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Illinois Department of Revenue
REV 1
RL-26-W
Liquor Direct Wine Shipper Return
E S ___/___/___
NS DP CA
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? yes no
3
Name: _ _____________________________________________
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
1 5
If you timely file and pay this tax electronically multiply Line 14
Use Only
$
15
_________________
by the appropriate rate. See instructions.
$
16
16
_________________
Subtract Line 15 from Line 14.
$
17
17
_________________
Credit you wish to apply.
18
18
_________________
$
Subtract Line 17 from Line 16 and pay this amount.
Make your check payable to “Illinois Department of Revenue.”
Step 3: 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 4: Mail your return or WebFile at tax.illinois.gov.
Mail your completed return to
ALCOHOL, TOBACCO AND FUEL DIVISION
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
*035711110*
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RL-26-W (R-04/12)
This form is authorized by the Liquor Control Act of 1934. 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-492-4471