Form 107 - Schedule Re Resale And Exempt Organization Schedule

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Illinois Department of Revenue
Schedule RE
Resale and Exempt Organization Schedule
Attach to Form ST-1-X
REV 01 FORM 107
Read this information fi rst.
File this schedule only if you fi le Form ST-1-X, Amended Sales and Use Tax Return, and are claiming sales for resale in
Step 3, Line 1a, or sales to exempt organizations in Step 3, Line 1c. You will need to list the account ID for each sale for
resale or the Illinois Tax Exemption (E) number that you are claiming. Additional lines are provided on Page 2. If you still
need additional lines, you may photocopy a blank schedule, or visit our web site at tax.illinois.gov.
Step 1: Identify your business.
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Business name _________________________________
Reporting period you are amending: __ __/__ __/__ __ __ __ through __ __/__ __/__ __ __ __
Month Day
Year
Month
Day
Year
Step 2: List the account ID for each sale for resale that you are claiming.
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID:___ ___ ___ ___ - ___ ___ ___ ___
Account ID:___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID:___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID:___ ___ ___ ___ - ___ ___ ___ ___
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___
Account ID:___ ___ ___ ___ - ___ ___ ___ ___
Check the box if more account IDs are listed on the back page or additional schedules are attached.
Step 3: List the Illinois Tax Exemption (E) Number for each sale to an exempt
organization that you are claiming.
E ___ ___ ___ ___ - ___ ___ ___ ___
E___ ___ ___ ___ - ___ ___ ___ ___
E___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
E ___ ___ ___ ___ - ___ ___ ___ ___
Check the box if more tax exempt (E) numbers are listed on the back page or additional schedules are attached.
*910711110*
This form is authorized by the Retailers’ Occupation Tax Act and related Acts. Disclosure of this information is REQUIRED. Failure to
provide information could result in a penalty. This form has been approved by the Forms Management Center.
IL-492- 4577
Schedule RE front (N-5/09)

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