Form St-16 - Annual Report Of Manufacturer'S Purchase Credit Earned - Illinois Department Of Revenue - 1997

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Illinois Department of Revenue
ST-16
Annual Report of Manufacturer’s
02
063
REV
FORM
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
__ __ __ __
__ __ __ __
-
If you do not have an IBT number, check this box
and write your federal
2
Business address _____________________________________
__ __ - __ __ __ __ __ __ __
employer identification number (FEIN).
Street address
5
__________________________________________________
Write the purchase year: January through December __ __ __ __
__
Year
City
State
ZIP
This report is due by June 30 of the following year.
3
Business phone number ( ______ ) ________________________
6
If you are a graphic artist, check this box.
Step 2:
Identify purchases that were exempt
(Do not round your figures.)
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 front (R-10/97)

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