Schedule Sa (Form Rmft-6-Sf) - Mft, Ust, And Eif Special Fuel (Excluding Dyed Diesel Fuel) Produced, Acquired, Received, Or Transported Into Illinois Page 2
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1
2General Instructions
What records must I keep?
Schedule SA is used for reporting the
Column 5 - Write the seller’s complete name.
following taxes:
You are required by law to keep books and
Column 6 - Write the city and the state (using the
• Motor Fuel Tax (MFT)
records showing all purchases, receipts, losses
two-character U.S. Post Office abbreviation) from
• Underground Storage Tank Tax (UST)
through any cause, sales, distributions, and use of
which the special fuel product originated.
• Environmental Impact Fee (EIF)
fuels.
Column 7 - Write the name of the Illinois city to
What if I need additional assistance?
Which special fuels must be reported
which the special fuel product was delivered.
on this schedule?
If you have questions about this schedule, write to us
Column 8 - Write the seller’s Illinois license number.
at Motor Fuel Tax, Illinois Department of Revenue,
The special fuels that must be reported on this
P .O. Box 19477, Springfield, Illinois 62794-9477, or
schedule include diesel and any other petroleum
Column 9 - Write the number of invoiced gallons.
call our Springfield office weekdays between 8 a.m.
products ( e.g., furnace oil, heating oil, range oil,
and 4:30 p.m. at 217 782-2291.
and kerosene) intended for use or offered for sale
Line 11 - Add the invoiced gallons reported in Col-
as a fuel for engines in which the fuel is injected
umn 9, Lines 1 through 10.
Step-by-Step Instructions
into the combustion chamber and ignited by
Line 12 - If you are filing more than one Schedule SA,
pressure without electric spark. This does not
include 1-K kerosene or dyed diesel fuel. Report
First, group together all Schedules SA that report
Step 1: Complete the following
dyed diesel fuel on Schedule DA, Form RMFT-6-DF.
• UST-/EIF-free only gallons. Add Lines 11 from
information
this group, and write the total on Line 12 of the
When do I file this schedule?
Write your company name, your license number,
last page.
and the period for which you are reporting. Check
You must file Schedule SA with Form RMFT-5,
• MFT-free only gallons. Add Lines 11 from this
the boxes next to the tax/fee type and the receipt
Motor Fuel Distributor/Supplier Tax Return, if you
group, and write the total on Line 12 of the last
type you are listing on this page. Report one tax/fee
are reporting MFT-free gallons only or both MFT-
page.
type and one receipt type only per page.
and UST-/EIF-free gallons.
• both MFT- and UST-/EIF-free gallons. Add
Lines 11 from this group, and write the total on
Step 2: Report your tax- and fee-free
You must file Schedule SA with Form RMFT-5-US,
Line 12 of the last page.
purchases
Underground Storage Tank Tax and Environmental
Then, add the totals from Lines 12 of the Sched-
Impact Fee Receiver Tax Return, if you are report-
Lines 1 through 10 —
ules SA that report
ing only UST-/EIF-free gallons.
• MFT-free only gallons and both MFT- and
Column 1 - Write the month, day, and year of the
UST-/EIF-free gallons and write this amount on
invoice.
What must I attach to this schedule?
Form RMFT-5, Line 2a, Column 2.
You must attach the credit invoices issued by the
Column 2 - Write the invoice number.
• UST-/EIF-free only gallons and both MFT- and
seller . We will return your credit invoices upon
UST-/EIF-free gallons and write this amount on
Column 3 - Write the carrier’s complete business
your request.
Form RMFT-5-US, Line 2a, Column 1.
name.
Column 4 - Write the bill of lading or manifest
number.
RMFT-6-SF back (R-12/99)
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