Form RMFT-16 Schedule La - Fuels Other Than Gasoline Products and Special Fuels Produced, Acquired, Received, or Transported Into Illinois - Illinois

Form RMFT-16 or the "Schedule La - Fuels Other Than Gasoline Products And Special Fuels Produced, Acquired, Received, Or Transported Into Illinois" is a form issued by the Illinois Department of Revenue.

The form was last revised in February 1, 2000 and is available for digital filing. Download an up-to-date Form RMFT-16 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

ADVERTISEMENT
Illinois Department of Revenue
UST and EIF
Page ____ of ____
Schedule LA
Fuels Other Than Gasoline Products and Special Fuels
Produced, Acquired, Received, or Transported into Illinois
Attach to Form RMFT-5-US
Step 1: Complete the following information
______________________________________________
Check the receipt type you are listing on this page.
Company name
Other fuel products received in Illinois
______________________________________________
Other fuel products imported into Illinois
Your license number
Reporting period __ __/__ __ __ __
Other fuel products produced in your Illinois refinery
Month
Year
Step 2: Report your tax- and fee-free purchases
1
2
3
4
5
6
7
8
9
10
Invoice date
Invoice
Name of
Bill of lading or
Product
Origin
Destination
Seller’s
Invoiced
number
carrier
manifest number
code
Name of seller
(city and state)
(Illinois cities only) license number
gallons
(month, day, year)
(see instr.)
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 10, Lines 1 through 10. Write the total amount here.
11
________________
12 If you are filing only one Schedule LA, write the amount from Line 11 here and on Form RMFT-5-US, Line 2a, Column 2.
12
________________
If you are filing more than one Schedule LA, add Line 11 from each schedule, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5-US, Line 2a, Column 2.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.
RMFT-16 front (R-02/00)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2311
Illinois Department of Revenue
UST and EIF
Page ____ of ____
Schedule LA
Fuels Other Than Gasoline Products and Special Fuels
Produced, Acquired, Received, or Transported into Illinois
Attach to Form RMFT-5-US
Step 1: Complete the following information
______________________________________________
Check the receipt type you are listing on this page.
Company name
Other fuel products received in Illinois
______________________________________________
Other fuel products imported into Illinois
Your license number
Reporting period __ __/__ __ __ __
Other fuel products produced in your Illinois refinery
Month
Year
Step 2: Report your tax- and fee-free purchases
1
2
3
4
5
6
7
8
9
10
Invoice date
Invoice
Name of
Bill of lading or
Product
Origin
Destination
Seller’s
Invoiced
number
carrier
manifest number
code
Name of seller
(city and state)
(Illinois cities only) license number
gallons
(month, day, year)
(see instr.)
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 10, Lines 1 through 10. Write the total amount here.
11
________________
12 If you are filing only one Schedule LA, write the amount from Line 11 here and on Form RMFT-5-US, Line 2a, Column 2.
12
________________
If you are filing more than one Schedule LA, add Line 11 from each schedule, and write the total on Line 12 of the last page.
Also write this amount on Form RMFT-5-US, Line 2a, Column 2.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law. Disclosure of this information is REQUIRED.
RMFT-16 front (R-02/00)
Failure to provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-2311
General Instructions
Step-by-Step Instructions
This schedule is used for reporting the
Step 1: Complete the following
Line 11 - Add the invoiced gallons reported in
following taxes:
information
Column 10, Lines 1 through 10.
• Underground Storage Tank Tax (UST)
Write your company name, your license number,
Line 12 - If you are filing only one Schedule LA,
• Environmental Impact Fee (EIF)
and the period for which you are reporting. Check
write the amount from Line 11 on Line 12 and on
the box next to the receipt type you are listing on
Form RMFT-5-US, Line 2a, Column 2. If you are
this page. Report one receipt type only per page.
Which fuels must be reported on this
filing more than one Schedule LA, add Line 11
schedule?
from each schedule, and write the total on Line 12
Step 2: Report your tax- and fee-free
The fuels that must be reported on this schedule
of the last page. Also write this amount on
purchases
include aviation fuel and 1-k kerosene. Do not
Form RMFT-5-US, Line 2a, Column 2.
report any type of kerosene other than 1-k kero-
Lines 1 through 10 —
sene on this schedule.
Column 1 - Write the month, day, and year of the
When do I file this schedule?
invoice.
You must file Schedule LA with Form RMFT-5-US.
Column 2 - Write the invoice number.
What must I attach to this schedule?
Column 3 - Write the carrier’s complete business
You must attach the credit invoices issued by the
name.
seller to Schedule LA. We will return your credit
invoices to you upon request.
Column 4 - Write the bill of lading or manifest
number.
What records must I keep?
Column 5 - Write the product code.
You are required by law to keep books and
AVI
- aviation fuel
records showing all purchases, receipts, losses
1K
- 1-k kerosene
through any cause, sales, distributions, and use of
OTH - other
fuels.
Column 6 - Write the seller’s complete name.
What if I need additional assistance?
Column 7 - Write the city and state (using the
If you have questions about this schedule, write to us
two-character U.S. Post Office abbreviation) from
at Motor Fuel Tax, Illinois Department of Revenue,
which the fuel product originated.
P .O. Box 19477, Springfield, Illinois 62794-9477, or
call our Springfield office weekdays between 8 a.m.
Column 8 - Write the name of the Illinois city to
and 4:30 p.m. at 217 782-2291.
which the fuel product was delivered.
Column 9 - Write the seller’s Illinois license number.
Column 10 - Write the number of invoiced gallons.
RMFT-16 back (R-02/00)

Download Form RMFT-16 Schedule La - Fuels Other Than Gasoline Products and Special Fuels Produced, Acquired, Received, or Transported Into Illinois - Illinois

1032 times
Rate
4.5(4.5 / 5) 52 votes
ADVERTISEMENT
Page of 2