PDF document
- 1 -

Enlarge image
 Use your 'Mouse' or the 'Tab key' to move through the fields and 'Mouse' or 'Space bar' to enable the checkboxes.

   Illinois Department of Revenue

 Schedule RE Resale and Exempt Organization Schedule 
                                            
  Attach to Form ST-1-X                                                                                                                                  REV 01 FORM 107 

Read this information fi rst.
File this schedule only if you fi le Form ST-1-X, Amended Sales and Use Tax Return, and are claiming sales for resale in 
Step 3, Line 1a, or sales to exempt organizations in Step 3, Line 1c. You will need to list the account ID for each sale for 
resale or the Illinois Tax Exemption (E) number that you are claiming. Additional lines are provided on Page 2. If you still 
need additional lines, you may photocopy a blank schedule, or visit our web site at tax.illinois.gov.

Step 1: Identify your business.  

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                               Business name _________________________________ 

Reporting period you are amending: __ __/__ __/__ __ __ __ through __ __/__ __/__ __ __ __  
                                           Month  Day     Year                           Month    Day       Year  

Step 2: List the account ID for each sale for resale that you are claiming. 
 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                  Account ID:___ ___ ___ ___ - ___ ___ ___ ___ 
 
 Account ID:___ ___ ___ ___ - ___ ___ ___ ___                   Account ID: ___ ___ ___ ___ - ___ ___ ___ ___ 
 
 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                  Account ID: ___ ___ ___ ___ - ___ ___ ___ ___ 

 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                  Account ID:___ ___ ___ ___ - ___ ___ ___ ___ 

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                   Account ID:___ ___ ___ ___ - ___ ___ ___ ___

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___                   Account ID:___ ___ ___ ___ - ___ ___ ___ ___
 
          Check the box if more account IDs are listed on the back page or additional schedules are attached. 

Step 3: List the Illinois Tax Exemption (E) Number for each sale to an exempt 
organization that you are claiming. 

E ___ ___ ___ ___ - ___ ___ ___ ___                             E___ ___ ___ ___ - ___ ___ ___ ___

E___ ___ ___ ___ - ___ ___ ___ ___                              E ___ ___ ___ ___ - ___ ___ ___ ___

E___ ___ ___ ___ - ___ ___ ___ ___                              E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                             E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                             E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                             E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                                          E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                             E ___ ___ ___ ___ - ___ ___ ___ ___

          Check the box if more tax exempt (E) numbers are listed on the back page or additional schedules are attached. 

                                                                                                                  *910711110*
                               This form is authorized by the Retailers’ Occupation Tax Act and related Acts. Disclosure of this information is REQUIRED. Failure to 
                               provide information could result in a penalty. This form has been approved by the Forms Management Center.    IL-492- 4577
Schedule RE  front (N-5/09)



- 2 -

Enlarge image
Step 2: Additional list of account IDs for each sale for resale that you  
are claiming.

 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___         Account ID:___ ___ ___ ___ - ___ ___ ___ ___ 
 
 Account ID:___ ___ ___ ___ - ___ ___ ___ ___          Account ID: ___ ___ ___ ___ - ___ ___ ___ ___ 
 
 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___         Account ID: ___ ___ ___ ___ - ___ ___ ___ ___ 

 Account ID: ___ ___ ___ ___ - ___ ___ ___ ___         Account ID:___ ___ ___ ___ - ___ ___ ___ ___ 

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___
 
Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___

Account ID: ___ ___ ___ ___ - ___ ___ ___ ___          Account ID:___ ___ ___ ___ - ___ ___ ___ ___
        
Step 3: Additional list of Illinois Tax Exemption (E) Numbers for each sale to an 
exempt organization that you are claiming. 

E ___ ___ ___ ___ - ___ ___ ___ ___                    E___ ___ ___ ___ - ___ ___ ___ ___

E___ ___ ___ ___ - ___ ___ ___ ___                     E ___ ___ ___ ___ - ___ ___ ___ ___

E___ ___ ___ ___ - ___ ___ ___ ___                     E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

E ___ ___ ___ ___ - ___ ___ ___ ___                    E ___ ___ ___ ___ - ___ ___ ___ ___

                                                           *910712110*

Schedule RE  back (N-5/09)

                                                Reset Print






PDF file checksum: 2390435862

(Plugin #1/9.12/13.0)