Form Rl-26-L - Out-Of-State Sellers' Shipment Report

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Illinois Department of Revenue
RL-26-L
Schedule L
Out-of-state Sellers’ Shipment Report
Read this information first
Page ____ of ____
Make a copy of this schedule before completion if you need to report more than provided for here. After you have
completed your schedule(s), make a photocopy and retain the copy for your records.
Step 1: Identify your business
a Name:_
Account ID: __ __ __ __ __ __ __ __
______________________________________________
Address:_
License number: LM - ___ ___ ___ ___ ___
____________________________________________
Number and street
FEIN: ___ ___ - ___ ___ ___ ___ ___ ___ ___
_____________________________________________________
City
State/Province
ZIP
Federal Employer Identification number
Country/Territory:___________________________
Liability period: __ __/__ __ __ __
(Month/Year)
b
Telephone: (_____)______- ___________ Ext:_________
Check here if you had no shipments to report during this tax period.
Step 2: Tell us about the alcoholic liquors you shipped into Illinois
Equivalent in wine gallons
Invoice no.
FEIN of
Name and complete address of
Cider 0.5 % Alcohol 14 % Alcohol > 14% Alcohol 20%
and date whom you sold and
whom you sold and shipped to
to 7% or beer
or less
and < 20%
or more
shipped to
____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _/_ _/_ _ _ _
______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
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______________________________________________
______________________________________________
____________ ___________ ______________________________________________ __________ __________ __________ __________
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______________________________________________
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____________ ___________ ______________________________________________ __________ __________ __________ __________
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____________ ___________ ______________________________________________ __________ __________ __________ __________
_ _/_ _/_ _ _ _
______________________________________________
______________________________________________
Page subtotal
_________ __________ _________ _________
*035611110*
Grand total
_________ __________ _________ _________
RL-26-L (R-04/12)
IL-492-1493
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