Form Rpu-13 - Electricity Excise Tax Return
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Illinois Department of Revenue
REV 3
Form 411
E S ___/___/___
RPU-13
Electricity Excise Tax Return
Station 053
NS
DP
CA
Do not write above this line.
Identify your business
Tell us the liability period for which you are filing this
return:
Account ID: ___ ___ ___ ___ ___ ___ ___ ___
Month of ___ ___/___ ___
Quarter ending ___ ___/___ ___
Federal Employer Identification number (FEIN): __ __ - __ __ __ __ __ __ __
Year ___ ___ ___ ___
E
License no.: __ - __ __ __ __ __
Check here if your address has changed.
Taxpayer name:
__________________________________________________
Is this a final return (you are no longer in business)?
yes
no
Business name:
__________________________________________________
Business address:
________________________________________________
*241101110*
Number and street
_______________________________________________________________
City
State
ZIP
Step 1: Figure your receipts subject to tax
(See instructions “Which Steps Do I Have to Complete?”)
1
1
Gross receipts from sales of electricity taxed on a gross-receipts basis.
______________|____
2
Deductions (only tax-exempt receipts you included on Line 1.)
a
2a
Receipts from interstate commerce
______________|____
b
2b
Receipts from rebillable service (sale for resale)
______________|____
c
2c
Other. Explain: _______________________________________________
______________|____
3
3
Add Lines 2a, 2b, and 2c. This is your total deduction.
______________|____
4
4
Subtract Line 3 from Line 1. This is your receipts subject to tax.
______________|____
Step 2: Figure your kilowatt-hours subject to tax
(See instructions “Which Steps Do I Have to Complete?”)
5
5
Total kilowatt-hours taxed on a per-kilowatt-hour basis.
__________________
6
Deductions (only tax-exempt kilowatt-hours you included on Line 5.)
a
6a
Kilowatt-hours sold or distributed in interstate commerce
__________________
b
6b
Kilowatt-hours to be rebilled (sale for resale)
__________________
c
6c
Other. Explain: _______________________________________________
__________________
7
7
Add Lines 6a, 6b, and 6c. This is your total deduction.
__________________
8
8
Subtract Line 7 from Line 5. This is your kilowatt-hours subject to tax.
__________________
Step 3: Figure your tax due
9
9
Multiply Line 4 by 5% (.05). This is the tax on your receipts.
_____________|_____
10
10
Multiply Line 8 by .32¢ (.0032) per kilowatt-hour. This is the tax on your kilowatt-hours.
_____________|_____
11
11
Tax due from Worksheet A, Line o, or Worksheet B, Line d, if required to complete either worksheet.
_____________|_____
12
12
Add Lines 9, 10, and 11. This is your total Electricity Excise Tax due.
_____________|_____
13
13
If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”
_____________|_____
14
Total qualified solid waste energy tax credit you wish to apply and the total tax paid to another state for
14
which you are taking credit. (See instructions.)
_____________|_____
15
15
Add Lines 13 and 14. This is the tax you have already paid.
_____________|_____
16
16
If Line 15 is greater than Line 12, figure your overpayment by subtracting Line 12 from Line 15.
_____________|_____
17
17
If Line 15 is less than Line 12, figure your underpayment by subtracting Line 15 from Line 12.
_____________|_____
18
18
Total credit you wish to apply.
_____________|_____
19
19
Subtract Line 18 from Line 17. This amount is the total payment due.
_____________|_____
Make your check payable to “Illinois Department of Revenue.”
Step 4: 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.
_______________________________________________________
_______________________________________________________
Taxpayer’s signature
Date
Telephone number
Preparer’s signature
Date
Telephone number
Mail return and payment to: Electricity Excise Tax, Illinois Department of Revenue, P.O. Box 19019, Springfield, IL 62794-9019
Note: You can file Form RPU-13 electronically using MyTax Illinois at tax.illinois.gov.
RPU-13 (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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