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General Instructions

What if I need additional assistance?

Line 11 - Add the invoiced gallons reported in

Column 9, Lines 1 through 10.

If you have questions about this schedule, write to us

at Motor Fuel Tax, Illinois Department of Revenue,

Schedule SE is used for reporting the

Line 12 - If you are filing more than one Sched-

P .O. Box 19477, Springfield, Illinois 62794-9477, or

following taxes:

ule SE, group together the Schedules SE that

call our Springfield office weekdays between 8 a.m.

report product types special fuel (excluding dyed

• Motor Fuel Tax (MFT)

and 4:30 p.m. at 217 782-2291.

diesel fuel) and other by

• Underground Storage Tank Tax (UST)

• Environmental Impact Fee (EIF)

• MFT-paid only gallons. Add Lines 11 from

Step-by-Step Instructions

this group, and write the total on Line 12 of

Which transactions must be reported

the last page. Also write this amount on

on this schedule?

Form RMFT-5, Line 2b, Column 2.

Step 1: Complete the following

information

You must report any fuel transactions on which

• UST-/EIF-paid only gallons. Add Lines 11

you have paid the motor fuel tax rate for special

Write your company name, your license number,

from this group, and write the total on Line

fuel. UST/EIF paid gallons of 1-K kerosene must

and the period for which you are reporting. Check

12 of the last page. Also write this amount

also be reported on Schedule LE.

the box next to the tax/fee type and the product

on Form RMFT-5-US, Line 2b, Column 1.

type you are listing on this page. Report one tax/fee

When do I file this schedule?

• both MFT- and UST-/EIF-paid gallons. Add

type and one product type per page.

Lines 11 from this group, and write the

You must file Schedule SE with Form RMFT-5,

total on Line 12 of the last page. Also write

Step 2: Report your tax- and fee-paid

Motor Fuel Distributor/Supplier Tax Return, if you

this amount on Form RMFT-5, Line 2b,

purchases

are reporting MFT-paid gallons only or both MFT-

Column 2, and Form RMFT-5-US, Line 2b,

and UST-/EIF-paid gallons.

Lines 1 through 10 —

Column 1.

You must file Schedule SE with Form RMFT-5-US,

Column 1 - Write the month, day, and year of the

Then, group together all Schedules SE that report

Underground Storage Tank Tax and Environmental

invoice.

Impact Fee Receiver Tax Return, if you are report-

• UST-/EIF-paid only gallons and both MFT- and

Column 2 - Write the invoice number.

ing UST-/EIF-paid gallons only.

UST-/EIF-paid gallons. Add the totals from Lines

12, and write this amount on Form RMFT-5-US,

Column 3 - Write the carrier’s complete business

What records must I keep?

Line 12, Column 1. Note: Do not include 1-K

name.

kerosene in this total.

You are required by law to keep books and records

for at least three and one-half years showing all

Column 4 - Write the bill of lading or manifest

• MFT-paid only gallons and both MFT- and UST-/

purchases, receipts, losses through any cause,

number.

EIF-paid gallons. Add the totals from Lines 12,

sales, distributions, and use of fuels.

and write this amount on Form RMFT-5, Line 17,

Column 5 - Write the seller’s complete name.

Column 2. Note: Include 1-K kerosene in this

You must keep the original invoice for each tax-

Column 6 - Write the name of the Illinois city from

total.

and fee-paid purchase identified on Schedule SE.

which the special fuel product originated.

The invoice should be receipted “paid” and initialed

by your supplier. You are not required to attach in-

Column 7 - Write the name of the Illinois city to

voices to this schedule unless we request you to

which the special fuel product was delivered.

send them in.

Column 8 - Write the seller’s Illinois license number.

If we do request your invoices to verify purchases,

Column 9 - Write the number of invoiced gallons.

we will accept legible copies; however, we may re-

quire you send us the originals.

This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.

Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.

IL-492-1543

RMFT-10-SF back (R-3/01)

Schedule Se (Form Rmft-10-Sf) - Mft, Ust, And Eif Tax- And Fee-Paid Purchases Of Special Fuel (Excluding Dyed Diesel Fuel) Page 2

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