Form St-556-Ws Draft - Worksheet And Signature Document For St-556 Page 2

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Illinois Department of Revenue
ST‑556‑WS
Worksheet and Signature Document for ST‑556
(N-02/13)
(For Vehicles, Watercraft, Aircraft, Trailers, and Mobile Homes)
DO NOT FILE — For dealership records only. Keep in your records as
verification of customer signature, if obtained on this form.
Tax return no.: _______________________________
Account ID: _________________________________
Taxable location no.: __________________________
1
Write the buyer’s name and address
Name(s)________________________________________________
Street_________________________________________ City_____________________________ State___________ ZIP__________
2
Describe the item sold
A Vehicle
B Watercraft
C Aircraft
Identification no. ______________________________________
D Trailer
E Mobile Home
F ______
Year__________
Make
______________________________
New
Used
Body style and model
_________________________________
3
Write the date of delivery
__ __/__ __/__ __ __ __
Month
Day
Year
4
Describe the trade-in, if any
Item traded in
________________________________________
Identification no.
_____________________________________
Year __________
Make
______________________________
Body style and model
_________________________________
5
Exempt or sale to a nonresident
If so, check the correct box below, and see instructions for Section 6.
A Nonresident buyer
D Sold to an interstate carrier for hire for use as rolling stock
(NOT an out-of-state dealer)
drive-away permit no./lic. plate no.______________
state_____
Certificate of authority no. ____________________________
B Sold for resale to a DEALER _______________________
E Sold for rental use
buyer’s account ID no. ______________________________
(Write either the Illinois dealer’s Account ID or “Out-of-state dealer”)
C Exempt organization
F Other (describe) _________________________________
(government, school, religious, or charitable)
tax-exempt no. E-_________________________________
Go to page 2 to complete Step 6

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