Form Tp-1 - Tobacco Products Tax Return
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Illinois Department of Revenue
REV 3
TP-1
Tobacco Products Tax Return
E S ___/___/___
Station no. 036
NS
DP
CA
Step 1: Identify your business
Do not write above this line.
1
5
Account ID: ____ ____ ____ ____ ____ ____ ____ ____
For what month are you filing this return?
__ __/__ __ __ __
Month
Year
2
TP –
License no.
___ ___ ___ ___ ___
6
Check here if your address has changed.
3
Business name _______________________________________
7
Is this a final (you are no longer in business) return?
yes
no
4
Business address _____________________________________
Number and street
___________________________________________________
City
State
ZIP
Step 2: Figure your cost-based tax (tobacco products excluding moist snuff)
8
8
Wholesale price of products you manufactured and then sold or otherwise disposed of during this month.
______________|____
9
9
Wholesale price of products you purchased and then sold or otherwise disposed of during this month.
______________|___
10
10
Add Lines 8 and 9. This is the total cost of cost-based tobacco products you sold or otherwise disposed of.
______________|____
11
11
Wholesale price of products you sold in interstate commerce.
______________|____
Attach Schedule TP-11.
12
12
Wholesale price of products you sold to someone other than a retailer or consumer.
______________|____
Attach Schedule TP-12.
13
13
Wholesale price of products returned to you on which you paid us tobacco tax.
______________|____
Attach Schedule TP-7.
14
14
Other deduction for cost-based products (wholesale price).
______________|____
Attach Schedule TP-13.
15
15
Add Lines 11, 12, 13, and 14. This is your total cost-based products tax deduction.
______________|____
16
16
Subtract Line 15 from Line 10. This is your cost-based products tax base.
______________|____
17
17
Multiply Line 16 by 36% (.36). This is your total cost-based tax.
______________|____
Step 3: Figure your weight-based tax (moist snuff only)
18
18
Ounces of moist snuff you manufactured and then sold or otherwise disposed of during this month.
______________|____
19
19
Ounces of moist snuff you purchased and then sold or otherwise disposed of during this month.
______________|____
20
20
Add Lines 18 and 19. This is the total ounces of moist snuff you sold or otherwise disposed of.
______________|____
21
21
.
Ounces of moist snuff you sold in interstate commerce.
______________|____
Attach Schedule TP-14
22
22
Ounces of moist snuff you sold to someone other than a retailer or consumer.
______________|____
Attach Schedule TP-15.
23
23
Ounces of moist snuff returned to you on which you paid us tobacco tax.
______________|____
Attach Schedule TP-16.
24
24
Other deduction for moist snuff (ounces).
______________|____
Attach Schedule TP-17.
25
25
Add Lines 21, 22, 23, and 24. This is your total weight-based products tax deduction.
______________|____
26
26
Subtract Line 25 from Line 20. This is your weight-based products tax base.
______________|____
27
27
Multiply Line 26 by .30. This is your total weight-based tax.
______________|____
Step 4: Figure your payment
28
28
Add Lines 17 and 27. This is your total tobacco products tax.
______________|____
29
29
Credit you wish to apply.
______________|____
30
30
Subtract Line 29 from Line 28. Make your check payable to “Illinois Department of Revenue.”
______________|____
Step 5: 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
Title
Date
Telephone (Include area code)
___________________________________________________
____/____/________ (____)____-____________
Preparer's signature
Date
Telephone (Include area code)
Step 6: Mail your return and payment or webfile at tax.illinois.gov
2XXX21110
TP-1 (R-12/12)
This form is authorized as outlined by the Tobacco Products Tax Act of 1995. Disclosure of
this information is REQUIRED. Failure to provide information could result in penalties.
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