Form Rc-36 - Schedule Cm - Sales Of Cigarettes And Little Cigars Into Illinois By Manufacturers Or Importers

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Illinois Department of Revenue
REV 01 FORM 470
RC-36
Schedule CM
E S ___/___/___
NS
DP
CA
Sales of Cigarettes and Little Cigars into Illinois by Manufacturers or Importers
Do not write above this line.
Read this information first
Sheet no. __________
As a cigarette and little cigar manufacturer or importer, you must file this report with the Illinois Department of Revenue on or
before the 5th day of the month following the month of the transaction.
Step 1: Identify your business
Name:
Account ID: __ __ __ __ __ __ __ __
______________________________________________
Address:
License no.: CM - ___ ___ ___ ___ ___
____________________________________________
Number and street
Federal Employer Identification number:____-______________
_____________________________________________________
City
State/Province
ZIP
(FEIN)
Country/Territory:_________________________________
Tax period: __ __/__ __ __ __
(Month/Year)
Phone: (_____)______- ___________ Ext:__________
_________
Step 2: Identify your sales into Illinois
FEIN of Illinois customer
Name and address of Illinois
Date
Invoice no.
you sold cigarettes
customer to whom you sold cigarettes
Number of sticks
to whom
or little cigars
or little cigars
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Page total
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Grand total
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Step 3: Mail your completed Schedule CM or file electronically on
MyTax Illinois at tax.illinois.gov
ALCOHOL, TOBACCO AND FUEL DIVISION
*347011110*
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19477
SPRINGFIELD IL 62794-9477
If you have questions, write to us at the address above or call us weekdays between 8:00 a.m. and 4:00 p.m. at 217 782-6045.
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-36 (R-07/13) Schedule CM

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