Schedule RHM-7
HM -
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
License no.
___ ___ ___ ___ ___
Liability period: __ __/__ __ __ __
Step 1:
Identify each site where you provide service and figure your tax due for that site
To determine Line 6: Total all of your receipts, subtract the local and MPEA tax you collected, and other deductions. Do this for each site.
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Location Code: ________________________________
Line 6:
Tax base for this location
=
6 ________________
Name:_______________________________________
Line 7:
State tax: Line 6 X _____
=
7 ________________
(Rate)
Address:_____________________________________
Line 8:
Chicago taxes: Line 6 X _____
=
8 ________________
(Rate)
City: _________________________________________
Step 2: Total each page and include these totals on your Form RHM-1
Totals:
Line 6:
Tax base.
6
________________
*247602110*
Line 7:
State tax.
7
________________
Line 8:
Chicago taxes. 8
________________
RHM-7 (R-11/12)
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