Form Ryo-1-X - Amended Cigarette Machine Operators' Occupation Tax Return
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Illinois Department of Revenue
RYO-1-X
Amended Cigarette Machine Operators'
REV 1 FORM 948
Occupation Tax Return
Station no. 090
Step 1: Identify your business
1
5
Account ID: ____ ____ ____ ____ ____ ____ ____ ____
For what tax period are you filing this return?
___ ___/___ ___ ___ ___
Month Year
2
License no.: CR - ___ ___ ___ ___ ___
6
Check here if your address has changed.
3
B usiness name: ______________________________________________________
7
Is this a final (you are no longer in business)
4
B usiness address: ____________________________________________________
return? yes no
Number and street
8
___________________________________________________________________
Phone number (______)________________
City
State
ZIP
Step 2: Report cigarette machine totals for the month -
Figures as they should have been
reported
9
W rite the total number of cigarettes made or fabricated. Attach RYO-2, Schedule M.
9 _ __________________________________
10
Write the total number of cigarettes damaged in the machine operating process.
10 ___________________________________
11
Subtract Line 10 from Line 9. Write the result.
11 ___________________________________
Step 3: Figure your tax due -
Figures as they should have been reported
12
12 $___________________________________
Multiply Line 11 by 99 mills ($0.099). Write the result.
13
13
Write the amount of excess tax collected.
$___________________________________
14
14
Add Lines 12 and 13. Write the result.
$___________________________________
15
15
Write the eligible credit for Illinois "other tobacco products" tax. See instructions.
$___________________________________
16
16
Subtract Line 15 from Line 14. Write the result. This is your total tax due.
$___________________________________
17
17 $___________________________________
Write the amount of credit you wish to use from credit memorandum.
18
Write the result.
18 $___________________________________
Subtract Line 17 from Line 16.
This is your balance due.
19
19 $___________________________________
Write the total amount you paid for this reporting period.
20
If Line 19 is greater than Line 18, figure your overpayment by
subtracting Line 18 from Line 19.
20 $___________________________________
21
If Line 19 is less than Line 18, figure your underpayment by
subtracting Line 19 from Line 18.
21 $___________________________________
Make your check payable to the "Illinois Department of Revenue".
Step 4: 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.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked "yes," did you unconditionally refund the overpaid tax to your customer?
yes
no
❑ 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 ________________________________________________________________________________.
❑ I need to correct the license number on a previously filed return. The incorrect license number was C R - ___ ___ ___ ___ ___.
❑ I need to correct the reporting period on a previously filed return. The incorrect reporting period was _____________________________.
❑ Other. Please explain.__________________________________________________________________________________________
Step 5: Sign below
Under penalties of perjury, I state that I have examined this return and all accompanying schedules, 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:
Taxpayer's signature
Date
_____________________________
________________________ (____)____-___________
____/____/________
Title:
Preparer’s signature
Telephone number (include area code) Date
This form is authorized as outlined by the Illinois Cigarette Machine Operators'
*294801110*
Occupation Tax Act. Disclosure of this information is REQUIRED. Failure to provide
information may result in this form not being processed and may result in a penalty.
RYO-1-X (N-7/12)
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