Form St-8-X - Amended Tire User Fee Return - 2003
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Illinois Department of Revenue
ST-8-X
Amended Tire User Fee Return
REV 01
FORM 100
E S _____/_____/_____
NS
ED
CA
RC
Do not write above this line.
Read this information first
Everyone should complete Parts 1, 2, and 5.
Amount you are paying: $ _________________
You must also complete
• Part 3 if you believe you have overpaid; and
Make your check payable to “Illinois Department of Revenue.”
• Part 4 if you are changing financial information.
Part 1: Identify your business
“X” only if address is different from the address on your
1
IBT no. _____________________________________________
original return, and complete Item 4 below.
Illinois business tax number
2
4
Liability period being amended __________________________
Mailing address ______________________________________
Number and street
3
Business name _______________________________________ ____________________________________________________
City
State
ZIP
Part 2: Check the reason you are correcting your return
1
3
_____
I took a deduction on my original return that was not
_____
I put an amount on the wrong line on Form ST-8.
allowed or was too large.
2
4
_____
I am decreasing Line 1 or I am increasing Line 2
_____
I overcollected the tire user fee from my customer.
on my original return because I sold tires
a
5
_____
as part of a vehicle sale.
_____
I made a computational error on Lines 3 through 15 of
b
_____
through mail order.
my original return.
c
_____
to another Illinois business for resale.
6
(Business’ IBT no. ___________________)
_____
The original IBT number was incorrect. The correct IBT
d
_____
that were not delivered in Illinois.
number is___________________________________.
e
_____
for devices moved by human power or
7
animal power.
_____
The original liability period was incorrect. The correct
f
_____
for devices used exclusively upon stationary
liability period is______________________________.
rails or tracks.
g
8
_____
for motorized wheelchairs.
_____
Other. (Please explain.)_________________________
h
_____
that were returned by my customer.
___________________________________________
i
_____
for another reason. (Please explain.)
___________________________________________
____________________________________
___________________________________________
Part 3: If you are claiming an overpayment, you must answer the following questions
1
Did you collect the overpaid user fee from your customer?
_____
yes
_____
no
2
If you answered “yes,” did you unconditionally refund the overpaid user fee in full? _____
yes
_____
no
Please turn page over to complete Parts 4 and 5.
This form is authorized by the Environmental Protection Act. Disclosure of this information is REQUIRED. Failure to provide
SOY-BASE INK
information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492-3193
ST-8-X (R-6/03) Front
RECYCLED PAPER
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