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	 Illinois Department of Revenue
                                                                                                                                                                     REV	         01
  ST-2                  Multiple Site Form                                                                                                                           FORM	 009	        	
  Attach to Form ST-1.	     	           	 	 	                    	      	   	           	                                                                	           	              	  	
	 	                     	 	 	           	 	 	                    	      	   	           	                                                                	           Do	not	write	above	this	line.	
Account	ID:	____________________	       This	form	is	for		__________________________			
                                            (Reporting period)
You must round your figures to whole dollars. See instructions.  
	                     	                                          	  	 	     	          	
Site	where	the	taxable	sales	were	made	                          General	merchandise
Location	code		       _____________________________________	     4a	 	_____________________			X	_____	 =  4b _________________		
                                                                                                                                                             (rate)
Site	name	            _____________________________________	     Food,	drugs,	and	medical	appliances
Site	address	         _____________________________________	     5a 	 	_____________________		X		_____	 =  5b	_________________	
                                                                                                                                                             (rate)
	                     _____________________________________	     Receipts	taxed	at	other	rates
City,	state,	ZIP	     _____________________________________	     8a	 	_____________________	 			 	                                                                   8b _________________

	                     	                                          General	merchandise
Location	code		       _____________________________________	     4a	 	_____________________			X	_____	 =  4b _________________		
                                                                                                                                                             (rate)
Site	name	            _____________________________________	     Food,	drugs,	and	medical	appliances
Site	address	         _____________________________________	     5a 	 	_____________________		X		_____	 =  5b	_________________	
                                                                                                                                                             (rate)
	                     _____________________________________	     Receipts	taxed	at	other	rates
City,	state,	ZIP	     _____________________________________	     8a	 	_____________________	 			 	                                                                   8b _________________

	                     	                                          General	merchandise
Location	code		       _____________________________________	     4a	 	_____________________			X	_____	 =  4b _________________		
                                                                                                                                                             (rate)
Site	name	            _____________________________________	     Food,	drugs,	and	medical	appliances
Site	address	         _____________________________________	     5a 	 	_____________________		X		_____	 =  5b	_________________	
                                                                                                                                                             (rate)
	                     _____________________________________	     Receipts	taxed	at	other	rates
City,	state,	ZIP	     _____________________________________	     8a	 	_____________________	 			 	                                                                   8b _________________

	                     	                                          General	merchandise
Location	code		       _____________________________________	     4a	 	_____________________			X	_____	 =  4b _________________		
                                                                                                                                                             (rate)
Site	name	            _____________________________________	     Food,	drugs,	and	medical	appliances
Site	address	         _____________________________________	     5a 	 	_____________________		X		_____	 =  5b	_________________	
                                                                                                                                                             (rate)
	                     _____________________________________	     Receipts	taxed	at	other	rates
City,	state,	ZIP	     _____________________________________	     8a	 	_____________________	 			 	                                                                   8b _________________

	                     	                                          General	merchandise
Location	code		       _____________________________________	     4a	 	_____________________			X	_____	 =  4b _________________		
                                                                                                                                                             (rate)
Site	name	            _____________________________________	     Food,	drugs,	and	medical	appliances
Site	address	         _____________________________________	     5a 	 	_____________________		X		_____	 =  5b	_________________	
                                                                                                                                                             (rate)
	                     _____________________________________	     Receipts	taxed	at	other	rates
City,	state,	ZIP	     _____________________________________	     8a	 	_____________________	 			 	                                                                   8b _________________

	                     	                                          Page	totals
*100901110*	          	                                          4a	 	_____________________	                                                             			         4b_________________
	                     	
                                                                 5a	 	_____________________	                                                             			         5b _________________
	                     	
                                                                 8a	 	_____________________	                                                             			       	 8b _________________
	
ST-2	front	(R-11/11)	     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	information	  	
                          is	required.		Failure	to	provide	information	may	result	in	this	form	not	being	processed	and	may	result	in	a	penalty.		 							
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