Attach To Form Rmft-5 Or Form Rmft-5-Us - Schedule Sd - Mft, Ust, And Eif Special Fuel (Excluding Dyed Diesel Fuel) Sold And Distributed Tax- And Fee-Free In Illinois To Licensed Distributors Or Suppliers

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Illinois Department of Revenue
MFT, UST, and EIF
Page ____ of ____
Schedule SD
Special Fuel (Excluding Dyed Diesel Fuel) Sold and Distributed
Tax- and Fee-Free in Illinois to Licensed Distributors or Suppliers
Attach to Form RMFT-5 or Form RMFT-5-US
Step 1: Complete the following information
_______________________________________________
Check the tax/fee type you are listing on this page.
Company name
MFT-free only
_______________________________________________
UST-/EIF-free only
Your license number
Reporting period __ __/__ __ __ __
Both MFT- and UST-/EIF-free
Month
Year
Step 2: Report your tax- and fee-free sales and distributions
1
2
3
4
5
6
7
8
9
Invoice date
Invoice
Name of
Bill of lading or
Origin
Destination
Purchaser’s
Invoiced
(month, day, year)
number
carrier
manifest number
Name of purchaser
(Illinois cities only)
(Illinois cities only)
license number
gallons
1
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
9 _ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ ____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 9, Lines 1 through 10, and write the total here.
11
_________________
12 If you are filing only one Schedule SD, write the amount from Line 11 here.
12
_________________
If you are reporting
• MFT-free gallons only, also write this amount on Form RMFT-5, Line 8a, Column 2.
• UST-/EIF-free gallons only, also write this amount on Form RMFT-5-US, Line 8, Column 1.
• both MFT- and UST-/EIF-free gallons, also write this amount on Forms RMFT-5, Line 8a, Column 2, and RMFT-5-US, Line 8, Column 1.
If you are filing more than one Schedule SD, see instructions.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.
RMFT-32-SF front (R-12/99)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-1537

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