Form RMFT-112 Schedule Ga-1 - Alcohol, Compressed Gases, or 1-k Kerosene Sold in Illinois as Motor Fuel - Illinois

Form RMFT-112 is a Illinois Department of Revenue form also known as the "Schedule Ga-1 - Alcohol, Compressed Gases, Or 1-k Kerosene Sold In Illinois As Motor Fuel". 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-112 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

Step-by-step Form 112 instructions can be downloaded by clicking this link.

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Illinois Department of Revenue
Motor Fuel Tax
Page ____ of ____
Schedule GA-1
Alcohol, Compressed Gases, or 1-K Kerosene
Sold in Illinois as Motor Fuel
Attach to Form RMFT-5
Check the product type you are listing on this page.
Report one product type only per page.
LP gas
Company name
Alcohol
1-K kerosene
Your license number
CNG
Reporting period __ __ / __ __ __ __
Liability date __ __ / __ __ / __ __ __ __
LNG
Other (specify: _________________________)
Month
Year
Month
Last Day
Year
of Month
Report your tax-paid sales
1
2
3
4
5
6
7
8
9
10
Invoice date
Invoice
Name of
Bill of lading or
Name of purchaser
Origin
Destination
Purchaser’s
Invoiced
Product Type
number
carrier
manifest number
(City and State)
(City and State)
license number
gallons
(Specify/Tax Rate)
(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 If you are filing only one Schedule GA-1, enter the amount from Line 11 here.
12
_________________
If you are reporting
• alcohol or CNG, also enter this amount on Form RMFT-5, Line 2c, Column 1.
• LP gas, LNG, or 1-K kerosene, also enter this amount on Form RMFT-5, Line 2c, Column 2.
If you are filing more than one Schedule GA-1, see instructions.
This form is authorized as outlined by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED.
RMFT-112 (R-06/17)
Failure to provide information could result in a penalty.
Illinois Department of Revenue
Motor Fuel Tax
Page ____ of ____
Schedule GA-1
Alcohol, Compressed Gases, or 1-K Kerosene
Sold in Illinois as Motor Fuel
Attach to Form RMFT-5
Check the product type you are listing on this page.
Report one product type only per page.
LP gas
Company name
Alcohol
1-K kerosene
Your license number
CNG
Reporting period __ __ / __ __ __ __
Liability date __ __ / __ __ / __ __ __ __
LNG
Other (specify: _________________________)
Month
Year
Month
Last Day
Year
of Month
Report your tax-paid sales
1
2
3
4
5
6
7
8
9
10
Invoice date
Invoice
Name of
Bill of lading or
Name of purchaser
Origin
Destination
Purchaser’s
Invoiced
Product Type
number
carrier
manifest number
(City and State)
(City and State)
license number
gallons
(Specify/Tax Rate)
(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 If you are filing only one Schedule GA-1, enter the amount from Line 11 here.
12
_________________
If you are reporting
• alcohol or CNG, also enter this amount on Form RMFT-5, Line 2c, Column 1.
• LP gas, LNG, or 1-K kerosene, also enter this amount on Form RMFT-5, Line 2c, Column 2.
If you are filing more than one Schedule GA-1, see instructions.
This form is authorized as outlined by the Motor Fuel Tax Law. Disclosure of this information is REQUIRED.
RMFT-112 (R-06/17)
Failure to provide information could result in a penalty.

Download Form RMFT-112 Schedule Ga-1 - Alcohol, Compressed Gases, or 1-k Kerosene Sold in Illinois as Motor Fuel - Illinois

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