Form St-4 - Metropolitan Pier And Exposition Authority Food And Beverage Tax Return
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Illinois Department of Revenue
ST-4
Metropolitan Pier and Exposition Authority
Food and Beverage Tax Return
REV 02
FORM 028
Account ID: ______________________ This form is for: __________________________________
E
S
____/____/____
Reporting Period (month day year - month day year)
NS
DP
CA
RC
Owner’s name:
_________________________________________________________________________
Do not write above this line.
Business name: _________________________________________________________________________
Mailing address: _________________________________________________________________________
_________________________________________________________________________
You must round your fi gures to whole dollars. See instructions.
Step 1: Figure your taxable receipts
1
Total receipts -
Write the total amount you received from qualifying sales of food, alcoholic beverages,
1
__________________
and soft drinks, including MPEA tax you collected. Do not include any other tax you collected.
2
Deductions
2a
a Write taxes included in Line 1.
__________________
2b
b Write tax-exempt sales included in Line 1.
__________________
2
Add Line 2a and Line 2b.
__________________
3
3
Taxable MPEA receipts (Subtract Line 2 from Line 1.)
__________________
Step 2: Figure your net tax and discount
4
4
MPEA tax due on receipts (Multiply Line 3 by 1% (.01).)
__________________
5
5
If you fi led and paid by the due date, multiply Line 4 by 1.75% (.0175).
__________________
6
6
Net MPEA tax due (Subtract Line 5 from Line 4.)
__________________
7
7
Excess MPEA tax collected
__________________
8
8
Total tax (Add Line 6 and Line 7.)
__________________
Step 3: Figure your payment due
9
9
Credit amount
__________________
10
10
Payment due (Subtract Line 9 from Line 8.)
__________________
Make your check payable to “Illinois Department of Revenue”.
Step 4: Sign below
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.
______________________________________________________________________________
Taxpayer’s signature
Phone
Date
______________________________________________________________________________
Preparer’s signature
Phone
Date
Mail your completed return and payment to:
Illinois Department of Revenue, Retailers’ Occupation Tax, Springfi eld, IL 62776-0001
This form is authorized by the Metropolitan Pier and Exposition Authority Act. Disclosure of this information is REQUIRED. Failure to
provide it could result in a penalty. This form has been approved by the Forms Management Center.
IL 492-3203
*902821110*
ST-4 front (R-11/09)
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