Form RMFT-10 Schedule E - Mft, Ust, and Eif Tax- and Fee-Paid Purchases of Fuels at Gasoline Tax Rate - Illinois

Form RMFT-10 is a Illinois Department of Revenue form also known as the "Schedule E - Mft, Ust, And Eif Tax- And Fee-paid Purchases Of Fuels At Gasoline Tax Rate". The latest edition of the form was released in June 1, 2017 and is available for digital filing.

Download an up-to-date Form RMFT-10 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
Page ____ of ____
Schedule E
MFT, UST, and EIF
Tax- and Fee-Paid Purchases of Fuels
Attach to Form RMFT-5 or Form RMFT-5-US
at Gasoline Tax Rate
Step 1: Complete the following information
_______________________________________________
Check the tax/fee type you are listing on this page.
Check the product type you are listing on this page.
Company name
MFT-paid only
Gasoline products
_______________________________________________
UST-/EIF-paid only
Alcohol
Your license number
Other (specify: ________________________)
Reporting period __ __/__ __ __ __
Both MFT- and UST-/EIF-paid
Month
Year
Step 2: Report your tax- and fee-paid purchases
1
2
3
4
5
6
7
8
9
Invoice date
Invoice
Name of
Bill of lading or
Name of seller
Origin
Destination
Seller’s
Invoiced gallons
number
carrier
manifest number
(Illinois cities only)
(Illinois cities only)
license number
(see instructions)
(month, day, year)
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 9, Lines 1 through 10, and enter the total here.
11
________________
12 See instructions.
12
________________
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-10 (R-6/17)
Illinois Department of Revenue
Page ____ of ____
Schedule E
MFT, UST, and EIF
Tax- and Fee-Paid Purchases of Fuels
Attach to Form RMFT-5 or Form RMFT-5-US
at Gasoline Tax Rate
Step 1: Complete the following information
_______________________________________________
Check the tax/fee type you are listing on this page.
Check the product type you are listing on this page.
Company name
MFT-paid only
Gasoline products
_______________________________________________
UST-/EIF-paid only
Alcohol
Your license number
Other (specify: ________________________)
Reporting period __ __/__ __ __ __
Both MFT- and UST-/EIF-paid
Month
Year
Step 2: Report your tax- and fee-paid purchases
1
2
3
4
5
6
7
8
9
Invoice date
Invoice
Name of
Bill of lading or
Name of seller
Origin
Destination
Seller’s
Invoiced gallons
number
carrier
manifest number
(Illinois cities only)
(Illinois cities only)
license number
(see instructions)
(month, day, year)
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 9, Lines 1 through 10, and enter the total here.
11
________________
12 See instructions.
12
________________
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-10 (R-6/17)

Download Form RMFT-10 Schedule E - Mft, Ust, and Eif Tax- and Fee-Paid Purchases of Fuels at Gasoline Tax Rate - Illinois

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