Form St-1-X - Amended Sales And Use Tax And E911 Surcharge Return - 2016
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Illinois Department of Revenue
ST-1-X
Amended Sales and Use Tax and E911 Surcharge Return
REV 07 FORM 003 Station 820, 833
E S ____/___/____
NS
DP
CA
RC
General Information
Do not write above this line.
$
Amount you are paying:
Everyone must complete Steps 1, 2, 4, and 5.
You must also complete Step 3 if you believe that you have overpaid.
Make your check payable to "Illinois Department of Revenue."
Step 1: Identify your business.
1
3
Account ID: ____ ____ ____ ____ - ____ ____ ____ ____
Business name: _________________________________
2
Reporting period you are amending:
__ __/__ __/__ __ __ __ through __ __/__ __/__ __ __ __
Month Day
Year
Month Day
Year
Step 2: Mark the reason why you are filing an amended return .
1
3
____ Overpaid (Complete Step 3)
____ Response to notice or bill
2
____ Underpaid
4____ Corrections to line items but no additional tax due
Step 3: Mark the reason(s) why you have overpaid your return.
If you collected the overpaid tax, E911 Surcharge, or ITAC Assessment from your customer(s), you
must have unconditionally refunded the overpaid amount to your customer(s) before you file a
claim for credit.
1 ___I am decreasing Line 1 or I am increasing Line 2 because
4 ___I used the wrong tax rate.
I sold merchandise
5 ___The tax base is correct but I put it on the wrong tax line.
a ___to another Illinois business for resale. List the account
6 ___I made a math error calculating Lines 9,11,15, 20, 23, or 25.
ID(s) on Schedule RE and attach to Form ST-1-X.
7 ___I failed to take the discount or made a math error calculating
the discount.
b ___to an out-of-state customer and it was delivered to a
location outside Illinois.
8 ___I made errors completing Form ST-2, Multiple Site Form.
c ___to an exempt organization. List the tax exempt (E)
9 ___I am a retailer who is exchanging Manufacturer's Purchase
number(s) on Schedule RE and attach to Form ST-1-X.
Credit from a customer for cash previously paid.
d ___that qualifies for a tax exemption for machinery or
10 ___I overpaid use tax because I failed to use Manufacturer's
equipment used in manufacturing, farming, or graphic
Purchase Credit to pay use tax.
arts. (Note: The graphic arts machinery and
11 ___I overpaid use tax because the item
equipment exemption expired August 30, 2014)
a ___qualifies for a tax exemption for machinery or equipment
e ___that qualifies for an enterprise zone exemption.
used in manufacturing, farming, or graphic arts. (Note:
f ___that was returned by my customer.
The graphic arts machinery and equipment
g ___and paid tax that is represented by amounts that have
exemption expired August 30, 2014)
become worthless as uncollectible debt.
b ___qualifies for an enterprise zone exemption.
2 ___I included receipts from prior month(s) or used the wrong
c ___was shipped to and used at a site outside Illinois.
month's receipts.
d ___was returned to my supplier.
3 ___I failed to include tax collected in Line 2.
Turn page to complete Steps 4 and 5.
*600361110*
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this
information is required. Failure to provide information may result in this form not being processed and may result in a penalty.
ST-1-X (R-06/16)
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