Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.
Illinois Department of Revenue
ST-6
Claim for Sales and Use Tax Overpayment /
Request for Action on a Credit Memorandum
General information
Everyone must complete Steps 1 and 6.
If you are fi ling a claim for an overpayment on your account, you must complete Steps 2 and 3.
If you have been issued a credit memorandum and you are requesting a transfer or a cash refund, you must complete Steps 4 and 5.
Step 1: Identify your business
1
2
Account ID no. ________________________________________
Business name _____________________________________
Step 2: Tell us why are you fi ling this claim for overpayment
Check one of the following reasons.
3 _____ I have an overpayment that I want to have
4 _____ I have an overpayment that I want to have
converted to a credit memorandum and transferred
converted to a credit memorandum.
to another Illinois account ID number.
That account ID number is __ __ __ __ - __ __ __ __.
5 _____ I have an overpayment that I want to have converted to
cash.
Step 3: Tell us the amount of the overpayment
6 What is the total amount of overpayment you are claiming in Step 2?
$______________________________
Step 4: Tell us what action you are requesting for this credit memorandum
Check one of the following reasons.
7 _____ I have a credit memorandum that I want to have
8 _____ I have a credit memorandum that I want to have
transferred to another Illinois account ID number.
converted to cash.
That account ID number is __ __ __ __ - __ __ __ __.
Step 5: Tell us the amount of the credit memorandum
9 What is the total amount of credit memorandum on which you are requesting action in Step 4? $______________________________
Step 6: Sign below
Under penalties of perjury, I state that I have examined this claim or request for action on a credit memorandum and, to the best of my
knowledge, it is true, correct, and complete.
(
)
-
Owner, partner, or offi cer’s signature
Title and company affi liation
Phone
Date
(
)
-
Paid preparer’s signature
Phone
Date
Mail to:
SALES TAX PROCESSING DIVISION
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19013
SPRINGFIELD IL 62794-9013
This form has been authorized by the Illinois Retailers’ Occupation Tax 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-492-2734
ST-6 front (R-10/10)
Reset
Print
1
