Form Rhm-1 - Hotel Operators' Occupation Tax Return
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Illinois Department of Revenue
REV 3
Form 475
RHM-1
E S ___/___/___
Hotel Operators' Occupation Tax Return
NS
DP
CA
Do not write above this line.
Station no. 515
Identify your business
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
Check here if your address has changed.
Tell us the liability period for which you are filing this return:
HM -
License no.
___ ___ ___ ___ ___
Month of: __ __/___ __
Quarter ending: __ __/___ __
Business name
_______________________________________
Year: __ __ __ __
Business address ________________________________________
Is this a final return (you are no longer in business)?
yes
no
Number and street
_______________________________________________________
City
State
ZIP
Step 1: Figure your taxable base
1
1
Total receipts. (Includes all room rental receipts, state, and local tax collected for this reporting period.)
______________|____
2
2
Local tax deduction
______________|____
3
Other deductions (Describe each deduction by item and amount on the lines below)
Example: permanent residents: $1,000.00, meeting rooms: $200.00
_________________________________________________________________
_________________________________________________________________
3
_________________________________________________________________
Total other deductions:
______________|____
4
4
Subtraction for MPEA Hotel Tax collected.
______________|____
5
5
Add Lines 2 through 4. This is your total deductions.
______________|____
6
6
Subtract Line 5 from Line 1. This is your taxable base.
______________|____
Step 2: Figure your total tax
7
7
State tax. Multiply Line 6 by .0564
______________|____
8
8
Chicago taxes. Multiply Line 6 by .05235
______________|____
9
9
Add Lines 7 and 8. This is your total tax.
______________|____
Step 3: Figure your discount
10
10
If you file and pay on time, multiply Line 9 by .021
______________|____
Step 4: Figure your payment due
11
11
Subtract Line 10 from Line 9. This is your net tax due.
______________|____
12
12
If you collected too much tax, report the amount of excess tax you collected.
______________|____
13
13
Add Line 11 and Line 12. This is your tax due.
______________|____
14
14
If you have credit, tell us the amount of credit you wish to apply.
______________|____
15
15
Subtract Line 14 from Line 13. This is your total tax due. Pay this amount.
______________|____
Step 5: 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. The
information in this return is taken from the records of the business for which it is filed.
___________________________________________________
____________
____/____/________ (____)____-____________
Taxpayer's signature
Title
Date
Telephone (Include area code)
___________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date
Telephone (Include area code)
*247501110*
RHM-1 (R-11/12)
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this information is
required. Failure to provide information may result in this form not being processed and may result in a penalty.
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