Form St-7 - Multiple Site Form - 2010

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Illinois Department of Revenue
ST-7
Multiple Site Form
Attach to Form ST-4
REV 01 FORM 029
Do not write above this line.
Account ID: ______________________________ This form is for: _______________________________________
Reportng period (month day year - month day year)
You must round your fi gures to whole dollars. See instructions.
Column A
Column B
MPEA taxable receipts
Amount of Tax
Site where the taxable retail sale was made:
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Location code
_____________________________________
3 ______________________ X .01
=
4 __________________
Site name
_____________________________________
Site address
_____________________________________
_____________________________________
City, state, ZIP
_____________________________________
Page totals
______________________
__________________
Write the total of
Write the total of
Column A on Line 3
Column B on Line 4
of Form ST-4.
of Form ST-4.
This form is authorized as outlined by the Metropolitan Pier and Exposition Authority Act.
Disclosure of this information is REQUIRED. Failure to provide it could result in a penalty.
This form has been approved by the Forms Management Center.
IL-492-3204
*002911110*
ST-7 front (R-7/10)
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