Form St-587 - Equipment Exemption Certificate
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Illinois Department of Revenue
ST-587
Equipment Exemption Certificate
Step 1:
Identify the seller
The seller must keep this certificate.
Name
Address
_______________________________________________
_______________________________________________
Number and street
( _______ ) ______________________________________
Phone
_____________________________________________________
City
State
ZIP
Step 2:
Identify the purchaser (lessor)
Name
Phone
( _______ ) ______________________________________
_______________________________________________
Address
Date of purchase
_____________________________________________
___ ___/___ ___/___ ___ ___ ___
Number and street
Month
Day
Year
___________________________________________________
Write the purchaser's Illinois account ID number, FEIN or SSN.
City
State
ZIP
______________________________
Illinois account ID number
___________________
___________________
FEIN
SSN
Step 3:
Identify the lessee
Name
Address
_______________________________________________
_______________________________________________
Number and street
Phone
( _______ ) ______________________________________
_____________________________________________________
City
State
ZIP
Step 4:
Identify the equipment* you are purchasing (or leasing)
* Equipment includes machinery and repair/replacement parts
Type of equipment
_______________________________________________________________________________________________
Serial no.
_______________________________________________________________________________________________________
Step 5:
Identify how you will use this equipment.
Check the appropriate box. See instructions.
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.
primarily in production agriculture.
primarily in graphic arts production for wholesale or retail sale or lease.
primarily for coal and aggregate exploration and related mining, off-highway hauling, processing, maintenance, and
reclamation, but excluding motor vehicles required to be registered under the Illinois Vehicle Code.
Step 6:
Blanket Certificate
Check the appropriate box in each section.
I am the identified purchaser, and I certify that
all of the purchases that I make from this seller are eligible for the production agriculture exemption.
the following percentage, ______ %, of all of the purchases that I make from this seller are eligible for the
production agriculture exemption.
all of the purchases that I make from this seller are eligible for the graphic arts production exemption.
the following percentage, ______ %, of all of the purchases that I make from this seller are eligible for the graphic
arts production exemption.
all of the purchases that I make from this seller are eligible for the coal and aggregate mining exemption.
the following percentage, ______ %, of all of the purchases that I make from this seller are eligible for the coal and
aggregate mining exemption.
Step 7:
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 obtain additional forms by visiting our website at tax.illinois.gov.
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.
SOY-BASE INK
Failure to provide information may result in this form not being processed and may result in a penalty.
ST-587 (R-3/13)
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