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      Illinois Department of Revenue                                                                                                                                                                          REV 3     Form 168
                                                                                                                                                                                                              E  S ___/___/___
      RT-2-X                 Amended Telecommunications Tax Return                                                                                                                                              NS    DP    CA
                                                                                                                                                                                                                           Do not write above this line.
Identify your business                                                Station no.  052
                                                                                                                                                                                     Complete the information to indicate the tax period 
  Account ID:   ___  ___  ___  ___  ___  ___  ___  ___                                                                                                                               for which you are filing this amended return:
                                                                                                                                                                                             Month of  __ __/__ __ __ __
  License no.: ___ T -  ___  ___  ___  ___  ___                                                                                                                                              Quarter ending __ __/__ __ __ __
                                                                                                                                                                                              Year __ __ __ __
  Taxpayer’s name:____________________________________________________   
                                                                                                                                                                                           Check here if your address has changed.             
  Business’ name:  _____________________________________________________
  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 -                                                                                                                     Figures as they should have been filed
  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. Write the following amounts you included in Line 1.
    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 - Figures as they should have been filed
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. This is your net tax due.                                                                                                                                                          18  ___________|___
19  Total amount you paid for the reporting period for which you are filing this amended return.                                                                                                                      19  ___________|___
20  If Line 19 is greater than Line 18, figure your overpayment by subtracting Line 18 from Line 19.                                                                                                                  20  ___________|___
21  If Line 19 is less than Line 18, figure your underpayment by subtracting Line 19 from Line 18. Pay this amount.                                                                                                   21  ___________|___
Step 3:  Check the reason you are filing this amended return
   I received a Notice of Possible Overpayment or made a computation error that resulted in an overpayment of tax.
     •  If you checked this box, did you collect the overpaid tax from your customer?                                                                                                           yes               no
     •  If you checked “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.
   I should have taken a deduction for  ________________________________________________________________________________
   The original License no. was incorrect. The incorrect License no. is  T - ___ ___ ___ ___ ___.
   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.
_____________________________ 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
Note: You can file Form RT-2-X electronically using MyTax Illinois at tax.illinois.gov.

        RT-2-X (R-11/12)                                                                                                                                                                                 *216801110*
        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. 
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