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      Illinois Department of Revenue
                                                                                                                                                                                                     REV 2     Form 165
                                                                                                                                                                                                     E  S ___/___/___
      RT-2             Telecommunications Tax Return                                                                                                                                                   NS    DP    CA
                                                                                                                                                                                                Station no.  052        Do not write above this line.
Identify your business
 Account ID:  ____ ____ ____ ____ ____ ____ ____ ____                                                                                                                                    Complete the information to indicate the tax period 
                                                                                                                                                                                         for which you are filing this return:
 License no.: ___ T -  ___  ___  ___  ___  ___                                                                                                                                                Month of  __ __/__ __ __ __
                                                                                                                                                                                              Quarter ending __ __/__ __ __ __
 Taxpayer’s name:  ____________________________________________________                                                                                                                         Year __ __ __ __

 Business’ name:  _____________________________________________________                                                                                                                      Check here if your address has changed.           
 Business’ address:  ___________________________________________________                                                                                                                 Is this a final (you are no longer in business)
                                                 Number and street
                                                                                                                                                                                         return?                 yes           no     
 ____________________________________________________________________
 City                                                                                                                    State                                         ZIP
                                                                                                                                                                                                            
Step 1:  Figure your net gross charges subject to tax
  1  Gross charges (defined on instructions) billed during the period for which you are filing this return.                                                                                                          1  ___________|___
  2  Total amount you received during the period for which you are filing this return on credit previously extended.                                                                                                 2  ___________|___
  3 Add Lines 1 and 2. This amount is your gross charges subject to tax.                                                                                                                                             3  ___________|___
  4  Deductions.
    a  Gross charges billed to the federal government                                                                                                                                     4a  ___________|___
    b  Gross charges billed to the state of Illinois                                                                                                                                      4b  ___________|___
    c Tax-free sales billed to resellers                                                                                                                                                  4c  ___________|___
    d  Other. Explain:____________________________________________________                                                                                                                4d  ___________|___
  5 Add Lines 4a through 4d. This amount is your total deduction.                                                                                                                                                    5  ___________|___
  6 Subtract Line 5 from Line 3. This amount is your net gross charges subject to tax.                                                                                                                               6  ___________|___
Step 2:  Figure your tax due
7a  Amount of Line 6 subject to the current state and municipal tax rate                                                                                                                                             7a  ___________|___
7b  Tax due at the current state and municipal rates                                                                                                                                                                 7b  ___________|___
8a  Amount of Line 6 subject to tax at rates other than the current rates                                                                                                                                            8a  ___________|___
8b  Tax due at rates other than the current tax rates                                                                                                                                                                8b  ___________|___
  9 Add line 7b and Line 8b. This is your total tax due.                                                                                                                                                             9  ___________|___
10  Credit for tax you paid to other states or to telecommunication retailers. See instructions.                                                                                                                     10  ___________|___
11  Subtract Line 10 from Line 9. This is the total Telecommunications Tax due.                                                                                                                                      11  ___________|___
12  If you file this return and pay the amount due by the due date, multiply Line 11 by 1% (.01).                                                                                                                    12  ___________|___
13  Subtract Line 12 from Line 11. This is your tax due after the discount.                                                                                                                                          13  ___________|___
14  If you pay on a quarter-monthly basis, write the amount you paid in estimated payments. If not, write “0.”                                                                                                       14  ___________|___
15  If Line 14 is greater than Line 13, figure your overpayment by subtracting Line 13 from Line 14. Go to Step 3.                                                                                                   15  ___________|___
16  If Line 14 is less than Line 13, figure your underpayment by subtracting Line 14 from Line 13.                                                                                                                   16  ___________|___
17  Total credit you wish to apply.                                                                                                                                                                                  17  ___________|___
18  Subtract Line 17 from Line 16 and pay this amount. Make your check payable to “Illinois Department of Revenue.”                                                                                                  18  ___________|___
Step 3:  Sign below
Under penalties of perjury, I state that I have examined this return, all accompanying schedules, and, to the best of my knowledge, it is true, 
correct, and complete.
_____________________________ Title: ________________________  (____)____-___________ ____/____/________
Owner or officer’s signature and title (state if individual owner, member of firm, or corporate officer title)                                Telephone number (include area code)         Date
_____________________________ Title: ________________________  (____)____-___________ ____/____/________
Preparer’s signature and title (state if individual owner, member of firm, or corporate officer title)                                            Telephone number (include area code)         Date

Step 4:  Mail your return and payment
Mail Form RT-2 and payment to us at Telecommunications Tax, Illinois Department of Revenue, PO Box 19019, Springfield IL 62794-9019
Note: You can file Form RT-2 electronically using MyTax Illinois at tax.illinois.gov.
             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 information is required.  Failure to provide 
             information may result in this form not being processed and may result in a penalty.                                                                         RT-2 (R-11/12)         *216501110*

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