Form Cmft-1-X - Amended County Motor Fuel Tax Return Page 2
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1
2Step 3: Correct your fi nancial information
Column A
Column B
When writing your fi gures, please round to the nearest whole dollar.
Most recent fi gures fi led
Figures as they should
have been fi led
If you originally fi led Form CMFT-2, Multiple Site Form, you must also fi le Form CMFT-2-X, Amended Multiple Site Form,
and use the fi gures from it to complete Lines 4 and 5 below.
1
Write the total gallons you sold at retail within DuPage, Kane, or McHenry County.
1
1
______________
______________
2
Deductible gallons
a Write the number of gallons of motor fuel you sold to organizations
that are exempt from paying County Motor Fuel Tax.
2a ______________
2a ______________
b Other deductible gallons allowed by law
(Description ___________________________) Write the number of gallons.
2b ______________
2b ______________
3
Add Line 2a and Line 2b.
The sum is the total deductible gallons.
3 ______________
3 ______________
4
Subtract Line 3 from Line 1.
The difference is the taxable gallons.
4 ______________
4 ______________
5
Multiply Line 4 by 4 cents ($.04).
This is the tax due on taxable gallons.
5 ______________
5 ______________
6
Discount (See instructions)
6 ______________
6 ______________
7
Subtract Line 6 from Line 5.
This is the net CMFT due.
7 ______________
7 ______________
8
Write excess CMFT collected.
8 ______________
8 ______________
9
Add Lines 7 and Line 8. This is total tax due.
9 ______________
9 ______________
10
Write the credit amount.
10 ______________
10 ______________
11
Subtract Line 10 from Line 9. This is tax due.
11 ______________
11 ______________
12
Write the total amount you have paid.
12 ______________
13
If Line 12 is greater than Line 11, Column B, write the difference.
This is the amount you have overpaid. Go to Step 4.
13 ______________
14
If Line 12 is less than Line 11, Column B, write the difference.
This is the amount you have underpaid. Please pay this amount. Go to Step 4.
14 ______________
Make your check payable to “Illinois Department of Revenue.”
Please write the amount you are paying on the line provided on the front of this return.
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. Under
penalties of perjury, I state that I have unconditionally refunded to my customer(s) any overpaid tax that I collected from my customer(s) and
am claiming as an overpayment on this return.
________________________________________________________________________________________________________________
Taxpayer’s signature
Title
Phone
Date
________________________________________________________________________________________________________________
Preparer’s signature
Title
Phone
Date
Mail this return and any payment you owe to:
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19034
SPRINGFIELD IL 62794-9034
*002632110*
CMFT-1-X back (R-1/10)
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