Form Rl-26-W-X - Amended Liquor Direct Wine Shipper Return

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Illinois Department of Revenue
REV 1
RL-26-W-X
Amended Liquor Direct Wine Shipper Return
E S ___/___/___
NS DP CA
(R-04/12)
Do not write above this line.
Station no. 264
Step 1: Identify your business
1
6
Account ID: __ __ __ __ __ __ __ __
Check here if your address has changed.
L W
2
7
License no.: ___ ___ - ___ ___ ___ ___ ___
Is this a final (you are no longer in business) return?
3
Name: _ _____________________________________________
yes no
4
Address: _ ___________________________________________
Number and street
___________________________________________________
City State ZIP
5
Tax period: __ __/__ __ __ __
Month Year
Step 2: Figure your tax due
8
8
_________________
Gallons of cider (alcohol content between 0.5% and 7%) shipped and sold directly to consumers:
9
9
_________________
Multiply Line 8 by .231
$
1 0
10
_________________
Gallons of wine (alcohol content of less than 20%) shipped and sold directly to consumers:
1 1
11
_________________
$
Multiply Line 10 by 1.39
1 2
12
_________________
Gallons of wine (alcohol content 20% or more) shipped and sold directly to consumers:
1 3
13
_________________
Multiply Line 12 by 8.55
$
1 4
14
_________________
$
Add Lines 9, 11, and 13. This is the total tax due.
Electronic Use Only
$
1 5
15
_________________
If you timely file and pay this tax electronically multiply Line 14 by the appropriate rate. See instructions.
16
16
_________________
$
Subtract Line 15 from Line 14.
17
17
_________________
$
Credit you wish to apply.
1 8
18
_________________
$
Subtract Line 17 from Line 16. This is your net tax due.
19
19
_________________
Total amount you paid for the reporting period for which you are filing this amended return.
$
2 0
20
_________________
If Line 19 is greater than Line 18, subtract Line 18 from Line 19. This is the amount of your overpayment.
$
2 1
21
_________________
$
If Line 19 is less than Line 18, subtract Line 19 from Line 18. This is the amount you underpaid.
Pay this amount. Make your check payable to “Illinois Department of Revenue”.
Step 3: Check the reason you are filing this amended return
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
I f you checked this box, did you collect the overpaid tax from your customer?
yes
no
l
If you checked “yes”, did you unconditionally refund the overpaid tax?
yes
no
l
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
I should have taken a deduction for _________________________________________________________________________________
The original License no. was incorrect. The incorrect License no. is LW- __ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
Other. Please explain. ___________________________________________________________________________________________
_____________________________________________________________________________________________________________
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return, and, to the best of my knowledge, it is true, correct, and complete. I also
state that such information is taken from the books and records of the business for which this return is filed.
_____________________________
________________________ (____)____-___________ ____/____/________
Title:
Owner or officer’s signature and title (state if individual owner, member of firm, or corporate officer title) Telephone number (include area code) Date
_____________________________
________________________ (____)____-___________ ____/____/________
Title:
Preparer’s signature and title (state if individual owner, member of firm, or corporate officer title) Telephone number (include area code) Date
Step 5: Mail your return or WebFile at tax.illinois.gov.
ALCOHOL, TOBACCO AND FUEL DIVISION
Mail your completed return to
Reset
Print
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
*035811110*
SPRINGFIELD IL 62794-9019

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