Schedule Ch (Form Rc-127) - Other Deductions - Cigarettes And Little Cigars

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Illinois Department of Revenue
REV 01 FORM 473
RC-127
Schedule CH
Attach to Form RC-6 or Form RC-6-A
Other Deductions - Cigarettes and Little Cigars
Step 1: Identify your business
Name: _ _ ___________________________________________ Account ID: __ __ __ __ __ __ __ __
Address: _ __________________________________________ License no.: ___ - ___ ___ ___ ___ ___
Number and street
_ _________________________________________________ Tax period __ __ / __ __ __ __
City
State
ZIP
Month
Year
Step 2: Identify your deductions
1
2
3
4
Invoice date
Invoice no.
Reason for deduction
Number of sticks
,
,
,
_ _/_ _/_ _ _ _
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Page total
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Grand total
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*347311110*
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
RC-127 (R-07/13) Schedule CH

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Related Categories

Parent category: Financial
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