Form St-1 - Sales And Use Tax And E911 Surcharge Return Page 2
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1
2Account ID: _________________________ This form is for: ____________________________________
Schedule A — Deductions
Section 1: Taxes and miscellaneous deductions - If no Section 1 deductions, go to Section 2.
1
1
Taxes collected on general merchandise sales and service
______________|_____
2
2
f
Taxes collected on
ood, drugs, and medical appliances sales and service
______________|_____
3
3
E911 surcharge 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
______________|_____
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
Sales of service - identify here ____________________
______________|_____
15
Other (including cash refunds, newspapers and magazines, etc.) - identify below
_________________________________________________
15
______________|_____
16
16
Total Section 1 deductions. Add Lines 1 through 15.
______________|_____
Section 2: Motor fuel deductions - If no Section 2 deductions, go to Section 3.
State motor fuel tax
Number of gallons
Rate
17
17a
17b
Gasoline
______________
x
19¢
=
______________|_____
18
18a
18b
Gasohol and majority blended ethanol
______________
x
19¢
=
______________|_____
19
19a
19b
Diesel (including biodiesel and biodiesel blends)
______________
x
21.5¢
=
______________|_____
20
20a
20b
Dieselhol
______________
x
21.5¢
=
______________|_____
21
21a
21b
Other special fuels
______________
x
19¢
=
______________|_____
Specific fuels sales tax exemption
Receipts
Percentage
22
22a
22b
Gasohol
______________|_____ x 20% (.20) =
______________|_____
23
23a
23b
Biodiesel blend
______________|_____ x 20% (.20) =
______________|_____
(90 - 99 percent petroleum-based product)
24
)
24a
24b
Biodiesel blend
______________|_____ x 100% (1.00) =
______________|_____
(1- 89 percent petroleum-based product
25
25a
25b
100 percent biodiesel
______________|_____ x 100% (1.00) =
______________|_____
26
26a
26b
Majority blended ethanol fuel
______________|_____ x 100% (1.00) =
______________|_____
27
27
Other motor fuel deductions________________________________
______________|_____
28
28
Total Section 2 deductions. Add Lines 17b through 26b and 27.
______________|_____
Section 3: Total deductions
29
29
Add Lines 16 and 28. Write this amount on Step 2, Line 2 on the front page of this return.
______________|_____
Schedule B — E911 Surcharge
1
Receipts from retail transactions of prepaid wireless telecommunications service
1
Do not include E911 Surcharge collected from customers or receipts from exempt sales.
______________|_____
Figure your breakdown of retail transactions for Chicago locations
2
2a
2b
For Chicago locations
______________|_____ x .0700
=
______________|_____
3
3a
3b
For Chicago locations at prior rates
______________|_____ x _____
=
______________|_____
4
4
Total E911 Surcharge for Chicago. Add Lines 2b and 3b.
______________|_____
Figure your breakdown of retail transactions for non-Chicago locations
5
5a
5b
For non-Chicago locations
______________|_____ x .0150
=
______________|_____
6
6a
6b
For non-Chicago locations at prior rates
______________|_____ x _____
=
______________|_____
7
7
Total E911 Surcharge for non-Chicago locations. Add Lines 5b and 6b.
______________|_____
Figure your net E911 Surcharge
8
8
Total E911 Surcharge. Add Lines 4 and 7.
______________|_____
9
9
If you filed and paid by the due date, multiply Line 8 by 3% (.03).
______________|_____
10
10
Subtract Line 9 from Line 8. Write this amount on Step 7, Line 21.
______________|_____
*300202110*
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. Failure to provide information may result in this form not being processed and may result in a penalty.
ST-1 back (R-2/13)
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