Form Rhm-1-X - Amended Hotel Operators' Occupation Tax Return

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Illinois Department of Revenue
REV 0
RHM-1-X
E S ___/___/___
Amended Hotel Operators' Occupation Tax Return
NS DP CA
Station no. 517
Do not write above this line.
Step 1: Identify your business
1
5
Account ID:___ ___ ___ ___ ___ ___ ___ ___
Check here if your address has changed.
6
Tell us the liability period for which you are filing this return:
2
HM -
License no.
___ ___ ___ ___ ___
Month of: __ __/___ __
Quarter ending: __ __/___ __
3
Business name _______________________________________
Year: __ __ __ __
4
7
Business address _____________________________________
Is this a final return (you are no longer in business)? yes no
Number and street
___________________________________________________
City State ZIP
Step 2: Figure your taxable base -
Figures as they should have been filed
8
8
Total receipts. (Includes all room rental receipts, state, and local tax collected for this reporting period.)
______________|____
9
9
Local tax deduction
______________|____
10
Other deductions (non-itemized deductions will be disallowed)
Description
Amount
____________________________________________________
______________|____
____________________________________________________
______________|____
10
Total other deductions:
______________|____
11
11
Subtraction for MPEA Hotel Tax collected.
______________|____
12
12
Add Lines 9 through 11. This is your total deductions.
______________|____
13
13
Subtract Line 12 from Line 8 . This is your taxable base.
______________|____
Step 3: Figure your total tax -
Figures as they should have been filed
14
14
State tax. Multiply Line 13 by .0564
______________|____
15
15
Chicago taxes. Multiply Line 13 by .05235
______________|____
16
16
Add Lines 14 and 15. This is your total tax.
______________|____
Step 4: Figure your discount -
Figures as they should have been filed
17
17
If you file and pay on time, multiply Line 16 by .021
______________|____
Step 5: Figure your payment due -
Figures as they should have been filed
18
18
Subtract Line 17 from Line 16. This is your net tax due.
______________|____
19
19
If you collected too much tax, report the amount of excess tax you collected.
______________|____
20
20
Add Line 18 and Line 19. This is your tax due.
______________|____
21
21
Credit you wish to apply.
______________|____
22
22
Subtract Line 21 from Line 20. This is your net tax due.
______________|____
23
23
Total amount you paid for this reporting period.
______________|____
24
24
If Line 23 is greater than Line 22, figure your overpayment by subtracting Line 22 from Line 23.
______________|____
25
25
If Line 23 is less than Line 22, figure your underpayment by subtracting Line 23 from Line 22.
______________|____
Pay this amount and make your check payable to “Illinois Department of Revenue.”
Step 6: Check the reason you are filing this amended return
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
I should have taken a deduction for ________________________________________________________________________________
The original License no. was incorrect. The incorrect License no. is HM-__ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
Other. Please explain. ___________________________________________________________________________________________
Step 7: Sign below
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete. The
information in this return is taken from the records of the business for which it is filed.
___________________________________________________
____________ ____/____/________ (____)____-____________
Taxpayer's signature Title
Date Telephone (Include area code)
___________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date Telephone (Include area code)
*047721110*
RHM-1X (N-4/10)
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