Form RMFT-17 Schedule Lb - Ust/Eif Exempt Sales of Aviation Fuels, Kerosene, Diesel Fuel and Reporting of Non-exempt Aviation Fuel Sales - Illinois

Form RMFT-17 is a Illinois Department of Revenue form also known as the "Schedule Lb - Ust/eif Exempt Sales Of Aviation Fuels, Kerosene, Diesel Fuel And Reporting Of Non-exempt Aviation Fuel Sales". The latest edition of the form was released in December 1, 2017 and is available for digital filing.

Download a PDF version of the Form RMFT-17 down below or find it on Illinois Department of Revenue Forms website.

Step-by-step Form 17 instructions can be downloaded by clicking this link.

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Illinois Department of Revenue
Page ____ of ____
Schedule LB
UST/EIF Exempt Sales of Aviation Fuels, Kerosene, Diesel
Fuel and Reporting of Non-Exempt Aviation Fuel Sales
Attach to Form RMFT-5-US
Step 1: Complete the following information
Check the product type you are listing on this page.
Diesel fuel sold to railroads
______________________________________________
Diesel fuel sold to qualified ships, barges, and vessels
Company name
Kerosene sold to exempt air carriers
______________________________________________
Aviation fuel sold to exempt air carriers
Your license number
Aviation fuel sold to non-exempt air carriers
Aviation fuel sold for purposes other than use in aircraft
Reporting period __ __/__ __ __ __
1-k kerosene sold to exempt air carriers
Step 2: Report your exempt sales
1
2
3
4
5
6
7
8
Invoice date
Invoice
Name of
Bill of lading or
Airport name
Destination
Invoiced
(month, day, year)
number
carrier
manifest number
Name of purchaser
(sales to air carriers only)
(Illinois cities only)
gallons
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 8, Lines 1 through 10. Enter the total amount here.
11
___________________
12 If you are filing only one Schedule LB, enter the amount from Line 11 here. If you are reporting
• diesel fuel sold to railroads, also enter this amount on Form RMFT-5-US, Line 6a, Column 1.
• diesel fuel sold to ships, barges and vessels, also enter this amount on Form RMFT-5-US, Line 6c, Column 1.
• kerosene sold to exempt air carriers, also enter this amount on Form RMFT-5-US, Line 6b, Column 1.
• aviation fuel or 1-k kerosene sold to exempt air carriers, also enter this amount on Form RMFT-5-US, Line 6b, Column 2.
• aviation fuel sold to non-exempt air carriers, also enter this amount on Form RMFT-5-US, Line 12, Column 2.
• aviation fuel sold for purposes other than use in aircraft, also enter this amount on Form RMFT-5-US, Line 13, Column 2.
12
___________________
If you are filing more than one Schedule LB, see instructions.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law.
RMFT-17 Schedule LB (R-12/17)
Disclosure of this information is REQUIRED. Failure to provide information could result in a penalty.
Illinois Department of Revenue
Page ____ of ____
Schedule LB
UST/EIF Exempt Sales of Aviation Fuels, Kerosene, Diesel
Fuel and Reporting of Non-Exempt Aviation Fuel Sales
Attach to Form RMFT-5-US
Step 1: Complete the following information
Check the product type you are listing on this page.
Diesel fuel sold to railroads
______________________________________________
Diesel fuel sold to qualified ships, barges, and vessels
Company name
Kerosene sold to exempt air carriers
______________________________________________
Aviation fuel sold to exempt air carriers
Your license number
Aviation fuel sold to non-exempt air carriers
Aviation fuel sold for purposes other than use in aircraft
Reporting period __ __/__ __ __ __
1-k kerosene sold to exempt air carriers
Step 2: Report your exempt sales
1
2
3
4
5
6
7
8
Invoice date
Invoice
Name of
Bill of lading or
Airport name
Destination
Invoiced
(month, day, year)
number
carrier
manifest number
Name of purchaser
(sales to air carriers only)
(Illinois cities only)
gallons
1
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
2
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
3
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
4
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
5
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
6
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
7
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
8
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
9
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
10
_ _/_ _/_ _ _ _ _____________________________________________________________________________________________________________________________________
11 Add the invoiced gallons in Column 8, Lines 1 through 10. Enter the total amount here.
11
___________________
12 If you are filing only one Schedule LB, enter the amount from Line 11 here. If you are reporting
• diesel fuel sold to railroads, also enter this amount on Form RMFT-5-US, Line 6a, Column 1.
• diesel fuel sold to ships, barges and vessels, also enter this amount on Form RMFT-5-US, Line 6c, Column 1.
• kerosene sold to exempt air carriers, also enter this amount on Form RMFT-5-US, Line 6b, Column 1.
• aviation fuel or 1-k kerosene sold to exempt air carriers, also enter this amount on Form RMFT-5-US, Line 6b, Column 2.
• aviation fuel sold to non-exempt air carriers, also enter this amount on Form RMFT-5-US, Line 12, Column 2.
• aviation fuel sold for purposes other than use in aircraft, also enter this amount on Form RMFT-5-US, Line 13, Column 2.
12
___________________
If you are filing more than one Schedule LB, see instructions.
This form is authorized as outlined by the Motor Fuel Tax Law and the Environmental Impact Fee Law.
RMFT-17 Schedule LB (R-12/17)
Disclosure of this information is REQUIRED. Failure to provide information could result in a penalty.

Download Form RMFT-17 Schedule Lb - Ust/Eif Exempt Sales of Aviation Fuels, Kerosene, Diesel Fuel and Reporting of Non-exempt Aviation Fuel Sales - Illinois

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