Schedule Lc (Form Rmft-13) - Ust And Eif Sales And Transfers Of Fuels Other Than Gasoline Products And Special Fuels Delivered To Points Outside Of Illinois

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Illinois Department of Revenue
UST and EIF
Page ____ of ____
Schedule LC
Sales and Transfers of Fuels Other Than Gasoline Products
and Special Fuels Delivered to Points Outside of Illinois
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
______________________________________________
Your license number
1-k kerosene
______________________________________________
Name of state into which shipments were made
Other (specify: ___________________________)
Reporting period __ __/__ __ __ __
Month
Year
Step 2: Report your exported gallons
1
2
3
4
5
6
7
8
Invoice date
Invoice
Name of
Bill of lading or
Origin
Destination
Invoiced
number
carrier
manifest number
Name of purchaser
(Illinois cities only)
(city and state)
gallons
(month, day, year)
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 8, Lines 1 through 10. Write the total amount here.
11
_________________
12 If you are filing only one Schedule LC, write the amount from Line 11 here and on Form RMFT-5-US, Line 7, Column 2.
12 _______________
If you are filing more than one Schedule LC, add Line 11 from each schedule, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5-US, Line 7, 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-13 front (R-02/00)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2314

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