Form MC-1-X "Amended Medical Cannabis Cultivation Privilege Tax Return" - Illinois

Form MC-1-X or the "Amended Medical Cannabis Cultivation Privilege Tax Return" is a form issued by the Illinois Department of Revenue.

The form was last revised in May 1, 2015 and is available for digital filing. Download an up-to-date Form MC-1-X in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

ADVERTISEMENT

Download Form MC-1-X "Amended Medical Cannabis Cultivation Privilege Tax Return" - Illinois

1046 times
Rate
(4.7 / 5) 52 votes
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
MC-1-X
REV 01 FORM 961
Amended Medical Cannabis Cultivation
E
S
_ _/_ _/_ _ _ _
Privilege Tax Return
NS
DP
CA
RC
Identify your business
Do not write above this line.
Account ID: ____ ____ ____ ____ ____ ____ ____ ____
Reporting period: ___ ___ / ___ ___ ___ ___
License no.: MC - ____ ____ ____ ____ ____
________________________________________________
Business name:
496101110
_______________________________________________
Business address:
Number and street
_____________________________________________________________
City
State
ZIP
Step 1: Figure the total number of ounces sold -
Figures as they should have been reported
1
Bulk medical cannabis - Total ounces of medical cannabis sold to dispensing organizations
_________________
a
1a
Total number of bulk ounces sold
(This is the total of Lines 1a of your attached Schedules MC-2)
_________________
b
1b
Total number of deductible bulk ounces
(This is the total of Lines 1b of your attached Schedules MC-3)
_________________
1
Subtract Line 1b from Line 1a. Net bulk ounces sold.
2
Infused medical cannabis - Total ounces of medical cannabis sold to dispensing organizations
_________________
a
2a
Total number of ounces infused into products sold
(This is the total of Lines 2a of your attached Schedules MC-2)
_________________
b
2b
Total number of deductible ounces infused into products
(This is the total of Lines 2b of your attached Schedules MC-3)
_________________
2
Subtract Line 2b from Line 2a. Net ounces infused into products sold.
_________________
3
3
Add Lines 1 and 2. Total ounces sold to dispensing organizations subject to tax.
Step 2: Figure your privilege tax due -
Figures as they should have been reported
4
Bulk medical cannabis - Total consideration received from dispensing organizations
_________________
a
4a
Total consideration received for bulk ounces
(This is the total of Lines 4a of your attached Schedules MC-2)
_________________
b
4b
Total deductible consideration for bulk ounces
(This is the total of Lines 4b of your attached Schedules MC-3)
_________________
4
Subtract Line 4b from Line 4a. Net consideration received for bulk ounces.
5
Infused medical cannabis - Total consideration received from dispensing organizations
_________________
a
5a
Total consideration received for infused ounces
(This is the total of Lines 5a of your attached Schedules MC-2)
_________________
b
5b
Total deductible consideration for infused ounces
(This is the total of Lines 5b of your attached Schedules MC-3)
_________________
5
Subtract Line 5b from Line 5a. Net consideration received for infused ounces.
_________________
6
6
Add Lines 4 and 5. Total consideration received from dispensing organizations subject to tax.
_________________
7
7
Multiply Line 6 by 7% (.07). This is your privilege tax due.
_________________
8
8
Discount (See instructions.)
_________________
9
9
Subtract Line 8 from Line 7. This is your tax due after the discount.
_________________
10
10
Credit amount (See instructions.)
_________________
11
11
Subtract Line 10 from Line 9. This is your net tax due.
_________________
12
12
Total amount you previously paid for this reporting period.
_________________
13
13
If Line 12 is greater than Line 11, figure your overpayment by subtracting Line 11 from Line 12.
_________________
14
14
If Line 12 is less than Line 11, figure your underpayment by subtracting Line 12 from Line 11.
Pay this amount.
Step 3: Mark the reason you are filing this amended return
I made a computation error that resulted in an overpayment of tax.
• If you marked this box, was the overpaid tax collected from the dispensing organization(s)?
yes
no
• If you marked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
The original License no. was incorrect. The incorrect License no. is MC - __ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is _______________.
Other. Please explain. __________________________________________________________________________________________
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete. The
information in this return is taken from the records of the business for which it is filed.
__________________________________________________
(_____) _____ - _______
____ / ____ / ________
Taxpayer's signature
Phone
Date
__________________________________________________
(_____) _____ - _______
____ / ____ / ________
Preparer's signature
Phone
Date
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
MC-1-X (N-05/15)
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
Reset
Print
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
MC-1-X
REV 01 FORM 961
Amended Medical Cannabis Cultivation
E
S
_ _/_ _/_ _ _ _
Privilege Tax Return
NS
DP
CA
RC
Identify your business
Do not write above this line.
Account ID: ____ ____ ____ ____ ____ ____ ____ ____
Reporting period: ___ ___ / ___ ___ ___ ___
License no.: MC - ____ ____ ____ ____ ____
________________________________________________
Business name:
496101110
_______________________________________________
Business address:
Number and street
_____________________________________________________________
City
State
ZIP
Step 1: Figure the total number of ounces sold -
Figures as they should have been reported
1
Bulk medical cannabis - Total ounces of medical cannabis sold to dispensing organizations
_________________
a
1a
Total number of bulk ounces sold
(This is the total of Lines 1a of your attached Schedules MC-2)
_________________
b
1b
Total number of deductible bulk ounces
(This is the total of Lines 1b of your attached Schedules MC-3)
_________________
1
Subtract Line 1b from Line 1a. Net bulk ounces sold.
2
Infused medical cannabis - Total ounces of medical cannabis sold to dispensing organizations
_________________
a
2a
Total number of ounces infused into products sold
(This is the total of Lines 2a of your attached Schedules MC-2)
_________________
b
2b
Total number of deductible ounces infused into products
(This is the total of Lines 2b of your attached Schedules MC-3)
_________________
2
Subtract Line 2b from Line 2a. Net ounces infused into products sold.
_________________
3
3
Add Lines 1 and 2. Total ounces sold to dispensing organizations subject to tax.
Step 2: Figure your privilege tax due -
Figures as they should have been reported
4
Bulk medical cannabis - Total consideration received from dispensing organizations
_________________
a
4a
Total consideration received for bulk ounces
(This is the total of Lines 4a of your attached Schedules MC-2)
_________________
b
4b
Total deductible consideration for bulk ounces
(This is the total of Lines 4b of your attached Schedules MC-3)
_________________
4
Subtract Line 4b from Line 4a. Net consideration received for bulk ounces.
5
Infused medical cannabis - Total consideration received from dispensing organizations
_________________
a
5a
Total consideration received for infused ounces
(This is the total of Lines 5a of your attached Schedules MC-2)
_________________
b
5b
Total deductible consideration for infused ounces
(This is the total of Lines 5b of your attached Schedules MC-3)
_________________
5
Subtract Line 5b from Line 5a. Net consideration received for infused ounces.
_________________
6
6
Add Lines 4 and 5. Total consideration received from dispensing organizations subject to tax.
_________________
7
7
Multiply Line 6 by 7% (.07). This is your privilege tax due.
_________________
8
8
Discount (See instructions.)
_________________
9
9
Subtract Line 8 from Line 7. This is your tax due after the discount.
_________________
10
10
Credit amount (See instructions.)
_________________
11
11
Subtract Line 10 from Line 9. This is your net tax due.
_________________
12
12
Total amount you previously paid for this reporting period.
_________________
13
13
If Line 12 is greater than Line 11, figure your overpayment by subtracting Line 11 from Line 12.
_________________
14
14
If Line 12 is less than Line 11, figure your underpayment by subtracting Line 12 from Line 11.
Pay this amount.
Step 3: Mark the reason you are filing this amended return
I made a computation error that resulted in an overpayment of tax.
• If you marked this box, was the overpaid tax collected from the dispensing organization(s)?
yes
no
• If you marked “yes,” did you unconditionally refund the overpaid tax?
yes
no
I made a computation error that resulted in underpayment of tax.
I made an error on a schedule or attachment.
The original License no. was incorrect. The incorrect License no. is MC - __ __ __ __ __.
The original reporting period was incorrect. The incorrect reporting period is _______________.
Other. Please explain. __________________________________________________________________________________________
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return and, to the best of my knowledge, it is true, correct, and complete. The
information in this return is taken from the records of the business for which it is filed.
__________________________________________________
(_____) _____ - _______
____ / ____ / ________
Taxpayer's signature
Phone
Date
__________________________________________________
(_____) _____ - _______
____ / ____ / ________
Preparer's signature
Phone
Date
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
MC-1-X (N-05/15)
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
Reset
Print
ADVERTISEMENT