Form St-44 - Illinois Use Tax Return - 2009
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Illinois Department of Revenue
Rev 02
ST-44
Illinois Use Tax Return
Form 019
RC NS DP CA E S __/__/__
Step 1: Identify yourself
Your name ______________________________________
Daytime phone number (______)_______- _________
Number and street _______________________________
Social Security number _______ - _____ - _________
or
City, State, ZIP __________________________________
FEIN
______ - ________________
Step 2: Figure the Illinois Use Tax
(Please round fi gures to whole dollars.)
1 Write the date of your last purchase of general merchandise
___/___/______
Month Day
Year
If you are fi ling on an annual basis, write the year only. Otherwise, write the entire date.
1a Write the total cost of general merchandise
you purchased outside of Illinois to use in Illinois.
1a _______________|_____
1b Multiply Line 1a by 6.25% (.0625).
1b
_______________|_____
2a Write the total cost of qualifying food, drugs, medical appliances,
and diabetic supplies, such as insulin and syringes, you
purchased outside of Illinois to use in Illinois.
2a _______________|_____
2b Multiply Line 2a by 1% (.01).
2b
_______________|_____
3 Add Lines 1b and 2b. This is your use tax on purchases.
3
_______________|_____
4 Write the amount of sales tax you paid to another state (not to another country)
on the items included on Lines 1a and 2a.
4
_______________|_____
Step 3: Figure the total amount you owe
(Please round fi gures to whole dollars.)
5 Compare Line 3 and Line 4. If Line 4 is equal to or greater than Line 3, you do not
owe use tax. If Line 3 is greater than Line 4, subtract Line 4 from Line 3.
This is the total amount you owe.
5
_______________|_____
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.
_____________________________________________________________________________________________________
Your signature
Date
Try fi ling electronically!
See next page for instructions.
• DO NOT attach your check OR this form to any other return.
Reset
Print
• MAKE your check payable to the “Illinois Department of Revenue.”
• MAIL all other forms separately.
• WRITE “ST-44” on your check and attach it to this form (ST-44).
• MAIL this form (ST-44) to:
ILLINOIS DEPARTMENT OF REVENUE
RETAILERS’ OCCUPATION TAX
SPRINGFIELD, IL 62776-0001
This form is authorized as outlined by the Use Tax Act. Disclosure of this information is REQUIRED. Failure to provide it
may result in a penalty. This form has been approved by the Forms Management Center.
IL 492-2302
ST-44 front (R-12/09)
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