City Of Pekin Food And Beverage Sales Tax Form

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CITY OF PEKIN FOOD AND BEVERAGE SALES TAX FORM
Pursuant to City of Pekin Code No. 2579-08/09
Month/Year of Collection:
_____________________
City Account No.
Payer Name:
Address:
City:
State:
Zip:
Contact Name:
Contact Phone Number:
Business Name:
Local address:
Phone:
City:
State:
Zip:
Illinois Business Tax (IBT) #: _______________________
Check if this is your last return: [
]
Under penalties of perjury and other penalties provided by law, I declare that I have examined this return
and to the best of my knowledge and belief it is true, correct and complete. I further declare that the
information set forth is taken from the books and records of the business for which this return is filed.
______________________________________ _____________________________________________
Signature of Preparer
Date
Signature of Taxpayer
Date
COMPUTATION OF PREPARED FOOD & BEVERAGE TAX LIABILITY
Retail sale of prepared food and beverage includes all food, alcoholic and non-alcoholic beverages which
are prepared for immediate consumption and which may be consumed on and/or off the premises.
1. Gross sales of prepared food and beverages
(For most businesses, this will be Line 3 of ST-1)..................................................... $__________
2. 2% Food and Beverage Tax (line 1 X .02) ................................................................ $__________
3. Less compensation for services rendered in collection
and payment of this tax (Line 2 X 01) No compensation if late return ..................... $__________
4. Net Tax Due (line 2 minus line 3) ............................................................................ $__________
5. 10% Late filing penalty (line 2 x .10)………Check here if late [ ] .......................... $__________
6. Interest Charge (line 2 X .02 for each month)…… No. of months_____ .................. $__________
7. Total tax, interest and penalty, if applicable, due (add lines 4, 5, 6) .......................... $__________
City of Pekin
Make your check payable to:
Mail this completed and signed return, the check for the amount shown on Line 7, and a copy of the
Illinois Department of Revenue Form ST-1 to:
City of Pekin
Attn: Treasurer
111 S Capitol St
Pekin IL 61554
Questions? Contact city Treasurer at either: 309-478-5354 or 309-478-5362
th
Due on the 20
day of the calendar month succeeding the end of the filing period.

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