Form Pst-1-X - Amended Prepaid Sales Tax Return - Illinois Department Of Revenue Page 2
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1
2Part 4: Correct your financial information
Column A
Column B
Most recent figures filed
Figures as they should
When writing your figures, please round to the nearest whole dollar.
have been filed
Section 1: Report your gallonage information
1
Write the total invoiced gallons of all gasohol and other motor fuel
1
1
you sold, delivered, or transferred.
____________
____________
2
Write the total deductible gallons that you
____________
____________
a
2a
2a
sold to federal or foreign governments or mass transit systems.
____________
____________
b
2b
2b
delivered outside Illinois.
____________
____________
c
2c
2c
sold and distributed tax-free to other licensed distributors and suppliers.
____________
____________
d
2d
2d
sold to the state or other units of local government.
____________
____________
e
2e
2e
sold to schools, churches, or charities.
____________
____________
f
2f
2f
sold to out of state retailers who sell at retail to customers outside of Illinois.
g
sold to other than a retail outlet and delivered to a company-owned
____________
____________
2g
2g
(not leased) retail outlet.
____________
____________
3
3
3
Add Lines 2a through 2g. This amount is your total deductible gallons.
4
Subtract Line 3 from Line 1.
____________
____________
4
4
This amount is your net gallons subject to prepaid sales tax.
____________
____________
a
.)
4a
4a
Gallons of gasohol subject to prepaid sales tax. (See instructions
____________
____________
b
4b
4b
Gallons of other motor fuel subject to prepaid sales tax. (See instructions.)
Section 2: Figure your payment
____________
____________
5
5
5
Multiply the number of gallons on Line 4a by $.03.
____________
____________
6
6
6
Multiply the number of gallons on Line 4b by $.04.
7
Add Lines 5 and 6. This is your total prepaid sales tax due during this
____________
____________
7
7
reporting period.
8
Write the amount of quarter-monthly payments paid on Form PST-3. If you
____________
____________
8
8
do not file quarter-monthly payments, write zero.
____________
____________
9
Write any PST prior overpayment amount that you are using.
9
9
____________
____________
10
10
10
Subtract Lines 8 and 9 from Line 7. This is the net tax due.
Write the PST credit memorandum amount you are using.
11
____________
____________
11
11
You must attach the original PST credit memorandum.
____________
____________
12
12
12
Subtract Line 11 from Line 10. This is the tax due.
13
____________
____________
Penalty (See instructions.)
13
13
14
Interest (See instructions.)
____________
____________
14
14
15
____________
____________
Add Lines 12, 13, and 14. This is the total tax, penalty, and interest due.
15
15
16
____________
Write the total amount you have paid.
16
17
If Line 16 is greater than Line 15, Column B, subtract Line 15, Column B
____________
from Line 16. This is the amount you have overpaid. Sign this return in Part 5.
17
18
If Line 16 is less than Line 15, Column B, subtract Line 16 from Line 15,
Column B. This is the amount you have underpaid. Please pay this amount.
____________
Sign this return in Part 5.
18
Make your check payable to “Illinois Department of Revenue.”
Please write the amount you are paying on the line provided in the “Read this information first” Section on the front of this
return.
Part 5: 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.
Owner, partner, or officer’s signature
Title
Phone
Date
(
)
Paid preparer’s signature
Title
Phone
Date
Mail to:
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19034
SPRINGFIELD IL 62794-9034
PST-1-X back (N-7/98)
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