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-16
Annual Report of Manufacturer’s
03
063 Station 267
REV
Form
Purchase Credit Earned
E S _____/_____/_____
NS CA
Step 1: Identify your business
1
4
Business name
_____________________________________
Illinois account ID number __ __ __ __ - __ __ __ __
If you do not have an account ID number, check this box
and
write your federal employer identification number (FEIN).
2
Business address _____________________________________
__ __ - __ __ __ __ __ __ __
Street address
5
__________________________________________________
Write the purchase year: January through December
__ __ __ __
__
City
State
ZIP
Year
This report is due by June 30 of the following year.
3
Business phone number (______)________________________
Step 2: Identify tax-exempt purchases of manufacturing or graphic arts
machinery and equipment
(Do not round your figures.)
Note: After August 30, 2014, you can no longer earn Manufacturer’s Purchase Credit on purchases of tax-exempt manufacturing or graphic arts
machinery and equipment. Your final report for Manufacturer’s Purchase Credit earned in 2014 on or before that date is due by June 30, 2015.
A
B
C
Month of exempt
Purchase price
Tax that would
Amount of
purchase
of exempt items
State tax rate
have been due
Percentage
credit earned
1
January
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
2
February
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
3
March
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
4
April
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
5
May
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
6
June
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
7
July
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
8
August
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
9
September
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
10
October
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
11
November
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
12
December
$ ___________________ X
.0625
= $ ___________________ X
.50
= $ ___________________
Total
$
Total
$
___________________
___________________
(Column A)
(Column C)
Step 3: Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Taxpayer’s signature
Daytime phone number
Date
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Preparer’s signature
Preparer’s name (Please print.)
Daytime phone number
Date
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
ST-16 (R-09/14)
Reset
Print