Illinois Department of Revenue
CMFT-1-X
Amended County Motor Fuel Tax Return
Rev 03 Form 026
E S __ __/__ __/__ __ __ __
NS
DP
CA
RC
Read this information fi rst
Do not write above this line.
•
If you are making a payment with this return,
$___________________________
write the amount you are paying here.
Make your check payable to “Illinois Department of Revenue.”
•
If you are claiming an overpayment on this return and you collected the overpaid tax from your customer(s), you must re-
fund the tax to your customer(s) before fi ling this return. When you complete this return, you must state, under penalties of
perjury, in Step 4, that you unconditionally refunded the overpaid tax to your customer(s).
Step 1: Identify your business
1
Account ID: ____ ____ ____ ____ - ____ ____ ____ ____
2
Reporting period you are amending:
__ __/__ __/__ __ __ __ through __ __/__ __/__ __ __ __
Month Day
Year
Month Day
Year
3
Business name _______________________________________
Step 2: Mark the reason you are fi ling an amended return
1
4
____ I made a computational error.
____ I took a deduction on my original return that was
not allowed or was too large.
2
____ I should have taken a deduction or a larger deduction
5
on my original return because I sold motor fuel
____ The original account ID was incorrect. The
correct account ID is ______________________________.
a
____ to another Illinois business for resale. Write
6
business’ account ID ______________________.
____ The original reporting period was incorrect. The
b
____ to an exempt organization (government, school,
correct reporting period is _________________________.
religious, or charitable). Write the tax-exempt no.
7
E- _____________________________________.
____ Other. Please explain. _____________________________
c
____ that was returned by my customer.
______________________________________________________
______________________________________________________
3
____ I put an amount on the wrong line on
______________________________________________________
either Form CMFT-1 or Form CMFT-2.
______________________________________________________
Please turn page to complete Steps 3 and 4.
This form is authorized by the County Motor Fuel Tax Law. Disclosure of this information is REQUIRED. Failure to provide
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2461
*002631110*
CMFT-1-X front (R-1/10)