Form Rpu-13-X - Amended Electricity Excise Tax Return
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Illinois Department of Revenue
REV 2
Form 415
RPU-13-X
E S ___/___/___
Amended Electricity Excise Tax Return
NS
DP
CA
Identify your business
Station 053
Do not write above this line.
Account ID: __ __ __ __ __ __ __ __
Check the appropriate box and complete the tax
period for which you are filing this return:
Federal Employer Identification number (FEIN): __ __ - __ __ __ __ __ __ __
Month of __ __/__ __ __ __.
E
License no.: __ - __ __ __ __ __
Quarter ending __ __/__ __ __ __.
Year __ __ __ __.
Taxpayer name:
__________________________________________________
Check here if your address has changed.
Business name:
__________________________________________________
Is this a final return?
yes
no
Business address:
________________________________________________
Number and street
“Final” indicates you will no longer conduct business
_______________________________________________________________
City
State
ZIP
Step 1: Receipts subject to tax
- Figures as they should have been reported
1
1
Gross receipts from sales of electricity taxed on a gross-receipts basis.
______________|____
2
Deductions (only tax-exempt receipts you included on Line 1.)
a
2a
Receipts from interstate commerce
______________|____
b
2b
Receipts from rebillable service (sale for resale)
______________|____
c
2c
Other. Explain: _______________________________________________
______________|____
3
3
Add Lines 2a, 2b, and 2c. This amount is your total deduction.
______________|____
4
4
Subtract Line 3 from Line 1. This amount is your receipts subject to tax.
______________|____
Step 2: Kilowatt-hours subject to tax
Figures as they should have been reported
-
5
5
Total kilowatt-hours taxed on a per-kilowatt-hour basis.
__________________
6
Deductions (only tax-exempt kilowatt-hours you included on Line 5.)
a
6a
Kilowatt-hours sold or distributed in interstate commerce
__________________
b
6b
Kilowatt-hours to be rebilled (sale for resale)
__________________
c
6c
Other. Explain: _______________________________________________
__________________
7
7
Add Lines 6a, 6b, and 6c. This amount is your total deduction.
__________________
8
8
Subtract Line 7 from Line 5. This amount is your kilowatt-hours subject to tax.
__________________
Step 3: Tax due
- Figures as they should have been reported
9
9
Multiply Line 4 by 5% (.05). This is the tax on your receipts.
______________|____
10
10
Multiply Line 8 by .32¢ (.0032) per kilowatt-hour. This is the tax on your kilowatt-hours.
______________|____
11
11
Tax due from Worksheet A, Line o, or Worksheet B, Line d, if required to complete either worksheet.
______________|____
12
12
Add Lines 9, 10, and 11. This is your total Electricity Excise Tax due.
______________|____
13
13
If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”
______________|____
14
Total qualified solid waste energy tax credit you wish to apply and the total tax paid to another state for
14
which you are taking credit. (See instructions.)
______________|____
15
15
Add Lines 13 and 14. This is the tax you have already paid.
______________|____
16
16
If Line 15 is greater than Line 12, figure your overpayment by subtracting Line 12 from Line 15.
______________|____
17
17
If Line 15 is less than Line 12, figure your underpayment by subtracting Line 15 from Line 12.
______________|____
18
18
Total credit you wish to apply.
______________|____
19
19
Subtract Line 18 from Line 17. This is your net tax due.
______________|____
20
20
Total amount that you have paid for this reporting period.
______________|____
21
21
If Line 20 is greater than Line 19, figure your overpayment by subtracting Line 19 from Line 20.
______________|____
22
22
If Line 20 is less than Line 19, figure your underpayment by subtracting Line 20 from Line 19.
______________|____
Make your check payable to “Illinois Department of Revenue.”
Step 4: 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.
• If you checked this box, did you collect the overpaid tax from your customer?
yes
no
• If you checked “yes,” did you unconditionally refund the overpaid tax?
yes
no
❑
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 E-__ __ __ __ __ .
❑
The original reporting period was incorrect. The incorrect reporting period is ___________________________.
❑
Other. Please explain.__________________________________________________________________________________________
Step 5: 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
Date
Telephone number
Preparer’s signature
Date
Telephone number
Note: You can file Form RPU-13-X electronically using MyTax Illinois at tax.illinois.gov.
*241501110*
RPU-13-X (R-11/12)
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
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