Form St-8 - Tire User Fee - 2009
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Illinois Department of Revenue
ST-8
Tire User Fee
(R-2/09)
REV 01
FORM 090
IBT no.: __ __ __ __-__ __ __ __
Liability period: __ __/__ __ __ __ through __ __/__ __ __ __
E
S
_ _/_ _/_ _ _ _
NS
ED
CA
RC
Name: _________________________________________________________________________
Number and street
Do not write above this line.
Address: _______________________________________________________________________
_______________________________________________________________________________
City
State
ZIP
You must round your fi gures to whole dollars (see instructions).
Step 3: Figure your payment due
Step 1: Figure the net amount due
12 Excess tire fee collected
1 Total number of tires sold
1
______________________
(See instructions.)
12 _____________|_____
2 Total number of deductible tires
2
______________________
13 Total tire fee, penalty, and interest
3 Number of tires subject to tire fee
(Add Lines 8,11, and 12.)
13 _____________|_____
(Subtract Line 2 from Line 1.)
3
______________________
14 Credit memorandum
4 Gross amount of tire fee collected
(See instructions.)
14 _____________|_____
(Multiply Line 3 by $2.50.)
4 ______________|_____
15 Payment due
5 Collection allowance you keep
(Subtract Line 14 from Line 13.)
15 _____________|_____
(Multiply Line 3 by 10 cents ($0.10)
5 ______________|_____
6 Prior overpayment
(See instructions.)
6 ______________|_____
7 Total subtractions
"Illinois Department of Revenue"
(Add Lines 5 and 6.)
7 ______________|_____
Make your check payable to the
8 Net amount due
Step 4: Sign below
(Subtract Line 7 from Line 4.)
8 ______________|_____
Under penalties of perjury, I state that I have examined this return and, to the
best of my knowledge, it is true, correct and complete. The information in this
Step 2: Figure your penalty and interest
return is taken from the records of the business for which it is fi led.
If you fi led after the due date, see instructions.
9 Penalty
9 ______________|_____
_______________________________________
_ _/_ _/_ _ _ _
10 Interest
10 ______________|_____
Taxpayer's signature
Phone
Date
11 Total penalty and interest
_______________________________________
_ _/_ _/_ _ _ _
(Add Lines 9 and 10.)
11 ______________|_____
Paid preparer's signature
Phone
Date
Write the amount you are paying from Line 15 here.
$ ________________________________|_____
Mail this return and any payment you owe to:
ATTN TIRE USER FEE
ILLINOIS DEPARTMENT OF REVENUE
SPRINGFIELD IL 62776-0001
This form is authorized by the Environmental Protection Act. 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 492-3192
ST-8 front (R-2/09)
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