Illinois Department of Revenue
Motor Fuel Tax
Page ____ of ____
Schedule B
Gasoline Products Sold to the Federal Government, to Foreign Governments,
to Municipal Corporations Owning and Operating Local Transportation Systems,
to Certain Privately Owned Public Utilities, or for Aviation Purposes
Attach to Form RMFT-5
Step 1: Complete the following information
_______________________________________________
Company name
_______________________________________________
Your license number
Reporting period __ __/__ __ __ __
Month
Year
Step 2: Report your exempt sales
1
2
3
4
5
6
7
8
Invoice date
Invoice or
Name of
Bill of lading or
Origin
Destination
Invoiced
serial number
carrier
manifest number
Name of purchaser
(Illinois cities only)
(Illinois cities only)
gallons
(month, day, year)
1
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
2
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
3
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
4
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
5
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
6
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
7
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
8
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
9
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
10
_ _/_ _/_ _ _ _ ______________ _____________________ _______________ ________________________ _________________ _________________ __________________
11 Add the invoiced gallons in Column 8, Lines 1 through 10. Write the total amount here.
11
____________________
12 If you are filing only one Schedule B, write the amount from Line 11 here and on Form RMFT-5, Line 6, Column 1.
12
____________________
If you are filing more than one Schedule B, add Line 11 from each schedule, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5, Line 6, Column 1.
This form is authorized as outlined by the Motor Fuel Tax Law. 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-492-0084
RMFT-7 front (R-6/97)