Eda-98-R - Claim Request For Audit Of Sales And Use Taxes
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Illinois Department of Revenue
EDA-98-R
Claim Request for Audit of
Sales and Use Taxes
Read this information fi rst
Please attach Form EDA-105-R, Audit Report, along with copies of
ILLINOIS DEPARTMENT OF REVENUE
any pertinent information involving this claim to this form. If you are
PO BOX 19012
a multiple-site fi ler, also attach a copy of Form EDA-117-R, Multiple
SPRINGFIELD IL 62794-9012
Location Schedule, and mail the information to:
Step 1: Identify your business
1
5
Account ID
___ ___ ___ ___ - ___ ___ ___ ___
Processing period amended ____________________________
2
6
Business name
____________________________________
Audit period
____________________________
3
7
Mailing address
____________________________________
Audit amount assessed
$___________________________
8
__________________________________________________
Audit Amount paid
$___________________________
__
City
State
ZIP
4
9
Daytime telephone number
(______)____________________
Date the audit was paid
___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
10 Name of Illinois auditor who completed the audit
___________________________________________________
Step 2: Check the reason for which you are fi ling this claim
(Check one reason only.)
1
___ I should not have paid either sales tax, use tax, or both in the original audit report because I sold merchandise to and/or
purchased items from
a
___ another Illinois business for resale.
(Business’ Account ID ______________________)
b
___ an out-of-state customer in a sale in interstate commerce. The merchandise was delivered to a location outside Illinois.
c
___ an exempt organization.
(Tax-exempt no. E - _____________________)
or I sold or purchased items
d
___ that qualifi ed for a tax-relief exemption, such as machinery or equipment used in manufacturing, farming, graphic arts,
ethanol distillation, oil fi eld exploration (drilling and production), aggregate manufacturing, or coal exploration (mining
and reclamation).
e
___ that qualifi ed for an enterprise zone exemption.
f
___ that my customer paid tax in his or her audit.
g
___ that were exempt for another reason. Please explain.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
2
___ I am fi ling this claim based on a court case ruling.
3
___ I am fi ling this claim based on a letter ruling.
4
___ Other. Please explain.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
___________________________________________________________________________________________________
Step 3: Sign below
Under penalties of perjury, I state that I have examined this claim and, to the best of my knowledge, it is true, correct, and complete.
_______________________________________________________________________________________________________________
Signature
Title
Date
EDA-98-R (R-5/08) front
Please turn this page over and complete Step 4.
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