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Illinois Department of Revenue
REV 1
TP-1-X
E S ___/___/___
Amended Tobacco Products Tax Return
NS DP CA
Do not write above this line.
Station no. 036
Step 1:
Identify your business
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 _______________________________________
4
7
Business address _____________________________________
Is this a final (you are no longer in business) return? yes no
Number and street
___________________________________________________
City State ZIP
Step 2:
Figure the wholesale price of products removed from your inventory -
Figures as they
should have been reported
8
8
W holesale price of products you manufactured and then sold or otherwise disposed of during this month.
______________|____
9
9
W holesale 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 all tobacco products you sold or otherwise disposed of.
______________|____
Step 3:
Figure your deductions-
Figures as they should have been reported
11
11
Wholesale price of tobacco 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
Other deductions. Attach Schedule TP-7 (Returned merchandise) or Schedule TP-13 (Other deductions).
______________|____
14
14
Add Lines 11, 12, and 13. This is your total deduction.
______________|____
Step 4:
Figure your payment -
Figures as they should have been reported
15
15
Subtract Line 14 from Line 10. This is your tobacco products tax base.
______________|____
16
16
Multiply Line 15 by 18% (.18). This is your total tax.
______________|____
17
17
Credit you wish to apply.
______________|____
18
18
Subtract Line 17 from Line 16. This is your net tax due.
______________|____
19
19
Total amount you paid for this reporting period.
______________|____
20
20
If Line 19 is greater than Line 18, figure your overpayment by subtracting Line 18 from Line 19.
______________|____
21
21
If Line 19 is less than Line 18, figure your underpayment by subtracting Line 19 from Line 18.
______________|____
P ay this amount and make your check payable to “Illinois Department of Revenue.”
Step 5:
Check the reason you are filing this amended return
❑
I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
❑
I made a computation error that resulted in underpayment of tax.
❑
I made an error on a schedule or attachment.
❑
I should have taken a deduction for________________________________________________________________________________.
❑
The original License no. was incorrect. The incorrect License no. is TP-__ __ __ __ __.
❑
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
❑
Other. Please explain .___________________________________________________________________________________________
________________________________________________________________________________________________________________
Step 6:
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 7:
Mail your return and payment or WebFile at tax.illinois.gov
ATTN TOBACCO PRODUCTS TAX
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
*040111110*
TP-1-X (R-04/10)
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