Schedule La (Form Rmft-16) - Ust And Eif Fuels Other Than Gasoline Products And Special Fuels Produced, Acquired, Received, Or Transported Into Illinois Page 2
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1
2General Instructions
Step-by-Step Instructions
This schedule is used for reporting the
Step 1: Complete the following
Line 11 - Add the invoiced gallons reported in
following taxes:
information
Column 10, Lines 1 through 10.
• Underground Storage Tank Tax (UST)
Write your company name, your license number,
Line 12 - If you are filing only one Schedule LA,
• Environmental Impact Fee (EIF)
and the period for which you are reporting. Check
write the amount from Line 11 on Line 12 and on
the box next to the receipt type you are listing on
Form RMFT-5-US, Line 2a, Column 2. If you are
this page. Report one receipt type only per page.
Which fuels must be reported on this
filing more than one Schedule LA, add Line 11
schedule?
from each schedule, and write the total on Line 12
Step 2: Report your tax- and fee-free
The fuels that must be reported on this schedule
of the last page. Also write this amount on
purchases
include aviation fuel and 1-k kerosene. Do not
Form RMFT-5-US, Line 2a, Column 2.
report any type of kerosene other than 1-k kero-
Lines 1 through 10 —
sene on this schedule.
Column 1 - Write the month, day, and year of the
When do I file this schedule?
invoice.
You must file Schedule LA with Form RMFT-5-US.
Column 2 - Write the invoice number.
What must I attach to this schedule?
Column 3 - Write the carrier’s complete business
You must attach the credit invoices issued by the
name.
seller to Schedule LA. We will return your credit
invoices to you upon request.
Column 4 - Write the bill of lading or manifest
number.
What records must I keep?
Column 5 - Write the product code.
You are required by law to keep books and
AVI
- aviation fuel
records showing all purchases, receipts, losses
1K
- 1-k kerosene
through any cause, sales, distributions, and use of
OTH - other
fuels.
Column 6 - Write the seller’s complete name.
What if I need additional assistance?
Column 7 - Write the city and state (using the
If you have questions about this schedule, write to us
two-character U.S. Post Office abbreviation) from
at Motor Fuel Tax, Illinois Department of Revenue,
which the fuel product originated.
P .O. Box 19477, Springfield, Illinois 62794-9477, or
call our Springfield office weekdays between 8 a.m.
Column 8 - Write the name of the Illinois city to
and 4:30 p.m. at 217 782-2291.
which the fuel product was delivered.
Column 9 - Write the seller’s Illinois license number.
Column 10 - Write the number of invoiced gallons.
RMFT-16 back (R-02/00)
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