Illinois Amended Medical Cannabis Cultivation Privilege Tax Return -N-05/15)

Amended Medical Cannabis Cultivation Privilege Tax Return -N-05/15)
MC-1-X, Amended Medical Cannabis Cultivation Privilege Tax Return
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Illinois Department of Revenue

MC-1-X	
		

REV 01 FORM 961
E S _ _/_ _/_ _ _ _
NS
DP CA
RC

Amended Medical Cannabis Cultivation
Privilege Tax Return

									
Identify your
business
	

	 Account ID: ____ ____ ____ ____ ____ ____ ____ ____	

Do not write above this line.	

Reporting period: ___ ___ / ___ ___ ___ ___

	 License no.: MC - ____ ____ ____ ____ ____
	 Business name:	

________________________________________________

	 Business address:	 _______________________________________________
		

Number and street

496101110

	 _____________________________________________________________
	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	 Total number of bulk ounces sold	
1a	_________________
			 (This is the total of Lines 1a of your attached Schedules MC-2)

		b	Total number of deductible bulk ounces	

			 (This is the total of Lines 1b of your attached Schedules MC-3)

1b	 _________________

		 Subtract Line 1b from Line 1a. Net bulk ounces sold.			
	2	 Infused medical cannabis - Total ounces of medical cannabis sold to dispensing organizations
		a	 Total number of ounces infused into products sold	
2a	 _________________
			 (This is the total of Lines 2a of your attached Schedules MC-2)

		b	Total number of deductible ounces infused into products	
			 (This is the total of Lines 2b of your attached Schedules MC-3)

1	 _________________

2b	 _________________

		 Subtract Line 2b from Line 2a. Net ounces infused into products sold.		
	3	 Add Lines 1 and 2. Total ounces sold to dispensing organizations subject to tax.	

2	 _________________
3	 _________________

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	 Total consideration received for bulk ounces	
4a	 _________________
			 (This is the total of Lines 4a of your attached Schedules MC-2)

		b	Total deductible consideration for bulk ounces	

			 (This is the total of Lines 4b of your attached Schedules MC-3)

4b	 _________________

		 Subtract Line 4b from Line 4a. Net consideration received for bulk ounces. 	
	5	 Infused medical cannabis - Total consideration received from dispensing organizations
		a	 Total consideration received for infused ounces	
5a	 _________________
			 (This is the total of Lines 5a of your attached Schedules MC-2)

		b	Total deductible consideration for infused ounces	

			 (This is the total of Lines 5b of your attached Schedules MC-3)

4	 _________________

5b	 _________________

		 Subtract Line 5b from Line 5a. Net consideration received for infused ounces.	
	6	 Add Lines 4 and 5. Total consideration received from dispensing organizations subject to tax.	
	7	 Multiply Line 6 by 7% (.07). This is your privilege tax due.			
	8	 Discount (See instructions.)			
	9	 Subtract Line 8 from Line 7. This is your tax due after the discount.			
10		 Credit amount (See instructions.)			
	11	 Subtract Line 10 from Line 9. This is your net tax due.			
	12	 Total amount you previously paid for this reporting period.			
	13	 If Line 12 is greater than Line 11, figure your overpayment by subtracting Line 11 from Line 12.	
	14	 If Line 12 is less than Line 11, figure your underpayment by subtracting Line 12 from Line 11. 	
		
Pay this amount.

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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

MC-1-X (N-05/15)

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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