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             Illinois Department of Revenue
 
             ST-17-X            Amended Annual Report of                                                                                                              REV  03    FORM  164
                                Manufacturer’s Purchase Credit Used                                                                                                   E  S  _____/_____/_____
             See instructions on the back.                                                                                                                            NS    CA

Step 1:  Identify your business
1   Business name        _____________________________________      4  Illinois account ID number   ___  ___  ___  ___  -  ___  ___  ___  ___  
                                                                      
2   Business address _____________________________________          5  Write the purchase year that you are amending                                                          ___  ___  ___  ___
                                 Street address                                                                                                                                 Year
     ____________________________________________________           6  If you are a graphic artist, check this box.                                                     
   City                                      State              ZIP   
 3   Business phone number    (______)_______________________

Step 2:   Identify the purchases for which MPC was used (Do not round your figures.)
                     This report will replace your original filing. For each line below, report all figures as they should have been filed.
                                           A                        B                                 C                                                                        D
           Month of             Taxable purchase price          Taxable purchase price   Total taxable                                                                     Amount of 
  production-related             of items purchased               of items purchased     purchase price                                                                    credit used
           purchase             in Illinois                         out of state                                                                                          (Must not exceed 6.25%  
                                                                                                                                                                              of Column C)

 1          January            $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
                               
 2         February            $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
          
 3           March             $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
                         
 4            April            $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
          
 5            May              $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
                        
 6            June             $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
                        
 7            July             $  _____________________  $  _____________________  $  _____________________  $  ___________________
   
 8           August            $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
             
   9      September            $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
         
10         October             $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
           
11        November             $  _____________________  $  _____________________  $  _____________________  $  ___________________ 
          
12        December             $  _____________________  $  _____________________  $  _____________________  $  ___________________

                                                                    Totals             $ _____________________  $___________________ 
                                                                                                      (Column C)                                                            (Column D)

Step 3:  Sign below
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.                                        
______________________________________________________________(____)________________       __ __ /__ __ / __ __ __ __
Taxpayer’s signature                                                             Daytime phone number            Date
______________________________________________________________(____)________________       __ __ /__ __ / __ __ __ __
Preparer’s signature            Preparer’s name (Please print.)                  Daytime phone number            Date

                                This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is filed. Disclosure of this 
ST-17-X (R-09/14)               information is required. Failure to provide information may result in this form not being processed and may result in a penalty. 

                                                       Reset                     Print

                                                General Information
Who must file Form ST-17-X?                                                 Where can I get help?
You must file Form ST-17-X if you need to increase or decrease the          Visit our website at tax.illinois.gov or call weekdays between 8 a.m. 
amount of credit that you previously reported used on Form ST-17,           and 5 p.m. at 1 800 732-8866 or 217 782-3336. Call 1 800 544-5304, 
Annual Report of Manufacturer’s Purchase Credit Used.                       our TDD (telecommunications device for the deaf).

Note: After August 30, 2014, you can no longer earn Manufacturer’s          How do I get forms?
Purchase Credit on purchases of tax-exempt manufacturing or 
graphic arts machinery and equipment. MPC earned in 2014 must be            If you need additional forms, visit our website at tax.illinois.gov.
used no later than December 31, 2016.

What is the deadline date for filing an amended 
report?
The deadline date for filing an amended report is the last day of 
the second calendar year following the year in which you made 
the purchase of production-related tangible personal property. For 
example, if you made a purchase July 20, 2013, and you forgot to 
report this purchase by June 30, 2014, you have until December 31, 
2015, to file an amended report. However, you should note that the 
expiration date of any credit earned is not extended because of the 
filing of an amended report. Therefore, it is possible that you may 
attempt to use credit that has expired. All Manufacturer’s Purchase 
Credit expires the last day of the second calendar year following the 
year in which you made the purchase regardless of whether or not an 
amended report is filed. 

                                                Specific Instructions
You must complete all three of the following steps.                         Column B - Write the taxable purchase price of all 
                                                                            production-related tangible personal property you purchased from 
Step 1:  Identify your business                                             out-of-state suppliers on which you used Manufacturer’s Purchase 
                                                                            Credit.
Lines 1, 2, and 3  - Write your business name, address, and 
telephone number.                                                           Column C - Add the amounts from Columns A and B. 
Line 4 - Write your Illinois account ID number.                             Column D - Write the amount of credit you used. This amount must 
                                                                            not exceed 6.25 percent of the taxable purchase price in Column C.
Line 5 - Write the year for which you are filing this amended report. 
                                                                            Totals - Add Lines 1 through 12 in Column C, and write the result 
Line 6 - If you are a graphic artist, check the box. If you qualify as a    on the total line. Add Lines 1 through 12 in Column D, and write the 
manufacturer and graphic artist, do not check the box.                      result on the total line.

Step 2:  Identify the purchases for which MPC                               Step 3: Sign below
         was used (Do not round your figures.)                              Sign your name, and write your telephone number and the date on 
Write the corrected figures for all lines. If there is no change, write     the lines provided. If this form is completed by a paid tax preparer, 
the figures from your original filing (or your last amended filing). If you the preparer must also sign the appropriate line and complete the 
have an amount that you are reducing to zero, write “0” on the line.        requested information. Mail this form to:
                                                                             
                                                                            SALES TAX PROCESSING DIVISION
Complete Columns A, B, C, and D for each month listed. If you did not       ILLINOIS DEPARTMENT OF REVENUE
use credit, write “0” on the line.                                          PO BOX 19034
Column A - Write the taxable purchase price of all                          SPRINGFIELD IL  62794-9034
production-related tangible personal property you purchased from 
Illinois suppliers on which you used Manufacturer’s Purchase Credit.

ST-17-X (R-09/14)