Form RC-10 Schedule Cd - out-Of-State Cigarette and Little Cigar Sales or Shipments - Illinois

Form RC-10 or the "Schedule Cd - Out-of-state Cigarette And Little Cigar Sales Or Shipments" is a form issued by the Illinois Department of Revenue.

The form was last revised in July 1, 2013 and is available for digital filing. Download an up-to-date Form RC-10 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

Step-by-step Form 10 instructions can be downloaded by clicking this link.

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Illinois Department of Revenue
REV 01 FORM 441
RC-10
Schedule CD
Out-of-State Cigarette and Little Cigar Sales or Shipments
Sheet no. __________
State into which you shipped cigarettes or little cigars: __________________________________
Tax period: __ __ / __ __ __ __
Month
Year
Name: ________________________________________________________________________
FEIN: __ __ - __ __ __ __ __ __ __
DBA: _________________________________________________________________________
SSN: __ __ __ - __ __ - __ __ __ __
Street address: _________________________________________________________________
Illinois Cigarette Distributor License no.: __ __-__ __ __ __ __
City, State, ZIP: _________________________________________________________________
Account ID: __ __ __ __ __ __ __ __
1
2
3
4
5
6
7
8
9
10
Shipping
How
Invoice
FEIN
Name and address of person to whom
# of packs # of packs
Other
Total number Tax paid
date
shipped
number
cigarettes or little cigars were shipped or sold
(20’s)
(25’s) (No. of sticks) of sticks
(yes/no)
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
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_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
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_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
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_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
Subtotal: This page only
_________________________
Grand total
_________________________
Reset
Print
*344111110*
RC-10 (R-07/13) Schedule CD
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.
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
REV 01 FORM 441
RC-10
Schedule CD
Out-of-State Cigarette and Little Cigar Sales or Shipments
Sheet no. __________
State into which you shipped cigarettes or little cigars: __________________________________
Tax period: __ __ / __ __ __ __
Month
Year
Name: ________________________________________________________________________
FEIN: __ __ - __ __ __ __ __ __ __
DBA: _________________________________________________________________________
SSN: __ __ __ - __ __ - __ __ __ __
Street address: _________________________________________________________________
Illinois Cigarette Distributor License no.: __ __-__ __ __ __ __
City, State, ZIP: _________________________________________________________________
Account ID: __ __ __ __ __ __ __ __
1
2
3
4
5
6
7
8
9
10
Shipping
How
Invoice
FEIN
Name and address of person to whom
# of packs # of packs
Other
Total number Tax paid
date
shipped
number
cigarettes or little cigars were shipped or sold
(20’s)
(25’s) (No. of sticks) of sticks
(yes/no)
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
__/__/__ _________ _________ _________ __________________________________________________ _______
_______
_______ ___________ ______
Subtotal: This page only
_________________________
Grand total
_________________________
Reset
Print
*344111110*
RC-10 (R-07/13) Schedule CD
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.

Download Form RC-10 Schedule Cd - out-Of-State Cigarette and Little Cigar Sales or Shipments - Illinois

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