LEGAL NAME: BUSINESS NAME:
REPORTING PERIOD: FEIN:
ILLINOIS SALES TAX #:
SECTION 1 - Please complete #1 through #6 if payment is made by the 1st of the month
1. Gross Sales (Should agree with IL ST-1, Line 3)
2. Deductions of Sales Not Subject to Tax (T-shirts, etc.)
3. Taxable Sales (Line 1 minus Line 2)
4. Amount of Tax (Multiply Line 3 by 1% (.01))
5. Commission if Paid on Time by the 1st of the following month (Multiply line 4 by 1% (.01))
6. Total Payment Due (Line 4 minus Line 5) $
SECTION 2 - Please complete #7 through #14 if payment is made after the 1st of the month
7. Gross Sales (Should agree with IL ST-1, Line 3)
8. Deductions of Sales Not Subject to Tax (T-shirts, etc.)
9. Taxable Sales (Line 7 minus Line 8)
10. Amount of Tax (Multiply Line 9 by 1% (.01))
11. Penalty for Late Payment of Tax (2% of Line 10)
12. Number of Months Payment is Late
13.
Total Penalty for Late Payment of Tax (Multiply Line 11 by Line 12)
14.
Total (Tax and Penalty Payment Due (The total of lines 10 and 13)
$
Signature: Phone Number:
Printed Name Date:
Title:
Please make checks payable to the "Village of Wheeling"
PLACES FOR EATING TAX RETURN FILING
2 Community Blvd., Wheeling, IL 60090 (847) 459-2600
Under penalties as provided by law, I declare, to the best of my knowledge and belief, the information on this return is true, correct and complete
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