Form St-1-X - Amended Sales And Use Tax Return Form - State Of Illinois - 2001 Page 2
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1
2Part 4: Correct your financial information
Column A
Column B
Most recent figures filed
Figures as they should
When writing your figures please round to the nearest whole dollar.
have been filed
1 Write your total receipts. Include tax.
1 ____________
1 ____________
2 Write your total deductions (from worksheet in instructions).
2 ____________
2 ____________
3 Subtract Line 2 from Line 1. This amount is your taxable receipts.
3 ____________
3 ____________
Illinois Retailers and Servicepersons
4a Write your general merchandise tax base.
4a ____________
4a ____________
4b Multiply Line 4a by the appropriate state tax rate of _____.
4b ____________
4b ____________
5a Write your food, drugs, and medical appliances tax base.
5a ____________
5a ____________
5b Multiply Line 5a by the appropriate tax rate of _____.
5b ____________
5b ____________
Out-of-state Retailers and Servicepersons
6a Write your general merchandise tax base.
6a ____________
6a ____________
6b Multiply Line 6a by the appropriate tax rate of _____.
6b ____________
6b ____________
7a Write your food, drugs, and medical appliances tax base.
7a ____________
7a ____________
7b Multiply Line 7a by the appropriate tax rate of _____.
7b ____________
7b ____________
All Retailers and Servicepersons
8a Write your receipts taxed at other rates.
8a ____________
8a ____________
8b Multiply Line 8a by the the appropriate tax rate of _____.
8b ____________
8b ____________
9 Add Lines 4b, 5b, 6b, 7b, and 8b. This is your tax due on receipts.
9 ____________
9 ____________
10 Discount. (See note.)
10 ____________
10 ____________
11 Subtract Line 10 from Line 9. This is your net tax due on receipts.
11 ____________
11 ____________
Tax on Purchases
12a Write your general merchandise tax base.
12a ____________
12a ____________
12b Multiply Line 12a by the appropriate tax rate of _____.
12b ____________
12b ____________
13a Write your food, drugs, and medical appliances tax base.
13a ____________
13a ____________
13b Multiply Line 13a by the appropriate tax rate of _____.
13b ____________
13b ____________
14a Write your base for purchases taxed at other rates.
14a ____________
14a ____________
14b Multiply Line 14a by appropriate tax rate of _____. (purchases at other rates)
14b ____________
14b ____________
15 Add Lines 12b, 13b, and 14b. This is the tax due on purchases.
15 ____________
15 ____________
16 Add Lines 11 and 15. This is the total tax from receipts and purchases.
16 ____________
16 ____________
16a Write the total amount of your Manufacturer's Purchase Credit.
16a ____________
16a ____________
17 Prepaid sales tax. See instructions.
17 ____________
17 ____________
18 Write any accelerated payments you are using.
18 ____________
18 ____________
19 Write any prior overpayments you are using.
19 ____________
19 ____________
20 Add Lines 16a, 17, 18, and 19. The sum is the total prepayments.
20 ____________
20 ____________
21 Subtract Line 20 from Line 16. This is the net tax due.
21 ____________
21 ____________
22 Penalty. (See instructions.)
22 ____________
22 ____________
23 Interest. (See instructions.)
23 ____________
23 ____________
24 Add Lines 22 and 23. The sum is the total penalty and interest.
24 ____________
24 ____________
25 Write any excess tax collected.
25 ____________
25 ____________
26 Add Lines 21, 24, and 25. This is the total tax, penalty, and interest due.
26 ____________
26 ____________
27 Write any credit memorandum you are using here.
27 ____________
27 ____________
28 Subtract Line 27 from Line 26. This is the net total due.
28 ____________
28 ____________
29 Total amount you have paid. If Line 29 is greater than Line 28, Column B, write the
difference on Line 30. If Line 29 is less than Line 28, Column B, write the difference on Line 31.
29 ____________
30 This is the amount you have overpaid. Stop here and sign this return in Part 5.
30 ____________
31 This is the amount you have underpaid. Please pay this amount.
Sign this return in Part 5.
31 ____________
Make your check payable to “Illinois Department of Revenue.”
Please write the amount you are paying on the line provided on the front of this return.
Part 5: 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.
(
)
Mail to:
Owner, partner, or officer's signature
Title
Phone
Date
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19034
(
)
SPRINGFIELD IL 62794-9034
Preparer's signature
Title
Phone
Date
ST-1-X Back(R-03/01)
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