Form Rt-10 - Telecommunications Infrastructure Maintenance Fees Return - 1999
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1
2Illinois Department of Revenue
RT-10
Telecommunications Infrastructure
Maintenance Fees Return
Station 060
Step 1: Identify your business
Do not write above this line.
1
5
IBT no. ___ ___ ___ ___ - ___ ___ ___ ___
Check the appropriate box and complete the requested
Illinois business tax number
information. This return is for
T I
2
Certificate of registration no. ___ ___ - ___ ___ ___ ___
the month of ___ ___/___ ___ ___ ___.
Month
Year
3
Name ______________________________________________
the quarter ending ___ ___/___ ___ ___ ___.
Month
Year
4
6
Address ____________________________________________
Is this an amended return? ___ yes
___ no
Number and street
7
__________________________________________________
Is this a final return?
___ yes
___ no
City
State
ZIP
(See back of return.)
Step 2: Figure your telecommunications infrastructure maintenance fees (TIMFs) due
Net gross charges subject to the State TIMF
8
8
Write your gross charges (defined in instructions) billed during this liability period.
_______________________
9
9
Write the total amount you received during this liability period on credit previously extended.
_______________________
10
10
Add Lines 8 and 9. This amount is your total gross charges.
_______________________
11
Write your deductions.
a
11a
Gross charges billed to the federal government
_______________________
b
11b
Gross charges billed for wireless telecommunications
_______________________
c
11c
Fee-free sales billed to resellers
_______________________
d
11d
Other
_______________________
(You must complete the information on the back of this return.)
12
12
Add Lines 11a through 11d. This amount is your total deduction.
_______________________
13
Subtract Line 12 from Line 10. This amount is your net gross
13
charges subject to the State TIMF.
_______________________
14
14
Multiply Line 13 by 0.5% (.005). This is your State TIMF due.
_______________________
If you have not elected to pay the Optional TIMF, skip to Line 21.
Net gross charges subject to the Optional TIMF
15
If you elected to pay the Optional TIMF, write the amount of
Line 13 billed to service addresses in municipalities with a
15
population of more than 500,000. (See instructions.)
_______________________
16
If you elected to pay the Optional TIMF, write the amount of
Line 13 billed to service addresses in municipalities with a
16
population of 500,000 or less. (See instructions.)
_______________________
17
17
Multiply Line 15 by 2% (.02).
_______________________
18
18
Multiply Line 16 by 1% (.01).
_______________________
19
19
Add Lines 17 and 18. This is your Optional TIMF base.
_______________________
20
20
Multiply Line 19 by 25% (.25). This is your Optional TIMF due.
_______________________
Total payment due
21
21
Add Lines 14 and 20. This amount is your total TIMFs due.
_______________________
22
22
If you file this return and pay the amount due by the due date, multiply Line 21 by 2% (.02).
_______________________
23
23
Subtract Line 22 from Line 21.
_______________________
24
24
Write the total credit you wish to apply. Attach the original credit memorandum.
_______________________
25
25
Subtract Line 24 from Line 23. Please pay this amount.
_______________________
Make your check payable to “Illinois Department of Revenue.”
Step 3: 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.
_______________________________________________________
______________________________________________________
Taxpayer's signature
Telephone
Date
Tax preparer’s signature
Telephone
Date
Mail your completed return and payment to:
Telecommunications Infrastructure Maintenance Fee, Illinois Department of Revenue, P .O. Box 19019, Springfield IL 62794-9019
This form is authorized by the Telecommunications Municipal Infrastructure Maintenance Fee Act. Disclosure of this information is REQUIRED.
RT-10 Front (R-5/99)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-3781
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