______________________________________________
but is actually a motorcycle or an ATV.
4
7
____ The purchase was exempt from tax because:
____ Either the incorrect tax due amount was figured from Table A
(check one)
a
____ the organization purchasing the vehicle is exempt
or Table B, or the incorrect table was used to figure the tax
from tax.
due amount.
(tax-exempt no. E - __ __ __ __ - __ __ __ - __ __ )
b
____ the vehicle is a farm implement or a ready-mix
Write the original purchase price or fair market value of the
concrete truck.
vehicle. $_______________________________________
c
____ the vehicle is used for rolling stock.
8
(Attach Form RUT-7.)
____ Other. Please explain. _____________________________
d
____ you were an out-of-state resident and had the
_______________________________________________
vehicle titled and registered in your name in
_______________________________________________
another state for at least three months.
_______________________________________________
e
____ you are a surviving spouse, and the vehicle is an
estate gift.
Please turn this page over to complete Parts 3 and 4.
This form is authorized by the Vehicle Use Tax Act. Disclosure of this information is REQUIRED. Failure to provide information
could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-0012
RUT-50-X (R-3/98)
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