Form Pst-1 - Prepaid Sales Tax Return
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Illinois Department of Revenue
PST-1
E(03)
S(04)
_ _/ _ _/ _ _ _ _
_ _/ _ _/ _ _ _ _
Prepaid Sales Tax Return
NS YY RC CA _____ _____
IBT no.: __ __ __ __ __ __ __ __
This form is for: _________________________
Do not write above this line.
Due by: ________________________________
Name: _____________________________________________________________________
Address: ___________________________________________________________________
___________________________________________________________________
___________________________________________________________________
Section 1: Report your gallonage information
1
Total invoiced gallons of all gasohol and other motor fuel sold, delivered, or transferred
(05) ______________________
2
Report in gallons your nontaxable sales
a Gallons sold to federal or foreign government and mass transit systems
(10) ______________________
b Gallons delivered outside Illinois
(15) ______________________
c Gallons sold and distributed tax free to other licensed distributors or suppliers
(20) ______________________
d Gallons sold to the state or units of local government
(25) ______________________
e Gallons sold to schools, churches, or charities
(30) ______________________
f Gallons sold to out-of-state retailers selling at retail to customers outside Illinois
(40) ______________________
g Gallons of exempt motor fuel ( i.e. , majority-blended ethanol, 100 percent biodiesel, and biodiesel
blends that are more than 10 percent but not more than 99 percent biodiesel)
(43) ______________________
h Gallons sold to other than a retail outlet and deliveries made to your company-owned
(not leased) retail outlet. (Do not include gallonage written on Lines 2a through 2g.)
(45) ______________________
3
Add Lines 2a through 2h. This amount is your total deduction.
(50) ______________________
4
Subtract Line 3 from Line 1. This amount is your net gallons subject to prepaid sales tax.
(55) ______________________
a Gallons of gasohol subject to prepaid sales tax.
This is the total of Lines 8a of your attached PST-2 forms.
(90) ______________________
b Gallons of all other motor fuels subject to prepaid sales tax.
This is the total of Lines 9a of your attached PST-2 forms.
(91) ______________________
Section 2: Figure your payment
.
5
Multiply the number of gallons on Line 4a by $0.05.
(92) $______________
______
.
6
Multiply the number of gallons on Line 4b by $0.06.
(93) $______________
______
.
7
Add Lines 5 and 6. This is your total prepaid sales tax due during this reporting period.
(56) $______________
______
8
Write the amount of quarter-monthly payments paid on Form PST-3. If you are not filing
.
on a quarter-monthly basis, write zero.
(61) $______________
______
.
9
Prior overpayment credit
(85) $______________
______
.
10
Subtract the sum of Lines 8 and 9 from Line 7. This is the net tax due.
(62) $______________
______
.
11
Credit memorandum (PST only). You must attach the original PST credit memorandum .
(76) $______________
______
.
12
Subtract Line 11 from Line 10. This is the total payment due.
(77) $______________
______
13
Write the number of PST-2 forms you have attached.
(80) ______________________
Make your check payable to the “Illinois Department of Revenue.”
Section 3: Sign Below
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.
_____________________________________________________________________ _ _/ _ _/ _ _ _ _ __________________
Taxpayer’s signature
Title
Date
Phone no.
_____________________________________________________________________ _ _/ _ _/ _ _ _ _ __________________
Preparer’s signature
Name of firm
Date
Phone no.
This form is authorized by the Retailers’ Occupation Tax Act and related tax acts. Disclosure of this information is REQUIRED.
Failure to provide information could result in penalty. This form has been approved by the Forms Management Center. IL-492-1334
PST-1 front (R-6/03)
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