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Illinois Department of Revenue
ST-61
Manufacturing Machinery and Equipment
Exemption - Production-Related Tangible
Personal Property Exemption Certifi cate
Both the supplier and purchaser must keep a copy of this certifi cate.
Do not submit a copy to the department.
Step 1: Identify the supplier
( _______ ) ______________________________________
Name
Phone
_______________________________________________
Address
Account ID
_____________________________________________
____ ____ ____ ____ - ____ ____ ____ ___
Number and street
If you do not have an account ID, w rite your federal employer
_______________________________________________________
identifi cation number (FEIN) or social security number.
City
State
ZIP
______________________________________________________________________
Step 2: Identify the purchaser
( _______ ) ______________________________________
Name
Phone
_______________________________________________
Address
Date of purchase
_____________________________________________
___ ___/___ ___/___ ___ ___ ___
Number and street
Month
Day
Year
________________________________________________
City
State
ZIP
Step 3: Identify the property you are purchasing
Describe purchase
___________________________________________________________________________________________
__________________________________________________________________________________________________
Date of purchase
Purchase Price
___ ___/___ ___/___ ___ ___ ___
_____________________________________
Month
Day
Year
(Do not include tax)
Step 4: Sign below
Under penalties of perjury, I state that I will not fi le an exemption report (Form ST-60) to claim the expanded manufacturing
machinery and equipment exemption for production-related tangible personal property.
I authorize ____________________________________________ to fi le the report to claim the exemption.
Purchaser
Furthermore, I will not fi le a claim for credit against taxes paid to the department on the production-related tangible personal
property identifi ed in Step 3.
______________________________________________________________________________________
__ __/__ __/__ __ __ _
Supplier's signature
Date
You may photocopy this form or you may request additional forms by visiting our web site tax.illinois.gov, writing us, or by
calling our Springfi eld offi ce weekdays between 8 a.m. and 5 p.m. Our address and telephone number are below.
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19044
SPRINGFIELD IL 62794-9044
1 800 732-8866 or 217 782-3336
This form is authorized by the Illinois Retailers' Occupation Tax Act and related tax acts. Disclosure of the information is REQUIRED. Failure to
ST-61 (N-6/08)
provide this information could result in a penalty. This form has been approved by the Form Management Center. IL-492-4560
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