Form St-2 - Multiple Site Form - 2001
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Illinois Department of Revenue
REV
01
ST-2
Multiple Site Form
FORM 009
Attach to Form ST-1.
Do not write above this line.
____________________
Account ID:
This form is for __________________________
(Reporting period)
You must round your figures to whole dollars. See instructions.
Site where the taxable sales were made
General merchandise
Location code
_____________________________________
4a _____________________ X _____ = 4b _________________
(rate)
Food, drugs, and medical appliances
Site name
_____________________________________
Site address
_____________________________________
5a _____________________ X _ ____ = 5b _________________
(rate)
Receipts taxed at other rates
_____________________________________
City, state, ZIP
_____________________________________
8a _____________________
8b _________________
General merchandise
Location code
_____________________________________
4a _____________________ X _____ = 4b _________________
(rate)
Food, drugs, and medical appliances
Site name
_____________________________________
Site address
_____________________________________
5a _____________________ X _ ____ = 5b _________________
(rate)
Receipts taxed at other rates
_____________________________________
City, state, ZIP
_____________________________________
8a _____________________
8b _________________
General merchandise
Location code
_____________________________________
4a _____________________ X _____ = 4b _________________
(rate)
Food, drugs, and medical appliances
Site name
_____________________________________
Site address
_____________________________________
5a _____________________ X _ ____ = 5b _________________
(rate)
Receipts taxed at other rates
_____________________________________
City, state, ZIP
_____________________________________
8a _____________________
8b _________________
General merchandise
Location code
_____________________________________
4a _____________________ X _____ = 4b _________________
(rate)
Food, drugs, and medical appliances
Site name
_____________________________________
Site address
_____________________________________
5a _____________________ X _ ____ = 5b _________________
(rate)
Receipts taxed at other rates
_____________________________________
City, state, ZIP
_____________________________________
8a _____________________
8b _________________
General merchandise
Location code
_____________________________________
4a _____________________ X _____ = 4b _________________
(rate)
Food, drugs, and medical appliances
Site name
_____________________________________
Site address
_____________________________________
5a _____________________ X _ ____ = 5b _________________
(rate)
Receipts taxed at other rates
_____________________________________
City, state, ZIP
_____________________________________
8a _____________________
8b _________________
Page totals
*100901110*
4a _____________________
4b _________________
5a _____________________
5b _________________
8a _____________________
8b _________________
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
ST-2 front (R-11/11)
is required. Failure to provide information may result in this form not being processed and may result in a penalty.
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