Line | Description | Amount | ||
(A) | (B) | (C) | ||
1 | Projection Period Revenues (Over)/Under Expenses at Present Line Charge and Assessment, As Adjusted (a) | |||
_______ | ||||
2 | Prior Calendar Year Actual Revenues (Over)/Under Expenses (b) | _______ | ||
3 | Adjustment to Projected Cash Balance (c) | _______ | ||
4 | End-of-Period Projected Lines | _______ | ||
5 | Annual Revenue Adjustment Per Line (Line 3 Divided by Line 4 - Rounded to 4 Decimal Places) | _______ | ||
6 | Increase (Decrease) in Monthly Line Charge and Assessment for Projection Period (Line 5 Divided by 12 Months - Rounded to 4 Decimal Places) | _______ | ||
7 | Add: Present Line Charge and Assessment | _______ | ||
8 | Subtotal (Line 6 Plus Line 7) | _______ | ||
9 | Proposed Monthly Line Charge and Assessment (Line 8 Rounded to Next Higher Cent) | |||
_______ | ||||
10 | Prepaid wireless sale (d) | _______ | ||
11 | Proposed Monthly Line Charge (Line 9 as a Percentage of Line 10) | _______ | ||
12 | 3% Retailer Surcharge Collected Before ITAC Remittance (Line 11 multiplied by 1.03) | _______ | ||
13 | 2% IDOR Surcharge Collected After Retailer Surcharge and Before ITAC Remittance (Line 12 multiplied by 1.02) | _______ | ||
14 | Proposed Prepaid Wireless Line Charge Percentage | _______ |
NOTES:
(a) Amount from Line 17, column E, schedule A-3.
(b) Amount from line 17, column D, schedule A-4.
(c) Amount from line 6 or 11, column D, schedule A-5.
(d) Estimated value of a prepaid wireless sale based 9-1-1 prepaid wireless charges.
Ill. Admin. Code tit. 83, pt. 755, subpt. F, exh. A