Schedule F (Form Rmft-12) - Motor Fuel Tax Specific Losses Claimed Page 2

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General Instructions
Step-by-Step Instructions
When must I file Schedule F?
Step 1: Complete the following
Line 3 - If you are filing more than one Schedule F,
information
group together all Schedules F that report a loss of
You must file Schedule F with Form RMFT-5,
Motor Fuel Distributor/Supplier Tax Return, to
Write your company name, your license number,
• gasoline products. Add Lines 2 from this group,
report losses of motor fuel ( e.g., fire, leakage,
and the period for which you are reporting. Check
and write the total on Line 3 of the last page.
spillage, or spoilage.) Do not include any loss due
the box next to the product type you are listing on
Also write this amount on Form RMFT-5, Line 9,
to temperature variation and evaporation.
this page. Report one product type and one loss
Column 1.
per page.
• special fuel (excluding dyed diesel) products.
You must list each loss separately and substanti-
Step 2: Report your loss
Add Lines 2 from this group, and write the total
ate each loss by all available proof. When you
on Line 3 of the last page. Also write this
discover any losses of consequence, you must
Line 1 - Write a detailed explanation of the proce-
amount on Form RMFT-5, Line 9, Column 2.
immediately report them to us for investigation.
dure you followed to determine the quantity of mo-
Your reported losses will be subject to correction
• dyed diesel fuel products. Add Lines 2 from this
tor fuel lost.
when your account is audited.
group, and write the total on Line 3 of the last
page. Also write this amount on Form RMFT-5,
Line 2 - Write the total number of gallons lost.
What must I attach to this schedule?
Line 9, Column 3.
You must attach all available proof to Schedule F
to claim motor fuel losses. Available proof includes
reports from the fire or police department, and affi-
davits from witnesses and employees. We will not
allow you to take a loss without proof.
What records must I keep?
You are required by law to keep books and
records showing all purchases, receipts, losses
through any cause, sales, distributions, and use of
fuels.
What if I need additional assistance?
If you have questions about this schedule, write to us
at Motor Fuel Tax, Illinois Department of Revenue,
P.O. Box 19477, Springfield, Illinois 62794-9477,
or call our Springfield office weekdays between 8
a.m. and 4:30 p.m. at 217 782-2291.
RMFT-12 back (R-12/02)

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