Form St-7-X - Amended Multiple Site Form 2001

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Illinois Department of Revenue
ST-7-X
Amended Multiple Site Form
REV 01
Attach to Form ST-4-X.
FORM 039
Do not write above this line.
_____________________________________
IBT number
Business name
_____________________________________ Amended tax period ______________________________
Write the figures that should have been filed. You must round your figures to whole dollars.
Site where taxable sales were made
Metropolitan Pier and Exposition Authority (MPEA)
Location code
_____________________________________
MPEA taxable receipts
3 _______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, State, ZIP
_____________________________________
Location code
_____________________________________
MPEA taxable receipts
3 _______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
MPEA taxable receipts
3 _______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
MPEA taxable receipts
3 _______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
MPEA taxable receipts
3 _______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
MPEA taxable receipts
3
_______________
X
.01
=
4 ________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
This form is authorized by the Retailers’ Occupation Tax and related acts. Disclosure of this
information is REQUIRED. Failure to provide information could result in a penalty. This form
has been approved by the Forms Management Center.
IL-492-3401
ST-7-X front (R-5/01)
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