Form St-1 - Sales And Use Tax And E911 Surcharge Return - 2011

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REV 05
FORM 002
Illinois Department of Revenue
E S
___/___/___
ST-1
Sales and Use Tax and E911 Surcharge Return
NS
CA
RC
<999-9999-9>
Account ID:
This form is for:
This form is effective for reporting periods January 2012 and after.
You must round your fi gures to whole dollars. (See instructions.)
Step 1: Alcoholic Liquor Purchases
Step 5: Tax on Purchases
(See instructions.)
If you are not required to report your purchases, go to Step 2.
General merchandise
12a______________|_____ x .0625
= 12b______________|_____
Note: Distributors will also report your total purchases to us.
A
Total dollar amount of alcoholic liquor purchased
Food, drugs, and medical appliances
____________|____
13a______________|_____ x .0100
= 13b______________|_____
(invoiced and delivered)
Purchases at other rates
Step 2: Taxable Receipts
14a______________|_____
14b______________|_____
1
1
______________|_____
Total receipts (Include tax.)
15
Tax due on purchases
2
Deductions - include tax collected
15 ______________|_____
(Add Lines 12b, 13b, and 14b.)
2
______________|_____
(From Schedule A, Line 29.)
Step 6: Net Tax Due
3
Taxable receipts
3
______________|_____
16
(Subtract Line 2 from Line 1.)
Tax due from receipts and purchases
16 ______________|_____
(Add Lines 11 and 15.)
Step 3: Tax on Receipts
16a
Manufacturer’s Purchase Credit
Sales from locations within Illinois
16a______________|_____
(See instructions.)
General merchandise
17
Prepaid sales tax
4a ______________|_____x _____
= 4b ______________|_____
17 ______________|_____
(Attach PST-2 copy A.)
(rate)
Food, drugs, and medical appliances
18
Quarter-monthly payments
5a ______________|_____ x _____
= 5b ______________|_____
18 ______________|_____
(Paid on Form RR-3 or by EFT)
(rate)
19
Total prepayments
Sales from locations outside Illinois
19 ______________|_____
(Add Lines 16a, 17, and 18.)
General merchandise
20
Net tax due
6a ______________|_____ x .0625
= 6b ______________|_____
20 ______________|_____
(Subtract Line 19 from Line 16.)
Food, drugs, and medical appliances
Step 7: Payment Due
7a ______________|_____ x .0100
= 7b ______________|_____
21
E911 Surcharge
Sales at prior rates
21 ______________|_____
(From Schedule B, Line 10.)
22
Receipts taxed at other rates
Excess tax and excess surcharge collected
8a ______________|_____ x _____
8b
______________|_____
22 ______________|_____
(See instructions.)
(rate)
9
Tax due on receipts
23
Total tax and surcharge due
9
______________|_____
23 ______________|_____
(Add Lines 4b, 5b, 6b, 7b, and 8b.)
(Add Lines 20, 21 and 22.)
24
Credit amount
Step 4: Retailer’s Discount and Net Tax on Receipts
24 ______________|_____
(See instructions.)
10
If you fi led and paid by <due date>
25
Payment due
10
______________|_____
multiply Line 9 by .0175
25 ______________|_____
(Subtract Line 24 from Line 23.)
11
Net tax due on receipts
Step 8: Sign Below
11 ______________|_____
(Subtract Line 10 from Line 9.)
Under penalties of perjury, I state that I have examined this return and, to the
best of my knowledge, it is true and correct. The information in this return is
taken from the records of the business for which it is fi led.
_______________________________________
____/____/____
Taxpayer
Phone
Date
_______________________________________
____/____/____
Preparer
Phone
Date
ST-1
(R-9/11)
This form is for:
Write the amount you are paying.
$
This form is due:
_________________________________________
Account ID:
Write your remittance and send your payment to
ILLINOIS DEPARTMENT OF REVENUE
RETAILERS OCCUPATION TAX
SPRINGFIELD IL 62796-0001
Just a reminder . . .
*100201110*
1234567890123

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