Food & Bev Tax Return Form - Village Of Itasca

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Committed to our future………inspired by our past.
550 W. Irving Park Road
Itasca, Illinois 60143-2018
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630.773.0835
Fax 630.773.2505
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G
VILLAGE OF ITASCA
PLACES FOR EATING TAX RETURN
550 W. IRVING PARK RD., ATTN: ACCTS. RECEIVABLE
ITASCA, IL 60143
630-773-0835
Business Name:
Doing Business As:
Local Address:
Reporting Period:
FEIN:
th
Taxes must be paid by the 20
day of the month following the reporting period.
1.
Gross Sales (Should agree with IL ST-1, Line 3)
2.
Deductions of Sales Not Subject to Tax (T-shirts, etc.)
3.
Taxable Receipts (Line 1 minus Line 2)
4
Amount of Tax (Multiply Line 3 by 1% or [.01])
5.
Commission if Paid on Time ((Multiply Line 4 by 1% or [.01])
6.
Total Payment Due (Line 4 minus Line 5)
Please make checks payable to the “Village of Itasca” and mail your return and tax payment to Village of Itasca,
Attn: Accounts Receivable at the address listed above.
Under penalties as provided by law, I declare that I am the authorized person and to the best of my knowledge and
belief, the information on this return is true, correct, and complete.
Signature
Date
Printed Name and Title
Phone Number
email
Word:Public/Food&BevTaxReturnForm.doc
6/10/11

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