Form Rmft-5 - Motor Fuel Distributor/supplier Tax Return
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Illinois Department of Revenue
RMFT-5
Motor Fuel
Distributor/Supplier Tax Return
Station no. 560
Do not write above this line.
Step 1: Identify yourself
_______________________________________________
Reporting period ___________/__ __ __ __
Name
Month
Year
-
D
Address_______________________________________________
Distributor license no.
Number and street
OR
S
-
______________________________________________________
Supplier license no.
City
State
ZIP
Telephone no. (__ __ __) __ __ __ - __ __ __ __
Note: You must report your motor fuel in gallons. Convert liters to gallons
Column 1
Column 2
Column 3
by multiplying liters by .2641721. Follow our instructions for each column.
Gasoline &
Special fuel except
combustible gases
dyed diesel fuel
Dyed diesel fuel
Step 2: Figure your total gallonage for the month
1 Write your actual (stick) inventory at the beginning of the month. This
amount must agree with closing inventory of preceding month’s return.
1
2 Write the number of gallons
a produced, acquired, received, or transported into Illinois tax-free
)
2a
(Schedule A, SA, or DA
b produced, acquired, received, or transported into Illinois tax-paid
2b
//////////////////////
(Schedule E or SE)
c of combustible gases/1-K kerosene/alcohol sold for highway use
2c
//////////////////////
(Schedule GA-1)
3 Add Lines 1 through 2c. Remember to do calculations within each column.
3
4 Write your actual (stick) inventory at the end of the month.
4
5 Subtract Line 4 from Line 3. This is your net gallonage for the month. You must
account for your nontaxable and taxable gallonage within Step 3 and Step 4.
5
Step 3: Figure your nontaxable gallonage
6 Write the number of gallons sold to the federal government,etc.
6
(Schedule B, SB, or DB)
7 Write the number of gallons exported from Illinois
7
(Schedule C, SC, or DC)
8 Write the number of gallons
a sold and distributed tax-free to a licensed distributor or supplier
8a
(Schedule D, SD, or DD)
b sold and distributed tax-free to other than a licensed distributor or supplier
8b
//////////////////////
//////////////////////
(Schedule DD-1)
c of dyed diesel fuel you used for nonhighway purposes
8c
//////////////////////
//////////////////////
9 Write the number of gallons lost due to fire, leakage, spillage, etc.
9
(Schedule F)
10 Write the number of gallons of your loss due to temperature variation or evaporation
or your gain due to temperature variation. Complete Line 10a or 10b per column.
a Loss. The amount of losses you claim are limited. See instructions.
10a
or
(
) (
) (
)
b Gain.
10b
11 Add Lines 6 through 10b. This is your total nontaxable gallonage.
11
12 Subtract Line 11 from Line 5. The amount in Column 3 should be zero.
12
Step 4: Figure your gross taxable gallonage
13 Write the number of gallons sold and distributed for all other purposes.
13
//////////////////////
14 Write the number of gallons you used for operating motor vehicles on public
//////////////////////
highways or for operating recreational-type watercraft on waters of Illinois.
14
15 Write the number of gallons you used for nontaxable (nonhighway) purposes.
15
//////////////////////
16 Add Lines 13, 14, and 15. This is your gross taxable gallonage. This amount
//////////////////////
must agree with Line 12.
16
Step 5: Figure your net taxable gallonage
17 Write the number of gallons on which tax was paid at the time
of purchase.
17
//////////////////////
(Schedule E or SE)
18 Subtract Line 17 from Line 16. This is your net taxable gallonage.
18
//////////////////////
This form is authorized by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED. Failure to comply may result in a penalty.
This form has been approved by the Forms Management Center.
IL-492-0825
RMFT-5 Page 1 (R-05/11)
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