Form Pst-1-X - Amended Prepaid Sales Tax Return Page 2

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Step 3: Correct your fi nancial information
Column A
Column B
Most recent fi gures fi led
Figures as they should
have been fi led
1
Write the total invoiced gallons of all gasohol and other motor fuel
____________
____________
1
1
you sold, delivered, or transferred.
2
Write the total deductible gallons
____________
____________
a
2a
2a
sold to federal or foreign governments or mass transit systems.
____________
____________
b
2b
2b
delivered outside Illinois.
____________
____________
c
2c
2c
sold and distributed tax free to other licensed distributors and suppliers.
____________
____________
d
2d
2d
sold to the state or other units of local government.
____________
____________
e
2e
2e
sold to schools, churches, or charities.
____________
____________
f
2f
2f
sold to out-of-state retailers who sell at retail to customers outside of Illinois.
g
of exempt motor fuel (i.e., majority-blended ethanol, 100 percent biodiesel,
and biodiesel blends that are more than 10 percent but not more than
____________
____________
2g
2g
99 percent biodiesel) sold on or after July 1, 2003.
h
sold to other than a retail outlet and delivered to a company-owned
____________
____________
2h
2h
(not leased) retail outlet.
____________
____________
3
3
3
Add Lines 2a through 2h. This amount is your total deductible gallons.
4
Subtract Line 3 from Line 1.
____________
____________
4
4
This amount is your net gallons subject to prepaid sales tax.
____________
____________
a
4a
4a
Gallons of gasohol and biodiesel blends (1% - 10%) subject to prepaid sales tax
.)
(See instructions
____________
____________
b
4b
4b
Gallons of other motor fuel subject to prepaid sales tax (See instructions.)
____________
____________
5
5
5
Multiply the number of gallons on Line 4a by ________.
(rate)
____________
____________
6
6
6
Multiply the number of gallons on Line 4b by ________.
(rate)
7
Add Lines 5 and 6. This is your total prepaid sales tax due during this
____________
____________
7
7
reporting period.
____________
____________
8
8
8
Write the amount of quarter-monthly payments paid on Form PST-3 or by EFT.
____________
____________
9
9
9
Write the credit amount.
____________
____________
10
10
10
Add Lines 8 and 9. This is the total quarter-monthly payments and credit.
____________
____________
11
Subtract Line 10 from Line 7. This is net tax due.
11
11
Write the total amount you have paid.
____________
12
12
• If Line 12 is greater than Line 11, Column B, write the difference on Line 13.
• If Line 12 is less than Line 11, Column B, write the difference on Line 14.
13
____________
Overpayment — This is the amount you have overpaid. Go to Line 15.
13
14
____________
Underpayment — This is the amount you have underpaid. Please pay this amount.
14
Make your check payable to “Illinois Department of Revenue.” Go to Line 15.
____________
15
15
Write the total number of PST-2 forms you have fi led for this liability period.
Go to Step 4 and sign this return. Please write the amount you are paying on the line provided on the front of this return.
Step 4: Sign below
Under penalties of perjury, I state that I have examined this return, and to the best of my knowledge, it is true, correct, and complete. Under
penalties of perjury, I state that I have unconditionally refunded to my customer(s) any overpaid tax that I collected from my customer(s) and
am claiming as an overpayment on this return.
Taxpayer’s signature
Title
Phone
Date
Preparer’s signature
Title
Phone
Date
Mail this return and any payment to: ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19034
SPRINGFIELD IL 62794-9034
*003522110*
PST-1-X back (R-8/10)

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