Form Rmft-5 - Motor Fuel Distributor/supplier Tax Return Page 2

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Form RMFT-5 Page 2
Follow our instructions for each column.
Column 1
Column 2
Column 3
Gasoline &
Special fuel except
combustible gases
dyed diesel fuel
Dyed diesel fuel
Step 6: Figure your tax
19 Figure your gross tax due. If the amount on Line 18 is greater than zero, write
the amount from Line 18 on the line provided below and multiply by the tax rate
provided. Otherwise, write “0” on Lines 19 - 21 within the column.
a
X 0.19. Write the result in Column 1, Line 19.
Column 1, Line 18
b
X 0.215. Write the result in Column 2, Line 19.
19 $
$
//////////////////////
Column 2, Line 18
20 If you are filing this return on time and paying your tax due in full, figure your
1.75% collection discount. If Line 19 is greater than zero, subtract Line 17 from
Line 13. If the difference is zero or less, write “0” on Line 20 within the
appropriate column. Otherwise, write the difference on the line provided below
and complete the formula.
a
X 0.19 X 0.0175. Write the result in Column 1, Line 20.
Col. 1, Line 13 - Line 17
b
20 $
X 0.215 X 0.0175. Write the result in Column 2, Line 20.
$
//////////////////////
Col. 2, Line 13 - Line 17
//////////////////////
21 Subtract Line 20 from Line 19. This is your net tax due by fuel type.
21 $
$
22 Add Column 1, Line 21 and Column 2, Line 21. This is your tax due.
22 $
Step 7: Figure the amount you owe
23 Complete this line if you have a motor fuel tax (MFT) credit you wish to apply to
Official use - do not write in this box
Line 22, tax due, and any penalty and interest you owe. Attach the credit
memorandum to your return.
Write the credit memorandum number of each credit you are applying and the
total amount of that credit on the line directly below the credit number.
MFT credit no.
MFT credit amt. $
$
$
$
$
Add these MFT credit amounts and write the total on Line 23.
23 $
24 Subtract Line 23 from Line 22. This is the amount you owe. Make your check
payable to “Illinois Department of Revenue, Motor Fuel Tax.”
24 $
Step 8: Sign and date your return
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.
Signature of person, other than taxpayer, who prepared this return
Date
Taxpayer’s name
Preparer’s phone number
Signature and title of taxpayer
Date
Mail this return and payment to: Illinois Department of Revenue, PO Box 19019, Springfield, IL 62794-9019
Print
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RMFT-5 Page 2 (R-05/11)

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