Form St-16-X - Amended Annual Report Of Manufacturer'S Purchase Credit Earned - 2000
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1Illinois Department of Revenue
ST-16-X
Amended Annual Report of
02
163
REV
FORM
Manufacturer’s Purchase Credit Earned
E S _____/_____/_____
See instructions on the back.
NS CA
Step 1:
Identify your business
1
4
Business name
_____________________________________
Illinois business tax (IBT) number
___ ___ ___ ___ - ___ ___ ___ ___
2
5
Business address _____________________________________
Write the purchase year that you are amending
___ ___ ___ ___
Year
Street address
6
____________________________________________________
If you are a graphic artist, check this box.
City
State
ZIP
( ______ ) _______________________
3
Business phone number
Step 2:
Identify purchases that were exempt
(Do not round your figures.)
This report will replace your original filing. For each line below, report all figures as they should have been filed.
If you do not complete all of the following information, we will reduce or deny your credit.
A
B
C
D
E
F
Month of exempt
Purchase price
Tax that would
Percentage
Amount of
purchase
of exempt items
State tax rate
have been due
credit earned
(See instructions)
1
January
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
2
February
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
3
March
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
4
April
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
5
May
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
6
June
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
7
July
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
8
August
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
9
September
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
10
October
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
11
November
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
12
December
$ ___________________ X
.0625
= $ ___________________ X
_______
= $ ___________________
Total $
Total $
___________________
___________________
(Column B)
(Column F)
Step 3:
Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Taxpayer’s signature
Daytime phone number
Date
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Preparer’s signature
Preparer’s name (Please print.)
Daytime phone number
Date
ST-16-X front (R-2/00)
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