Form Rc-7 - Schedule Ca - Cigarettes And Little Cigars Imported For Sale With No Illinois Cigarette Revenue Stamps Affixed To Original Packages

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Illinois Department of Revenue
REV 01 FORM 438
RC-7
Schedule CA
Cigarettes and Little Cigars Imported for Sale with No Illinois
Cigarette Revenue Stamps Affixed to Original Packages
Read this information first
Sheet no. __________
Attach a completed original schedule to either Form RC-6, Cigarette and Little Cigar Revenue Return, or Form RC-6-X,
Amended Cigarette and Little Cigar Revenue Return.
For additional instructions, see Form RC-6, or Form RC-6-X.
Step 1: Identify your business
Name: ____________________________________________
Account ID: __ __ __ __ __ __ __ __
Address: __________________________________________
License no.: C- ___ ___ ___ ___ ___
Number and street
_________________________________________________
Tax period: __ __ / __ __ __ __
City
State
ZIP
Month
Year
Step 2: Identify your purchases
FEIN of seller
Name and address of seller
Date
Invoice no.
from whom you purchased
from whom you purchased
Number of sticks
cigarettes or little cigars
cigarettes or little cigars
,
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,
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Page total
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Grand total
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*343811110*
RC-7 (R-07/13) Schedule CA
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.

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