Form RMFT-5 Motor Fuel Distributor/Supplier Tax Return - Illinois

Form RMFT-5 or the "Motor Fuel Distributor/supplier Tax Return" is a form issued by the Illinois Department of Revenue.

Download a PDF version of the Form RMFT-5 down below or find it on the Illinois Department of Revenue Forms website.

Step-by-step Form 5 instructions can be downloaded by clicking this link.

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Illinois Department of Revenue
RMFT-5
Motor Fuel
REV 01
E S ___/___/___
Distributor/Supplier Tax Return
NS DP CA
Do not write above this line.
Step 1: Identify yourself
_______________________________________________
Reporting period ___________/__ __ __ __
Name
Month
Year
-
D
Address_______________________________________________
Distributor license number
Number and street
OR
-
S
______________________________________________________
Supplier license number
City
State
ZIP
Telephone number (__ __ __) __ __ __ - __ __ __ __
Note: All calculations of tax are based on gallon measurements (i.e., a liquid gallon,
Column 1
Column 2
Column 3
a gasoline gallon equivalent, or a diesel gallon equivalent). For more information, see
Gasoline Tax Rate Diesel Fuel Tax Rate
Dyed diesel fuel
instructions for each column.
Step 2: Figure your total gallonage for the month
1 Enter your actual (stick) inventory at the beginning of the month. This
1
amount must agree with closing inventory of preceding month’s return.
2 Enter the number of gallons
a produced, acquired, received, or transported into Illinois tax-free
)
2a
(Schedule A, SA, or DA
b produced, acquired, received, or transported into Illinois tax-paid
2b
(Schedule E or SE)
c of combustible gases/1-K kerosene/alcohol sold for highway use
2c
//////////////////////
(Schedule GA-1)
3 Add Lines 1 through 2c. Remember to do calculations within each column.
3
4 Enter your actual (stick) inventory at the end of the month.
4
5 Subtract Line 4 from Line 3. This is your net gallonage for the month. You must
account for your nontaxable and taxable gallonage within Step 3 and Step 4.
5
Step 3: Figure your nontaxable gallonage
6 Enter the number of gallons sold to the federal government,etc.
6
(Schedule B, SB, or DB)
7 Enter the number of gallons exported from Illinois
7
(Schedule C, SC, or DC)
8 Enter the number of gallons
a sold and distributed tax-free to a licensed distributor or supplier
8a
(Schedule D, SD, or DD)
b sold and distributed tax-free to other than a licensed distributor or supplier
8b
//////////////////////
//////////////////////
(Schedule DD-1)
c of dyed diesel fuel you used for nonhighway purposes
8c
//////////////////////
//////////////////////
9 Enter the number of gallons lost due to fire, leakage, spillage, etc.
9
(Schedule F)
10 Enter the number of gallons of your loss due to temperature variation or evaporation
or your gain due to temperature variation. Complete Line 10a or 10b per column.
a Loss. The amount of losses you claim are limited. See instructions.
10a
or
(
) (
) (
)
b Gain.
10b
11 Add Lines 6 through 10b. This is your total nontaxable gallonage.
11
12 Subtract Line 11 from Line 5. The amount in Column 3 should be zero.
12
Step 4: Figure your gross taxable gallonage
13 Enter the number of gallons sold and distributed for all other purposes.
13
//////////////////////
14 Enter the number of gallons you used for operating motor vehicles on public
14
//////////////////////
highways or for operating recreational-type watercraft on waters of Illinois.
//////////////////////
15 Enter the number of gallons you used for nontaxable (nonhighway) purposes.
15
16 Add Lines 13, 14, and 15. This is your gross taxable gallonage. This amount
//////////////////////
must agree with Line 12.
16
Step 5: Figure your net taxable gallonage
17 Enter the number of gallons on which tax was paid at the time of purchase.
(Schedule E or SE)
17
//////////////////////
18 Subtract Line 17 from Line 16. This is your net taxable gallonage.
18
//////////////////////
This form is authorized as outlined by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED.
Failure to provide information could result in a penalty.
RMFT-5 Page 1 (R-06/17)
Illinois Department of Revenue
RMFT-5
Motor Fuel
REV 01
E S ___/___/___
Distributor/Supplier Tax Return
NS DP CA
Do not write above this line.
Step 1: Identify yourself
_______________________________________________
Reporting period ___________/__ __ __ __
Name
Month
Year
-
D
Address_______________________________________________
Distributor license number
Number and street
OR
-
S
______________________________________________________
Supplier license number
City
State
ZIP
Telephone number (__ __ __) __ __ __ - __ __ __ __
Note: All calculations of tax are based on gallon measurements (i.e., a liquid gallon,
Column 1
Column 2
Column 3
a gasoline gallon equivalent, or a diesel gallon equivalent). For more information, see
Gasoline Tax Rate Diesel Fuel Tax Rate
Dyed diesel fuel
instructions for each column.
Step 2: Figure your total gallonage for the month
1 Enter your actual (stick) inventory at the beginning of the month. This
1
amount must agree with closing inventory of preceding month’s return.
2 Enter the number of gallons
a produced, acquired, received, or transported into Illinois tax-free
)
2a
(Schedule A, SA, or DA
b produced, acquired, received, or transported into Illinois tax-paid
2b
(Schedule E or SE)
c of combustible gases/1-K kerosene/alcohol sold for highway use
2c
//////////////////////
(Schedule GA-1)
3 Add Lines 1 through 2c. Remember to do calculations within each column.
3
4 Enter your actual (stick) inventory at the end of the month.
4
5 Subtract Line 4 from Line 3. This is your net gallonage for the month. You must
account for your nontaxable and taxable gallonage within Step 3 and Step 4.
5
Step 3: Figure your nontaxable gallonage
6 Enter the number of gallons sold to the federal government,etc.
6
(Schedule B, SB, or DB)
7 Enter the number of gallons exported from Illinois
7
(Schedule C, SC, or DC)
8 Enter the number of gallons
a sold and distributed tax-free to a licensed distributor or supplier
8a
(Schedule D, SD, or DD)
b sold and distributed tax-free to other than a licensed distributor or supplier
8b
//////////////////////
//////////////////////
(Schedule DD-1)
c of dyed diesel fuel you used for nonhighway purposes
8c
//////////////////////
//////////////////////
9 Enter the number of gallons lost due to fire, leakage, spillage, etc.
9
(Schedule F)
10 Enter the number of gallons of your loss due to temperature variation or evaporation
or your gain due to temperature variation. Complete Line 10a or 10b per column.
a Loss. The amount of losses you claim are limited. See instructions.
10a
or
(
) (
) (
)
b Gain.
10b
11 Add Lines 6 through 10b. This is your total nontaxable gallonage.
11
12 Subtract Line 11 from Line 5. The amount in Column 3 should be zero.
12
Step 4: Figure your gross taxable gallonage
13 Enter the number of gallons sold and distributed for all other purposes.
13
//////////////////////
14 Enter the number of gallons you used for operating motor vehicles on public
14
//////////////////////
highways or for operating recreational-type watercraft on waters of Illinois.
//////////////////////
15 Enter the number of gallons you used for nontaxable (nonhighway) purposes.
15
16 Add Lines 13, 14, and 15. This is your gross taxable gallonage. This amount
//////////////////////
must agree with Line 12.
16
Step 5: Figure your net taxable gallonage
17 Enter the number of gallons on which tax was paid at the time of purchase.
(Schedule E or SE)
17
//////////////////////
18 Subtract Line 17 from Line 16. This is your net taxable gallonage.
18
//////////////////////
This form is authorized as outlined by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED.
Failure to provide information could result in a penalty.
RMFT-5 Page 1 (R-06/17)
Form RMFT-5 Page 2
Follow our instructions for each column.
Column 1
Column 2
Column 3
Gasoline Tax Rate Diesel Fuel Tax Rate
Dyed diesel fuel
Step 6: Figure your tax
19 Figure your gross tax due. If the amount on Line 18 is greater than zero, enter
the amount from Line 18 on the line provided below and multiply by the tax rate
provided. Otherwise, enter “0” on Lines 19 - 21 within the column.
a
X 0.19. Enter the result on Line 19, Column 1.
Column 1, Line 18
b
X 0.215. Enter the result on Line 19, Column 2.
19 $
$
//////////////////////
Column 2, Line 18
20 If you are filing this return on time and paying your tax due in full, figure your
1.75% collection discount. If Line 19 is greater than zero, subtract Line 17 from
Line 13. If the difference is zero or less, enter “0” on Line 20 within the
appropriate column. Otherwise, enter the difference on the line provided below
and complete the formula.
a
X 0.19 X 0.0175. Enter the result on Line 20, Column 1.
Col. 1, Line 13 - Line 17
b
20 $
X 0.215 X 0.0175. Enter the result on Line 20, Column 2.
$
//////////////////////
Col. 2, Line 13 - Line 17
//////////////////////
21 Subtract Line 20 from Line 19. This is your net tax due by fuel type.
21 $
$
22 Add Column 1, Line 21 and Column 2, Line 21. This is your tax due.
22 $
Step 7: Figure the amount you owe
23 Enter the amount of credit you wish to apply. (See instructions.)
23 $
24 Subtract Line 23 from Line 22 and enter the result on Line 24. This is the amount you owe.
Make your check payable to “Illinois Department of Revenue.”
24 $
Step 8: Sign and date your return
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.
Signature of person, other than taxpayer, who prepared this return
Date
Taxpayer’s name
Preparer’s phone number
Signature and title of taxpayer
Date
Mail this return and payment to: Illinois Department of Revenue, PO Box 19019, Springfield, IL 62794-9019
RMFT-5 Page 2 (R-06/17)

Download Form RMFT-5 Motor Fuel Distributor/Supplier Tax Return - Illinois

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