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    Illinois Department of Revenue                                                                                                                             REV 01
                                                                                                                                                               FORM  011
    Schedule GT-X                  Amended Sales and Use Tax

                                   Holiday and Grocery Tax 

                                   Suspension Schedule
                                   Attach to Form ST-1-X
                                                                                                                                                               Do not write above this line.
Account ID: ____________________ This form is for  __________________________  
                                                        (Reporting period)
You must round your figures to whole dollars. See instructions.  
Do not complete Schedule GT-X if you had no tax holiday sales or qualifying grocery food sales for this reporting period. See instructions for 
more information.
 1  Net tax due reported on Line 20 of Form ST-1-X                                                 1                                                           _____________________
 2  Qualifying tax holiday items reported on Line 4a of Form ST-1-X  2a  ________________  X  5% = 2b  _____________________
 3  Qualifying tax holiday items reported on Line 6a of Form ST-1-X  3a  ________________  X  5% = 3b  _____________________
 4  Qualifying tax holiday items reported on Line 12a of Form ST-1-X 4a  ________________  X  5% = 4b  _____________________
 5  Add lines 2b, 3b, and 4b. This is the amount of your credit for
    tax holiday items.                                                                             5                                                           _____________________
 6  Qualifying food reported on Line 5a of Form ST-1-X               6a  ________________  X  1% = 6b  _____________________
 7  Qualifying food reported on Line 7a of Form ST-1-X               7a  ________________  X  1% = 7b  _____________________
 8  Qualifying food reported on Line 13a of Form ST-1-X              8a  ________________  X  1% = 8b  _____________________
 9  Add Lines 6b, 7b, and 8b. This is the amount of your credit for
    qualifying food.                                                                               9                                                           _____________________
 10 Add Lines 5 and 9. This is your total credit for tax holiday
    items and qualifying food.                                                 10                                                                              _____________________
 11 Subtract Line 10 from Line 1. Enter this amount, along with the
    amounts from Form ST-1-X, Lines 21 and 22, on
    Line 23 of Form ST-1-X.                                                    11                                                                              _____________________

*0110622W*                                              Reset             Print

                        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 
Schedule GT-X (N-06/22) information is required.  Failure to provide information may result in this form not being processed and may result in a penalty.