Form St-1-X - Amended Sales And Use Tax And E911 Surcharge Return - 2016 Page 3

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Account ID: ____ ____ ____ ____ - ____ ____ ____ ____
Reporting period you are amending: __ __/__ __/__ __ __ __ through __ __/__ __/__ __ __ __
Month Day
Year
Month
Day
Year
Schedule A-X — Amended Deductions
Column A
Column B
Most recent
Figures as they
Section 1: Taxes and miscellaneous deductions
figures filed
should have been filed
If no Section 1 deductions, go to Section 2.
1
1
Taxes collected on general merchandise sales and service
_____________|_____
_____________|_____
2
f
2
Taxes collected on
ood, drugs, and medical appliances sales and service
_____________|_____
_____________|_____
3
3
E911 Surcharge and ITAC Assessment collected
_____________|_____
_____________|_____
4
4
Resale
_____________|_____
_____________|_____
5
5
Interstate commerce
_____________|_____
_____________|_____
6
6
Manufacturing machinery and equipment (including photoprocessing)
_____________|_____
_____________|_____
7
7
Farm machinery and equipment
_____________|_____
_____________|_____
8
8
Graphic arts machinery and equipment (Expired August 30, 2014)
_____________|_____
_____________|_____
9
9
Supplemental Nutrition Assistance Program (SNAP - formerly called food stamps)
_____________|_____
_____________|_____
10
Enterprise zone
a
10a
Sales of building materials
_____________|_____
_____________|_____
b
10b
Sales of items other than building materials
_____________|_____
_____________|_____
11
High impact business
a
11a
Sales of building materials
_____________|_____
_____________|_____
b
11b
Sales of items other than building materials
_____________|_____
_____________|_____
12
12
River edge redevelopment zone building materials
_____________|_____
_____________|_____
13
13
Exempt organizations
_____________|_____
_____________|_____
14
14
Tax paid on uncollectible debt
_____________|_____
_____________|_____
15
15
Sales of service - identify here ____________________
_____________|_____
_____________|_____
16
Other (including cash refunds, newspapers and magazine, etc.) - identify below
16
_________________________________________________
_____________|_____
_____________|_____
1
17
7 Total Section 1 deductions. Add lines 1 through 16.
_____________|_____
_____________|_____
Section 2: Motor fuel deductions - If no Section 2 deductions, go to Section 3.
State motor fuel tax
18
18a
Gasoline - number of gallons
___________________
___________________
18b
Multiply Line 18a by 19¢ (.19).
_____________|_____
_____________|_____
19
19a
Gasohol and majority blended ethanol - number of gallons
___________________
___________________
19b
Multiply Line 19a by 19¢ (.19).
_____________|_____
_____________|_____
20
20a
Diesel (including biodiesel and biodiesel blends) - number of gallons
___________________
___________________
20b
Multiply Line 20a by 21.5¢ (.215).
_____________|_____
_____________|_____
21
21a
Dieselhol - number of gallons
___________________
___________________
21b
Multiply Line 21a by 21.5¢ (.215).
_____________|_____
_____________|_____
22
22a
Other special fuels - number of gallons
___________________
___________________
22b
Multiply Line 22a by 19¢ (.19).
_____________|_____
_____________|_____
Specific fuels sales tax exemption
23
23a
Gasohol - total receipts
_____________|_____
_____________|_____
23b
Multiply Line 23a by 20% (.20).
_____________|_____
_____________|_____
24
24a
Biodiesel blend (90 - 99 percent petroleum-based product) - total receipts
_____________|_____
_____________|_____
24b
Multiply Line 24a by 20% (.20).
_____________|_____
_____________|_____
25
25a
Biodiesel blend (1- 89 percent petroleum-based product) - total receipts
_____________|_____
_____________|_____
25b
Multiply Line 25a by 100% (1.00).
_____________|_____
_____________|_____
26
26a
100 percent biodiesel - total receipts
_____________|_____
_____________|_____
26b
Multiply Line 26a by 100% (1.00).
_____________|_____
_____________|_____
27
27a
Majority blended ethanol fuel - total receipts
_____________|_____
_____________|_____
27b
Multiply Line 27a by 100% (1.00).
_____________|_____
_____________|_____
28
28
Other motor fuel deductions________________________________
_____________|_____
_____________|_____
29
29
Total Section 2 deductions. Add lines 18b through 27b and 28.
_____________|_____
_____________|_____
Section 3: Total deductions
30
30
Add Lines 17 and 29. Enter these amounts on Step 4, Line 2.
_____________|_____
_____________|_____
*600363110*
ST-1-X (R-06/16)

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