Form RPU-10 Energy Efficiency Program Payment Form - Illinois

Form RPU-10 or the "Energy Efficiency Program Payment Form" is a form issued by the Illinois Department of Revenue.

The form was last revised in April 1, 2015 and is available for digital filing. Download an up-to-date Form RPU-10 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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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
RPU-10
Energy Efficiency Program Payment Form
Station 205
Do not write above this line.
Step 1: Identify the business
1
3
____________________________________________________
___ ___ ___ ___ ___ ___ ___ ___
Name
Account ID
2
4
____________________________________________________
License no.: E- ___ ___ ___ ___ ___
Number and street
5
____________________________________________________
(_____)_______________________
City
State
ZIP
Daytime telephone number
Step 2: Write the amount paid
6
Write the amount you are paying for your share of funding for the Energy Efficiency Program.
$__________________________
7
Make your remittance payable to “Illinois Department of Revenue.” Note that an electronic payment method currently is not available.
Mail your payment to:
ENERGY EFFICIENCY PROGRAM
*541011110*
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
RPU-10 (R-04/15)
This form is authorized by the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997. Disclosure of this information is
REQUIRED. Failure to provide information could result in a penalty.
Illinois Department of Revenue
RPU-10
Energy Efficiency Program Payment Form
Station 205
Do not write above this line.
Step 1: Identify the business
3
1
___ ___ ___ ___ ___ ___ ___ ___
____________________________________________________
Account ID
Name
4
2
License no.: E- ___ ___ ___ ___ ___
____________________________________________________
Number and street
5
(_____)_______________________
____________________________________________________
Daytime telephone number
City
State
ZIP
Step 2: Write the amount paid
6
Write the amount you are paying for your share of funding for the Energy Efficiency Program.
$__________________________
7
Make your remittance payable to “Illinois Department of Revenue.” Note that an electronic payment method currently is not available.
Mail your payment to:
ENERGY EFFICIENCY PROGRAM
*541011110*
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
Reset
Print
RPU-10 (R-04/15)
This form is authorized by the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997. Disclosure of this information is
REQUIRED. Failure to provide information could 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
RPU-10
Energy Efficiency Program Payment Form
Station 205
Do not write above this line.
Step 1: Identify the business
1
3
____________________________________________________
___ ___ ___ ___ ___ ___ ___ ___
Name
Account ID
2
4
____________________________________________________
License no.: E- ___ ___ ___ ___ ___
Number and street
5
____________________________________________________
(_____)_______________________
City
State
ZIP
Daytime telephone number
Step 2: Write the amount paid
6
Write the amount you are paying for your share of funding for the Energy Efficiency Program.
$__________________________
7
Make your remittance payable to “Illinois Department of Revenue.” Note that an electronic payment method currently is not available.
Mail your payment to:
ENERGY EFFICIENCY PROGRAM
*541011110*
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
RPU-10 (R-04/15)
This form is authorized by the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997. Disclosure of this information is
REQUIRED. Failure to provide information could result in a penalty.
Illinois Department of Revenue
RPU-10
Energy Efficiency Program Payment Form
Station 205
Do not write above this line.
Step 1: Identify the business
3
1
___ ___ ___ ___ ___ ___ ___ ___
____________________________________________________
Account ID
Name
4
2
License no.: E- ___ ___ ___ ___ ___
____________________________________________________
Number and street
5
(_____)_______________________
____________________________________________________
Daytime telephone number
City
State
ZIP
Step 2: Write the amount paid
6
Write the amount you are paying for your share of funding for the Energy Efficiency Program.
$__________________________
7
Make your remittance payable to “Illinois Department of Revenue.” Note that an electronic payment method currently is not available.
Mail your payment to:
ENERGY EFFICIENCY PROGRAM
*541011110*
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
Reset
Print
RPU-10 (R-04/15)
This form is authorized by the Renewable Energy, Energy Efficiency, and Coal Resources Development Law of 1997. Disclosure of this information is
REQUIRED. Failure to provide information could result in a penalty.
Form RPU-10 Instructions
General Information
How do I determine the amount I owe for the Energy
Note: An electronic payment method currently is not available.
Efficiency Program?
What if I have questions?
The amount you owe for your share of funding for the
If you need assistance, call the Illinois Commerce Commission
Energy Efficiency Program is determined by the Illinois
at 217 524-4228.
Commerce Commission and is based on the total number of
kilowatt-hours you sold in the 12 months of the preceding year.
This amount is shown on Form RPU-10.
When is my payment due?
Your payment is due on or before June 30.
How do I make my payment?
To make your payment, complete this payment form. Then,
mail the payment form and your payment to:
ENERGY EFFICIENCY PROGRAM
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
RPU-10 (R-04/15)
Form RPU-10 Instructions
General Information
How do I determine the amount I owe for the Energy
Note: An electronic payment method currently is not available.
Efficiency Program?
What if I have questions?
The amount you owe for your share of funding for the
If you need assistance, call the Illinois Commerce Commission
Energy Efficiency Program is determined by the Illinois
at 217 524-4228.
Commerce Commission and is based on the total number of
kilowatt-hours you sold in the 12 months of the preceding year.
This amount is shown on Form RPU-10.
When is my payment due?
Your payment is due on or before June 30.
How do I make my payment?
To make your payment, complete this payment form. Then,
mail the payment form and your payment to:
ENERGY EFFICIENCY PROGRAM
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19019
SPRINGFIELD IL 62794-9019
RPU-10 (R-04/15)

Download Form RPU-10 Energy Efficiency Program Payment Form - Illinois

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