Form St-14-X - Amended Chicago Soft Drink Tax Return - 1997 Page 2
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1
2Part 4: Correct your financial information
Column A
Column B
Please round to the nearest whole dollar.
Most recent figures filed
Figures as they should
have been filed
1
1
1
Write your total Chicago soft drink receipts.
________________________
________________________
2
2
2
Write your total deductions.
________________________
________________________
3
3
3
Subtract Line 2 from Line 1. This amount is your taxable receipts.
________________________
________________________
4
4
4
Multiply Line 3 by 3 percent (.03). This is your tax due on receipts.
________________________
________________________
5
5
5
Discount (See instructions.)
________________________
________________________
6
6
6
Subtract Line 5 from Line 4. This is your payment due.
________________________
________________________
7
7
Write the total amount you have paid.
________________________
8
If Line 7 is greater than Line 6, Column B, write the difference.
8
This is the amount you have overpaid. Go to Part 5.
________________________
9
If Line 7 is less than Line 6, Column B, write the difference.
This is the amount you have underpaid. Please pay this amount.
9
We will bill you for any penalty and interest that is due. Go to Part 5.
________________________
Make your check payable to “Chicago Soft Drink Tax.”
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.
(
)
-
Owner, partner, or officer’s signature
Title
Phone
Date
(
)
-
Paid preparer’s signature
Phone
Date
Mail to:
CHICAGO SOFT DRINK TAX ADMINISTRATION
PO BOX 19034
SPRINGFIELD IL 62794-9034
ST-14-X back (R-4/97)
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