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Illinois Department of Revenue REV 09 FORM 002
E S ___/___/___
NS CA RC
ST-1 Sales and Use Tax and E911 Surcharge Return
Account ID _________________________ This form is for: ____________________________________
(Reporting period)
You must round your figures to whole dollars. (See instructions.)
Step 1: Alcoholic Liquor Purchases (See instructions.) Step 5: Tax on Purchases
If you are not required to report your purchases, go to Step 2. General merchandise
Note: Distributors will also report your total purchases to us. 12a ______________|_____ x .0625 = 12b ______________|_____
A Total dollar amount of alcoholic liquor purchased Food, drugs, and medical appliances
(invoiced and delivered) ____________|____ 13a ______________|_____ x .01 = 13b ______________|_____
Purchases at other rates
Step 2: Taxable Receipts ______________|_____ 14b ______________|_____
14a
1 Total receipts (Include tax.) 1 ______________|_____
15 Tax due on purchases
2 Deductions - include tax collected
(Add Lines 12b, 13b, and 14b.) 15 ______________|_____
(From Schedule A, Line 32.) 2 ______________|_____
3 Taxable receipts Step 6: Net Tax Due
(Subtract Line 2 from Line 1.) 3 ______________|_____ 16 Tax due from receipts and purchases
(Add Lines 11 and 15.) 16 ______________|_____
Step 3: Tax on Receipts
Sales from locations within Illinois 16a Manufacturer’s Purchase Credit
(See instructions.)
General merchandise 16a ______________|_____
4a ______________|_____ x _____ = 4b ______________|_____ 17 Prepaid sales tax
(Attach PST-2 copy A.)
Food, drugs, and medical appliances(rate) 17 ______________|_____
5a ______________|_____ x _____ = 5b ______________|_____ 18 Quarter-monthly (accelerated)
(rate) payments 18 ______________|_____
Sales from locations outside Illinois 19 Total prepayments
(Add Lines 16a, 17, and 18.)
General merchandise 19 ______________|_____
6a ______________|_____ x .0625 = 6b ______________|_____ 20 Net tax due
(Subtract Line 19 from Line 16.)
Food, drugs, and medical appliances 20 ______________|_____
7a ______________|_____ x .01 = 7b ______________|_____ Step 7: Payment Due
21 E911 Surcharge and ITAC Assessment
Sales at prior rates (From Schedule B, Line 10.) 21 ______________|_____
Receipts taxed at other rates 22 Excess tax, surcharge, and
8a ______________|_____ x _____ = 8b ______________|_____ assessment collected (See instructions.) 22 ______________|_____
9
Tax due on receipts (rate) 23 Total tax, surcharge, and assessment
(Add Lines 4b, 5b, 6b, 7b, and 8b.) 9 ______________|_____ due (Add Lines 20, 21, and 22.) 23 ______________|_____
24 Credit amount
Step 4: Retailer’s Discount and Net Tax on Receipts
(See instructions.)
10 Retailer’s discount - If qualified, 24 ______________|_____
multiply Line 9 by the applicable rate. 25 Payment due
(Subtract Line 24 from Line 23.)
(See instructions.) 10 ______________|_____ 25 ______________|_____
11 Net tax due on receipts Step 8: Sign Below
(Subtract Line 10 from Line 9.) 11 ______________|_____ 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. The information in this
return is taken from the records of the business for which it is filed.
_______________________________________ ____/____/____
Taxpayer Phone Date
_______________________________________ ____/____/____
Preparer Phone Date
ST-1 (R-01/24)
Mailing address _________________________________________
Owner’s name __________________________________________ _______________________________________________________
Business name __________________________________________ _______________________________________________________
Make your payment to
Business address ________________________________________
ILLINOIS DEPARTMENT OF REVENUE
_______________________________________________________ RETAILERS’ OCCUPATION TAX
SPRINGFIELD IL 62736-0001
Printed by the authority of the state of Illinois — Web only, One copy IDOR ST-1
