Form 072 Form Eda-117 - Multiple Location Schedule - Illinois

Form 072 or the "Form Eda-117 - Multiple Location Schedule" is a form issued by the Illinois Department of Revenue.

The form was last revised in June 1, 2011 and is available for digital filing. Download an up-to-date Form 072 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
EDA-117
Multiple Location Schedule
(attach to EDA-98)
Rev 02 Form 072
Account ID: ____ ____ ____ ____ - ____ ____ ____ ____
Audit period you are fi ling the claim on::
___ ___/___ ___/___ ___ ___ ___ through ___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Month
Day
Year
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Completed by________________________________________________ Date_____/_____/_____ Page_____of________
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is fi led. Disclosure of this information is
required. Failure to provide information may result in this form not being processed and may result in a penalty.
EDA-117 (R-06/11)
Reset
Print
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
EDA-117
Multiple Location Schedule
(attach to EDA-98)
Rev 02 Form 072
Account ID: ____ ____ ____ ____ - ____ ____ ____ ____
Audit period you are fi ling the claim on::
___ ___/___ ___/___ ___ ___ ___ through ___ ___/___ ___/___ ___ ___ ___
Month
Day
Year
Month
Day
Year
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Location code:
Tax or fee
Site name:
Address:
Completed by________________________________________________ Date_____/_____/_____ Page_____of________
This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is fi led. Disclosure of this information is
required. Failure to provide information may result in this form not being processed and may result in a penalty.
EDA-117 (R-06/11)
Reset
Print

Download Form 072 Form Eda-117 - Multiple Location Schedule - Illinois

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