Form St-587 - Equipment Exemption Certificate
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1Illinois Department of Revenue
ST-587
Equipment Exemption Certificate
Step 1: Identify the seller
The seller must keep this certificate.
Name
Phone
( _______ ) ________________________________________
_________________________________________________
Address
IBT no.
_______________________________________________
________________________________________________
Number and street
Illinois business tax number
_______________________________________________________
City
State
ZIP
Step 2: Identify the purchaser (or lessee)
( _______ ) ________________________________________
Name
Phone
_________________________________________________
Address
IBT no.
_______________________________________________
________________________________________________
Number and street
Illinois business tax number
Date of purchase (or lease)
_______________________________________________________
______/______/______
City
State
ZIP
Month
Day
Year
Step 3: Identify the equipment* you are purchasing (or leasing)
* Equipment includes machinery and repair/replacement parts
Type of equipment
_______________________________________________________________________________________________
Serial no.
________________________________________________________________________________________________________
Step 4: Identify how you will use this equipment
Check the appropriate box.
I state that this equipment will be used primarily in the manufacturing or assembling of tangible personal property for
wholesale or retail sale or lease
I state that this equipment will be used primarily in agriculture production.
I state that this equipment, which costs $250.00 or more, will be used primarily for coal exploration and related mining,
off-highway hauling, processing, maintenance, or reclamation.
I state that this equipment, which costs $250.00 or more, will be used primarily for oil field exploration, drilling, or production.
I state that this equipment will be used primarily in graphic arts production.
I state that this equipment will be used primarily for pollution control.
Step 5: Sign below
Under penalties of perjury, I state that I have examined this certificate and, to the best of my knowledge, it is true, correct, and
complete.
_________________________________________________________________________________________________________________
Purchaser’s signature
Date
You may photocopy this form or you may request additional forms by writing us or calling our Springfield office weekdays
between 8:00 a.m. and 5:00 p.m. Our address and telephone number are below.
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19010
SPRINGFIELD IL 62794-9010
217 785-3707
SOY-BASE INK
This form is authorized as outlined by the Registration and Licensing Division and has been approved by the Forms Management Center.
IL-492-3002
RECYCLED PAPER
ST-587 (R-12/95)
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