Form Rpu-50 - Quarter-Monthly Payment [gas, Telecommunications, Electric] - Illinois Department Of Revenue

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Illinois Department of Revenue
RPU-50
Quarter-Monthly Payment - [Gas, Telecommunications, Electric]
(R-8/98)
Mail this card and payment to:
IBT no.:
###-####
ILLINOIS DEPARTMENT OF REVENUE
License no.:
A-####
PO BOX 802086
Liability period:
##/####
CHICAGO IL 60680-2086
Payment number:
#
Payment must be filed by:
##/##/####
Please pay $#############
or 22.5% of your actual liability
1. Credit applied
$_______________________________
Attach original credit memorandum
due for the current month.
2. Check amount
$_______________________________
NAME
3. Total paid
$_______________________________
ADDRESS
ADDRESS
______________________________
Official use
CITY STATE ZIP
Illinois Department of Revenue
RPU-50
Quarter-Monthly Payment - [Gas, Telecommunications, Electric]
(R-8/98)
Mail this card and payment to:
IBT no.:
###-####
ILLINOIS DEPARTMENT OF REVENUE
License no.:
A-####
PO BOX 802086
Liability period:
##/####
CHICAGO IL 60680-2086
Payment number:
#
Payment must be filed by:
##/##/####
Please pay $#############
or 22.5% of your actual liability
1. Credit applied
$_______________________________
Attach original credit memorandum
due for the current month.
2. Check amount
$_______________________________
NAME
3. Total paid
$_______________________________
ADDRESS
ADDRESS
______________________________
Official use
CITY STATE ZIP
Illinois Department of Revenue
RPU-50
Quarter-Monthly Payment - [Gas, Telecommunications, Electric]
(R-8/98)
Mail this card and payment to:
IBT no.:
###-####
ILLINOIS DEPARTMENT OF REVENUE
License no.:
A-####
PO BOX 802086
Liability period:
##/####
CHICAGO IL 60680-2086
Payment number:
#
Payment must be filed by:
##/##/####
Please pay $#############
or 22.5% of your actual liability
1. Credit applied
$_______________________________
Attach original credit memorandum
due for the current month.
2. Check amount
$_______________________________
NAME
3. Total paid
$_______________________________
ADDRESS
ADDRESS
______________________________
Official use
CITY STATE ZIP

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