STATUS [ ] For office use only

Transcription

1 CITY OF CHICAGO DEPARTMENT OF REVENUE NONTITLED PERSONAL PROPERTY USE TAX CO CONTRACTOR STATUS [ ] For office use only ACCOUNT NUMBER DUE DATE CHECK IF RETURN IS: Mail Payment and Return to: Amended BEGINNING PERIOD ENDING PERIOD MAILING ADDRESS: Number of Sites: BUSINESS ADDRESS: BUSINESS PHONE: Check the following if deposits were: Estimate Actual (If actual, annualization schedule must be attached) If you have any changes to the account information listed on this return, please contact Client Consultation of the Department of Revenue at (312) 747-IRIS (4747). Do not fill in cents amount, round up to nearest dollar (if 50 cents or more). 1. Gross purchases of nontitled tangible personal property (see instructions). 2. Deductions (line 2l of instructions) Taxable purchases (subtract line 2 from line 1) Applicable tax rate Computed tax (multiply line 3 by line 4) Subtract municipal sales tax if paid (see instructions) Computed tax after allowance for other municipal sales tax... STOP AT LINE 7 IF THIS IS AN AMENDED RETURN 8. a. Annual tax credit (see instructions)... b. Tax due after annual credit (subtract line 8a from line 7) Current year's tax payments... Page

2 REVISION NUMBER 10. Total tax due (subtract line 9 from line 8b). If line 10 is greater than 0, enter the amount owed. If line 10 is less than 0, please skip to line Interest due for late payment (line 11c of instructions) Penalty due for late payment/filing (see instructions) Total tax, interest, and penalty due (add lines 10, 11 and 12) Overpayment. If line 10 is less than 0, enter the amount of overpayment. 15. If you want the amount of the overpayment to be credited to next year's estimated tax, enter a check in the credit box. Otherwise, check the refund box. Credit Refund NOTE: Any amounts overpaid will first be applied to deficiencies outstanding for this tax and to deficiencies for any other City of Chicago tax for which you are registered. Page

3 REVISION NUMBER MARKING INSTRUCTIONS Use a black or blue ink pen only. Do not use pens with ink that soaks through the paper. Print clearly, using all CAPITAL letters. Owner/Officer Statement Under penalty of perjury, I certify that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete. FIRST NAME LAST NAME PHONE NUMBER DATE SIGNATURE (REQUIRED) TITLE Preparer Statement Under penalty of perjury, I certify that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete. FIRST NAME LAST NAME PHONE NUMBER DATE AGENT/PAID PREPARER SIGNATURE (REQUIRED) BUSINESS NAME F.E.I.N. PHONE NOTE: YOU MUST FILL THIS FORM OUT COMPLETELY. IF ANY INFORMATION IS OMITTED, THIS RETURN WILL BE DEEMED INCOMPLETE, AND YOU WILL BE ASSESSED ADDITIONAL PENALTIES. ACCOUNT NUMBER MUST BE ENTERED. For DOR Use Only Postmark Date Receipt Number Page

4 INSTRUCTIONS FOR PREPARING THE NONTITLED PERSONAL PROPERTY USE TAX RETURN CO CONTRACTOR LINE 1. LINE 2. 2a. Enter gross purchase price of nontitled tangible personal property purchased from out-of-chicago retailers for use in Chicago... Enter the total deductions as listed below if applicable: Nontitled personal property purchased by a construction contractor to be affixed to real estate, where the purchase is made in order to complete a contract executed before January 1, 1992, and the contract prohibits the contractor from passing on the cost of the tax... 2b. Food for human consumption, consumed off the premises from which it was sold. NOTE: Alcohol, soft drinks, and food for immediate consumption are not exempt. 2c. Prescription and non prescription medicine and medical appliances for human use. 2d. Rolling stock (See Chapter 3-27, Sections B, C, and F of the Municipal Code of Chicago)... 2e. Tangible personal property purchased outside of Chicago and temporarily stored in Chicago but subsequently used entirely outside Chicago... 2f. 2g. 2h. 2i. Tangible personal property purchased by a nonresident natural individual outside Chicago and used outside Chicago by the individual for at least three months and then brought into Chicago... Tangible personal property used by a business outside Chicago for at least three months and then brought into Chicago by the business as part of relocating in Chicago or opening an office, plant or other facility in Chicago... Building materials and fixtures stored temporarily in Chicago by a combination retailer and construction contractor if the contractor incorporates this specific property into out-of-chicago real estate. NOTE: This exemption will be disallowed unless you attach a list of real estate addresses into which the materials or fixtures have been incorporated during this reporting period... Tangible personal property used in Chicago that is exempt under the Illinois Use Tax Act. NOTE: This exemption will be disallowed unless you attach an itemized listing indicating the specific type of property claimed to be exempt... 2j. Depreciation of tangible personal property, reflecting prior-out-of-chicago use, using the straight line method and property cost recovery life... 2k. Other deductions... 2l. Total deductions (add lines 2a through 2k)... Page

5 LINE 3. LINE 4. Enter purchase subject to tax (subtract line 2l from line 1). Preprinted tax rate. LINE 5. Computed tax (multiply line 3 by line 4). LINE 6. LINE 7. LINE 8. Subtract other municipal sales tax actually paid to an out-of-chicago retailer at the time of purchase, but not to exceed 1% of the purchase price. Include in this line tax paid to out-of-chicago retailers who are voluntary collectors of the Chicago Sales Tax. Computed tax after allowance for other municipal sales tax paid. a. Enter $25 annual tax credit for taxable property purchased. (A taxpayer may not apply unused tax credit for any one taxable year against a tax liability arising in any other taxable year.) b. Enter the tax due after annual credit (subtract line 8a from line 7). LINE 9. Enter the total amount of all the current year's tax payments you have remitted to the department. LINE 10. Total tax due (subtract line 9 from line 8b). If line 10 is greater than 0, enter the amount owed. If line 10 is less than 0, skip to line 14. LINE a. Determine the amount of interest owed based on tax past due. Enter number of days late... 11b. Enter amount from line c. Total amount of interest (11b * [11a / 365]) * 12%... EXAMPLE: If you determine that you owe $100,000 on the due date (August 15) and you file and pay the tax on August 26, then you are 11 days late in making the payment. The calculation of the interest owed is as follows: [$100,000 * (11/365)] * 12% = $ LINE 12. Late Penalties: Compute penalty based on 1 of the 2 requirements listed below: a) If the return is being filed timely, but payment is late, compute 5% of line 10. b) If the return is filed late, compute the greater of 1) 1% of line 8b (up to a maximum of $5,000) or 2) 5% of line 10. The tax return is due on or before the 15th day of the second month following the fiscal year in which taxable receipts are received. LINE 13. LINE 14. Enter the total tax, interest, and penalty due (add lines 10, 11, and 12). Overpayment. If line 10 is less than 0, enter the amount of overpayment. LINE 15. If you want the amount of the overpayment to be credited to next year's estimated tax, enter a check in the credit box. Otherwise, check the refund box. NOTE: Any amounts overpaid will first be applied to deficiencies outstanding for this tax and to deficiencies for any other City of Chicago tax for which you are registered. FOR ADDITIONAL INFORMATION, CALL IRIS (4747) (TTY ). NOTE: YOU MUST COMPLETE ALL INFORMATION ON THIS PAGE FOR THIS RETURN TO BE CONSIDERED COMPLETE. Page

6 Chicago Department of Revenue Annualization Schedule ACCOUNT NUMBER TAX CODE BEGINNING PERIOD ENDING PERIOD Note: Please fill out this form if you meet at least one of the following criteria. 1. You paid or remitted at least $2 million dollars for any given tax type for the preceding annual tax year. 2. Your actual liability for this Annual Return Tax during any three consecutive calendar months of the twelve month period immediately preceding the current Annual Tax Year was greater than 50 percent of your liability for such Annual Return Tax for such entire twelve month period. 3. You are a new business that began after July 1st of the current tax year (an incomplete tax year). 4. You voluntarily elect to pay on an actual basis. 5. You did not remit one or more payment coupons or did not file a return in the twelve-month period immediately preceding the tax year now being filed. Tax Computed Due NOTE: DO NOT ENTER GROSS CHARGE/RECEIPT AMOUNTS. (Before any applicable commission) 1. July August September October November December January February March April May June... Total Tax Computed Due Before Any Applicable Commission. This amount must equal the tax due before commission reported on the tax return. Any difference will be applied to the earliest payment period. Page 1 V