Form St-1-X - Amended Sales And Use Tax And E911 Surcharge Return - 2016 Page 2
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1
2
3
4Step 4: Correct your financial information.
Column A
Column B
Complete all applicable lines.
Most recent figures filed
Figures as they should
have been filed
Please round to the nearest whole dollar.
Alcoholic Liquor Purchases
A
A
A
Total dollar amount of alcoholic liquor purchased (invoiced and delivered)
__________|___
__________|___
Taxable Receipts
1
1
1
Total receipts (Include tax.)
__________|___
__________|___
2
2
2
Deductions - include tax collected (From Schedule A-X, Line 30)
__________|___
__________|___
3
3
3
Taxable receipts (Subtract Line 2 from Line 1.)
__________|___
__________|___
Tax on Receipts
Sales from locations within Illinois
4a
4a
4a
General merchandise tax base
__________|___
__________|___
4b
4b
4b
General merchandise tax - Multiply Line 4a by your tax rate of _______.
__________|___
__________|___
5a
5a
5a
Food, drugs, and medical appliances tax base
__________|___
__________|___
5b
5b
5b
Food, drugs, and medical appliances tax - Multiply Line 5a by your tax rate of _______.
__________|___
__________|___
Sales from locations outside Illinois
6a
6a
6a
General merchandise tax base
__________|___
__________|___
6b
6b
6b
General merchandise tax - Multiply Line 6a by 6.25 percent (.0625).
__________|___
__________|___
7a
7a
7a
Food, drugs, and medical appliances tax base
__________|___
__________|___
7b
7b
7b
Food, drugs, and medical appliances tax - Multiply Line 7a by 1 percent (.01).
__________|___
__________|___
Sales at prior rates
8a
8a
8a
Receipts at other rates tax base
__________|___
__________|___
8b
8b
8b
Receipts at other rates tax - Multiply Line 8a by the appropriate tax rate of _______.
__________|___
__________|___
9
9
9
Tax due on receipts (Add Lines 4b, 5b, 6b, 7b, and 8b.)
__________|___
__________|___
Retailers' Discount and Net Tax Due on Receipts
10
10
10
Discount (See instructions.)
__________|___
__________|___
11
11
11
Net tax due on receipts (Subtract Line 10 from Line 9.)
__________|___
__________|___
Tax on Purchases
12a
12a
12a
General merchandise tax base
__________|___
__________|___
12b
12b
12b
General merchandise tax - Multiply Line 12a by 6.25 percent (.0625).
__________|___
__________|___
13a
13a
13a
Food, drugs, and medical appliances tax base
__________|___
__________|___
13b
13b
13b
Food, drugs, and medical appliances tax - Multiply Line 13a by 1 percent (.01).
__________|___
__________|___
14a
14a
14a
Purchases at other rates tax base
__________|___
__________|___
14b
14b
14b
Purchases at other rates tax - Multiply Line 14a by the appropriate tax rate of _______.
__________|___
__________|___
15
15
15
Tax due on purchases (Add Lines 12b, 13b, and 14b.)
__________|___
__________|___
Net Tax Due
16
16
16
Tax due from receipts and purchases (Add Lines 11 and 15.)
__________|___
__________|___
16a
16a
16a
Manufacturer's Purchase Credit (See instructions.)
__________|___
__________|___
17
17
17
Prepaid sales tax (See instructions.)
__________|___
__________|___
18
18
18
Quarter-monthly (accelerated) payments
__________|___
__________|___
19
19
19
Total prepayments (Add Lines 16a, 17, and 18.)
__________|___
__________|___
20
20
20
Net tax due (Subtract Line 19 from Line 16.)
__________|___
__________|___
Payment Due
21
21
21
E911 Surcharge and ITAC Assessment (From Schedule B-X, Line 10.)
__________|___
__________|___
22
22
22
Excess tax, surcharge, and assessment collected
__________|___
__________|___
23
23
23
Total tax, surcharge, and assessment due (Add Lines 20, 21, and 22.)
__________|___
__________|___
24
24
24
Credit amount (See instructions.)
__________|___
__________|___
25
25
25
Subtract Line 24 from Line 23. This is the net total due.
__________|___
__________|___
26
26
Enter the total amount you have previously paid.
__________|___
Compare Line 25, Column B, and Line 26.
• If Line 26 is greater than Line 25, Column B, enter the difference on Line 27.
• If Line 26 is less than Line 25, Column B, enter the difference on Line 28.
27
27
Overpayment - This is the amount you have overpaid. Go to Step 5 and sign this return.
__________|___
28
28
Underpayment - This is the amount you have underpaid. Please pay this amount. Enter this amount on Page 1.
__________|___
Go to Step 5 and sign this return.
Make your check payable to “Illinois Department of Revenue.”
Step 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. Under
penalties of perjury, I state that I have unconditionally refunded to my customer(s) any overpaid sales tax, E911 Surcharge, and ITAC
Assessment that I collected from my customer(s) and am claiming as an overpayment on this return.
_______________________________________________________ _______________________________________________________
Taxpayer
Phone
Date
Preparer
Phone
Date
Mail to: ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19034
SPRINGFIELD IL 62794-9034
*600362110*
ST-1-X (R-06/16)
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