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

What Is Form RMFT-10 Schedule E?

This is a legal form that was released by the Illinois Department of Revenue - a government authority operating within Illinois. Check the official instructions before completing and submitting the form.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Illinois Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form RMFT-10 Schedule E by clicking the link below or browse more documents and templates provided by the Illinois Department of Revenue.

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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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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)