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                                                          Illinois	Department	of	Revenue                                                                                               REV  08       FORM  002
                                                                                                                                                                                       E   S        ___/___/___
      ST-1	                                                       Sales	and	Use	Tax	and	E911	Surcharge	Return	                                                                         NS      CA            RC  
      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	
                                                                                                               14a	______________|_____                        14b ______________|_____
	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 30.)                                                       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
                                                                                                               16a	Manufacturer’s Purchase Credit
Sales from locations within Illinois
                                                                                                                  (See instructions.)
General merchandise                                                                                                                      	                     16a______________ _____                     |
	 4a	______________|_____ x _____                                                   = 4b ______________|_____  17 Prepaid sales tax
                                                                           (rate)                                 (Attach PST-2 copy A.)                       17  ______________ _____|
Food, drugs, and medical appliances
	 5a	______________|_____                                         x _____           = 5b ______________|_____  18 Quarter-monthly (accelerated) 
                                                                           (rate)                                 payments                                     18  ______________ _____|
                                                                                                               19 Total prepayments
Sales from locations outside Illinois
                                                                                                                  (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    ______________ _____|
                                                                           (rate)
9    Tax due on receipts                                                                                       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-07/19)
                                                                                                               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

Account	ID:  _________________________	 This	form	is	for:   ____________________________________ 
Schedule	A	—	Deductions
Section	1:	Taxes	and	miscellaneous	deductions	-	If	no	Section	1	deductions,	go	to	Section	2.
  1		 Taxes collected on general merchandise sales and service                                                                                                1	  ______________|_____
  2		Taxes collected on ood, drugs, f and medical appliances sales and service                                                                                2   ______________|_____
  3		 E911 Surcharge and ITAC Assessment collected                                                                                                            3   ______________|_____
	4    Resale                                                                                                                                                  4	  ______________|_____ 
	5    Interstate commerce                                                                                                                                   	5    ______________|_____
	6    Manufacturing machinery and equipment (MM&E) - Do not include deduction for graphic arts.                                                               6	  ______________|_____ 
	7    Farm machinery and equipment                                                                                                                          	7    ______________|_____ 
  8	  Graphic arts machinery and equipment - Do not combine with deduction for MM&E on Line 6.                                                              	8    ______________|_____ 
  9	  Supplemental Nutrition Assistance Program (SNAP - formerly called food stamps)                                                                        	9    ______________|_____
   10 Enterprise zone 
      a	Sales of building materials                                                                                                                           10a	______________|_____
      b Sales of items other than building materials                                                                                                          10b	______________|_____
   11 High impact business 
      a	Sales of building materials                                                                                                                           11a	______________|_____
      b Sales of items other than building materials                                                                                                          11b	______________|_____
   12 River edge redevelopment zone building materials                                                                                                        12	 ______________|_____
 13	  Exempt organizations                                                                                                                                    13  ______________|_____
 14	  Uncollectible debt on which tax was previously paid                                                                                                     14  ______________|_____
15	   Sales of service - Identify here: ____________________                                                                                                  15  ______________|_____ 
	16   Other (including cash refunds, newspapers and magazines, etc.) - Identify below.
      _________________________________________________                                                                                                       16	 ______________|_____
17	   Total Section 1 deductions. Add Lines 1 through 16.                                                                                                     17	 ______________|_____
Section	2:	Motor	fuel	deductions	-	If	no	Section	2	deductions,	go	to	Section	3.
  	 State	motor	fuel	tax	(See instructions.)	                          Number	of	gallons/DGEs/GGEs	 Rate		
	 18	 Gasoline                                                                18a  ____________________  x  ________  =	                                      18b	______________|_____
   19 Gasohol and majority blended ethanol                                    19a	 ____________________  x  ________  =	                                      19b	______________|_____
   20 Diesel (including biodiesel and biodiesel blends)                       20a	 ____________________  x  ________  =	                                      20b	______________|_____
   21 Dieselhol and other fuels at diesel rate                                21a	 ____________________  x  ________  =	                                      21b	______________|_____
   22 Liquefied natural gas and liquefied petroleum gas                       22a	 ____________________  x  ________  =	                                      22b	______________|_____
23	   Compressed natural gas and other fuels at gasoline rate                 23a	 ____________________  x  ________  =	                                      23b	______________|_____
      Specific	fuels	sales	tax	exemption	                                           Receipts	              Percentage
24    Biodiesel blend (no less than 1% but no more than 10% biodiesel)        24a	 ______________|_____  x  20%  (.20) =	                                     24b	______________|_____
   25 Biodiesel blend (more than 10% but no more than 99% biodiesel)          25a	 ______________|_____  x 100% (1.00) =	                                     25b	______________|_____
   26 100 percent biodiesel	                                                  26a	 ______________|_____  x 100% (1.00) =	                                     26b	______________|_____
   27 Majority blended ethanol fuel                                           27a	 ______________|_____  x 100% (1.00) =	                                     27b	______________|_____
28    Other motor fuel deductions ________________________________                                                                                            28	 ______________|_____
29	   Total Section 2 deductions. Add Lines 18b through 28.	                                                                                                  29	 ______________|_____
Section	3:	Total	deductions
30    Add Lines 17 and 29. Enter this amount on Step 2, Line 2 on the front page of this return.	                                                             30	 ______________|_____

                     Schedule	B	—	E911	Surcharge	and	ITAC	Assessment
                     Receipts	from	retail	transactions	of	prepaid	wireless	telecommunications	service
                     	1  Enter receipts subject to E911 Surcharge and ITAC Assessment.                                                                        1  ______________|_____
                     Figure	your	breakdown	of	retail	transactions	for	Chicago	locations
                        2	 For Chicago locations  	                           2a	  ______________|_____  x ______                                           = 2b	______________|_____
                        3		For Chicago locations at prior rates	              3a	  ______________|_____  x ______                                           = 3b	______________|_____
                        4	 Total for Chicago locations. Add Lines 2b and 3b.                                                                                  4  ______________|_____
                     Figure	your	breakdown	of	retail	transactions	for	non-Chicago	locations
                        5	 For non-Chicago locations                          5a	  ______________|_____  x ______                                           = 5b	______________|_____
                        6	 For non-Chicago locations at prior rates           6a	  ______________|_____  x ______                                           = 6b	______________|_____
                        7	 Total for non-Chicago locations. Add Lines 5b and 6b.	                                                                             7  ______________|_____
                     Figure	your	net	E911	Surcharge	and	ITAC	Assessment
                        8	 Total E911 Surcharge and ITAC Assessment. Add Lines 4 and 7.	                                                                      8  ______________|_____
                        9	 Discount - If you qualify, multiply Line 8 by the applicable rate. See instructions.	                                              9  ______________|_____
                     10  Subtract Line 9 from Line 8. Enter this amount on Step 7, Line 21.                                                                   10	 ______________|_____

                     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 
ST-1 (R-07/19)       information is required.  Failure to provide information may result in this form not being processed and may result in a penalty.           IDOR ST-1
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