Form St-49 - Application For Expanded Temporary Storage Permit - 2003
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Illinois Department of Revenue
ST-49
Application for Expanded Temporary Storage Permit
The exemption does not apply to property that you purchase
General information
to be used or consumed in Illinois. Illinois tax is due at the
This permit is available for businesses that engage in
time of these purchases. If you purchase property tax-free
centralized purchasing in Illinois. Centralized purchasing is
under this exemption and subsequently use or consume the
an activity where a business with an Illinois location pur-
property in Illinois, you are required to report the tax due on
chases tangible personal property from Illinois retailers for
the purchase at the sales tax rate applicable at the location of
temporary storage in Illinois but ships the property out of
the supplier where you purchased the property.
Illinois for use or consumption solely outside the state.
Line-by line instructions for completing this application are on
This permit allows you to purchase tangible personal prop-
the back of this page.
erty tax-free from Illinois retailers provided that you purchase
the property as part of your centralized purchasing activities.
What if I have questions?
The exemption also applies to property that will be pro-
If you have questions, call our Springfield office weekdays
cessed, fabricated, or manufactured into, attached to, or
between 8:00 a.m. and 4:30 p.m. at 217 785-2825.
incorporated into other property that is transported outside
the state of Illinois solely for use or consumption outside this
state.
Part 1: Applicant information
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4
________________________________________________
________________________________________________
Legal name of business
Mailing address (if different from business address)
2
________________________________________________
________________________________________________
Doing business as (DBA) name if other than the name on Line 1
City
State
ZIP
3
5 ___ ___ - ___ ___ ___ ___ ___ ___ ___
________________________________________________
Business address (number and street)
Federal employer identification number (FEIN)
6 ___ ___ ___ ___ - ___ ___ ___ ___
________________________________________________
City
State
ZIP
Illinois business tax (IBT) number
7
____________________________ (____)______________
Contact person
Daytime telephone number
Part 2: Applicant’s signature
Under penalties of perjury, I state that I have examined this application and to the best of my knowledge the information provided is true,
correct, and complete. I further state that I am engaged in centralized purchasing activities in Illinois.
________________________________________________
________________________________________________
Name of the authorized officer or individual (Please type or print.)
Title of authorized officer or individual
________________________________________________
(______)_________________________________________
Signature of an authorized officer or individual
Date
Daytime telephone number
Mail this form to:
CENTRAL REGISTRATION DIVISION
ILLINOIS DEPARTMENT OF REVENUE
PO BOX I9030
SPRINGFIELD IL 62794-9030
This form is authorized by the Retailers” Occupation Tax Act and related acts.
ST-49 front (R-01/03)
This form has been approved by the Forms Management Center IL-492-4279
IL-492-4279
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