Form 164 Form St-17-x - Amended Annual Report of Manufacturer's Purchase Credit Used - Illinois

Form 164 is a Illinois Department of Revenue form also known as the "Form St-17-x - Amended Annual Report Of Manufacturer's Purchase Credit Used". The latest edition of the form was released in September 1, 2014 and is available for digital filing.

Download a PDF version of the Form 164 down below or find it on Illinois Department of Revenue Forms website.

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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
ST-17-X
Amended Annual Report of
03
164
REV
FORM
Manufacturer’s Purchase Credit Used
E S _____/_____/_____
See instructions on the back.
NS
CA
Step 1:
Identify your business
1
4
Business name
_____________________________________
Illinois account ID number
___ ___ ___ ___ - ___ ___ ___ ___
2
5
Business address _____________________________________
Write the purchase year that you are amending
___ ___ ___ ___
Year
Street address
6
____________________________________________________
If you are a graphic artist, check this box.
City
State
ZIP
3
( ______ ) _______________________
Business phone number
Step 2: Identify the purchases for which MPC was used
(Do not round your figures.)
This report will replace your original filing. For each line below, report all figures as they should have been filed.
A
B
C
D
Month of
Taxable purchase price
Taxable purchase price
Total taxable
Amount of
production-related
of items purchased
of items purchased
purchase price
credit used
purchase
in Illinois
out of state
(Must not exceed 6.25%
of Column C)
1
January
$ _____________________ $ _____________________ $ _____________________ $ ___________________
2
February
$ _____________________ $ _____________________ $ _____________________ $ ___________________
3
March
$ _____________________ $ _____________________ $ _____________________ $ ___________________
4
April
$ _____________________ $ _____________________ $ _____________________ $ ___________________
5
May
$ _____________________ $ _____________________ $ _____________________ $ ___________________
6
June
$ _____________________ $ _____________________ $ _____________________ $ ___________________
7
July
$ _____________________ $ _____________________ $ _____________________ $ ___________________
8
August
$ _____________________ $ _____________________ $ _____________________ $ ___________________
9
September
$ _____________________ $ _____________________ $ _____________________ $ ___________________
10
October
$ _____________________ $ _____________________ $ _____________________ $ ___________________
11
November
$ _____________________ $ _____________________ $ _____________________ $ ___________________
12
December
$ _____________________ $ _____________________ $ _____________________ $ ___________________
Totals
$
$
_____________________
___________________
(Column C)
(Column D)
Step 3: Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Taxpayer’s signature
Daytime phone number
Date
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Preparer’s signature
Preparer’s name (Please print.)
Daytime phone number
Date
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.
ST-17-X (R-09/14)
Reset
Print
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
ST-17-X
Amended Annual Report of
03
164
REV
FORM
Manufacturer’s Purchase Credit Used
E S _____/_____/_____
See instructions on the back.
NS
CA
Step 1:
Identify your business
1
4
Business name
_____________________________________
Illinois account ID number
___ ___ ___ ___ - ___ ___ ___ ___
2
5
Business address _____________________________________
Write the purchase year that you are amending
___ ___ ___ ___
Year
Street address
6
____________________________________________________
If you are a graphic artist, check this box.
City
State
ZIP
3
( ______ ) _______________________
Business phone number
Step 2: Identify the purchases for which MPC was used
(Do not round your figures.)
This report will replace your original filing. For each line below, report all figures as they should have been filed.
A
B
C
D
Month of
Taxable purchase price
Taxable purchase price
Total taxable
Amount of
production-related
of items purchased
of items purchased
purchase price
credit used
purchase
in Illinois
out of state
(Must not exceed 6.25%
of Column C)
1
January
$ _____________________ $ _____________________ $ _____________________ $ ___________________
2
February
$ _____________________ $ _____________________ $ _____________________ $ ___________________
3
March
$ _____________________ $ _____________________ $ _____________________ $ ___________________
4
April
$ _____________________ $ _____________________ $ _____________________ $ ___________________
5
May
$ _____________________ $ _____________________ $ _____________________ $ ___________________
6
June
$ _____________________ $ _____________________ $ _____________________ $ ___________________
7
July
$ _____________________ $ _____________________ $ _____________________ $ ___________________
8
August
$ _____________________ $ _____________________ $ _____________________ $ ___________________
9
September
$ _____________________ $ _____________________ $ _____________________ $ ___________________
10
October
$ _____________________ $ _____________________ $ _____________________ $ ___________________
11
November
$ _____________________ $ _____________________ $ _____________________ $ ___________________
12
December
$ _____________________ $ _____________________ $ _____________________ $ ___________________
Totals
$
$
_____________________
___________________
(Column C)
(Column D)
Step 3: Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Taxpayer’s signature
Daytime phone number
Date
__ __ /__ __ / __ __ __ __
______________________________________________________________(____)________________
Preparer’s signature
Preparer’s name (Please print.)
Daytime phone number
Date
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.
ST-17-X (R-09/14)
Reset
Print
General Information
Who must file Form ST-17-X?
Where can I get help?
You must file Form ST-17-X if you need to increase or decrease the
Visit our website at tax.illinois.gov or call weekdays between 8 a.m.
and 5 p.m. at 1 800 732-8866 or 217 782-3336. Call 1 800 544-5304,
amount of credit that you previously reported used on Form ST-17,
Annual Report of Manufacturer’s Purchase Credit Used.
our TDD (telecommunications device for the deaf).
Note: After August 30, 2014, you can no longer earn Manufacturer’s
How do I get forms?
Purchase Credit on purchases of tax-exempt manufacturing or
graphic arts machinery and equipment. MPC earned in 2014 must be
If you need additional forms, visit our website at tax.illinois.gov.
used no later than December 31, 2016.
What is the deadline date for filing an amended
report?
The deadline date for filing an amended report is the last day of
the second calendar year following the year in which you made
the purchase of production-related tangible personal property. For
example, if you made a purchase July 20, 2013, and you forgot to
report this purchase by June 30, 2014, you have until December 31,
2015, to file an amended report. However, you should note that the
expiration date of any credit earned is not extended because of the
filing of an amended report. Therefore, it is possible that you may
attempt to use credit that has expired. All Manufacturer’s Purchase
Credit expires the last day of the second calendar year following the
year in which you made the purchase regardless of whether or not an
amended report is filed.
Specific Instructions
You must complete all three of the following steps.
Column B -
Write the taxable purchase price of all
production-related tangible personal property you purchased from
Step 1: Identify your business
out-of-state suppliers on which you used Manufacturer’s Purchase
Credit.
Lines 1, 2, and 3 -
Write your business name, address, and
Column C -
Add the amounts from Columns A and B.
telephone number.
Column D -
Line 4 -
Write the amount of credit you used. This amount must
Write your Illinois account ID number.
not exceed 6.25 percent of the taxable purchase price in Column C.
Line 5 -
Write the year for which you are filing this amended report.
Totals - Add Lines 1 through 12 in Column C, and write the result
Line 6 -
If you are a graphic artist, check the box. If you qualify as a
on the total line. Add Lines 1 through 12 in Column D, and write the
manufacturer and graphic artist, do not check the box.
result on the total line.
Step 2: Identify the purchases for which MPC
Step 3: Sign below
was used
(Do not round your figures.)
Sign your name, and write your telephone number and the date on
the lines provided. If this form is completed by a paid tax preparer,
Write the corrected figures for all lines. If there is no change, write
the preparer must also sign the appropriate line and complete the
the figures from your original filing (or your last amended filing). If you
requested information. Mail this form to:
have an amount that you are reducing to zero, write “0” on the line.
SALES TAX PROCESSING DIVISION
Complete Columns A, B, C, and D for each month listed. If you did not
ILLINOIS DEPARTMENT OF REVENUE
use credit, write “0” on the line.
PO BOX 19034
SPRINGFIELD IL 62794-9034
Column A -
Write the taxable purchase price of all
production-related tangible personal property you purchased from
Illinois suppliers on which you used Manufacturer’s Purchase Credit.
ST-17-X (R-09/14)

Download Form 164 Form St-17-x - Amended Annual Report of Manufacturer's Purchase Credit Used - Illinois

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