Form Rmft-18 - Schedule Le - Ust And Eif Tax And Fee-Paid Purchases - Illinois Department Of Revenue

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Illinois Department of Revenue
UST and EIF
Page ____ of ____
Schedule LE
Tax- and Fee-Paid Purchases of the
Fuel Types Subject Only to UST/EIF
Attach to Form RMFT-5-US
Step 1: Complete the following information
_________________________________________________
Check the product type you are listing on this page.
Company name
Aviation fuel
_________________________________________________
1-K kerosene
Your license number
Dyed diesel fuel
Other (specify:_________________________)
Reporting period __ __/__ __ __ __
Month
Year
Step 2: Report your tax- and fee-paid purchases
1
2
3
4
5
6
7
8
9
Invoice date
Invoice
Name of
Bill of lading or
Origin
Destination
Seller’s
Invoiced
number
carrier
manifest number
Name of seller
(Illinois cities only)
(Illinois cities only)
license number
gallons
(month, day, year)
1
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ ______________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 9, Lines 1 through 10. Write the total amount here.
11
_________________
12 If you are filing only one Schedule LE, write the amount from Line 11 here and on Form RMFT-5-US, Lines 2b and 12;
12
_________________
dyed diesel fuel, Column 1; other fuels, Column 2.
If you are filing more than one Schedule LE, add Line 11 from each, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5-US, Lines 2b and 12; dyed diesel fuel, Column 1; other fuels, Column 2.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.
RMFT-18 front (R-3/01)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2313

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