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         Illinois Department of Revenue
 
         ST-17 Annual Report of Manufacturer’s                                                           REV  03    Form  064  Station 266
                       Purchase Credit Used                                                              E  S  _____/_____/_____
 
                                                                                                         NS    CA
 
Step 1:  Identify your business
1   Business name     _____________________________________          4  Illinois account ID number  __  __  __  __  -  __  __  __  __
                                                                        If you do not have an account ID number, check this box                                           and 
                                                                        write your federal employer identification number (FEIN).
2   Business address _____________________________________              __  __  - __  __  __  __  __  __  __
                      Street address
   __________________________________________________ __             5  Write the purchase year: January through December                                            __  __  __   __
   City                                     State   ZIP                 This report is due by June 30 of the following year.                                             Year
 3 Business phone number (______)________________________                

Step 2:   Identify the production-related purchases for which MPC was used 
                (Do not round your figures.)
                                     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 (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
When do I complete this report?                                     What is not considered “production-related 
You must complete this report if you have used Manufacturer’s       tangible personal property”? 
Purchase Credit (MPC) to satisfy state use or service use tax       “Production-related tangible personal property” does not include
liability on purchases of production-related tangible personal 
property made from either Illinois-registered or nonregistered      •  tangible personal property used, within or outside a 
(in-state or out-of-state) suppliers. You must file this report no   manufacturing or graphic arts facility, in sales, purchasing, 
later than June 30 of the year following the calendar year in which  accounting, fiscal management, marketing, personnel 
you used the credit.                                                 recruitment or selection, or landscaping; or
                                                                    •  tangible personal property required to be titled or registered 
Note: After August 30, 2014, you can no longer earn                  with a department, agency, or unit of federal, state, or local 
Manufacturer’s Purchase Credit on purchases of tax-exempt            government. 
manufacturing or graphic arts machinery and equipment. MPC 
earned in 2014 must be used no later than December 31, 2016.        How do I complete this report?
                                                                    Complete each line of this report using information you have 
What is “production-related tangible personal                       retained in your records. If you do not complete and file 
property”?                                                          this report timely, you may lose your credit, and you may 
The term “production-related tangible personal property” refers     be subject to penalty and interest. Do not submit invoices, 
to items used or consumed by the purchaser in a facility in which   certifications, or Form ST-16-C.
the manufacturing process or graphic arts production takes place.   Where can I get help?
The term includes                                                   You may get help by visiting our website at tax.illinois.gov or 
•  tangible personal property purchased for incorporation into      calling weekdays between 8 a.m. and 5 p.m. at 1 800 732-8866 or 
 real estate within a manufacturing or graphic arts facility;       217 782-3336. Call 1 800 544-5304, our TDD (telecommunications 
•  tangible personal property used or consumed in activities such   device for the deaf).
 as preproduction material-handling, receiving, quality control, 
 inventory control, storage, staging, and packaging for shipping 
 and transportation purposes; and
•  tangible personal property used or consumed by the purchaser 
 for research and development.

                                      Specific Instructions
Step 1: Identify your business                                      Column B - Write the taxable purchase price of all 
Lines 1, 2, and 3 - Write your business name, address, and          production-related tangible personal property you purchased 
telephone number.                                                   from out-of-state suppliers on which you used Manufacturer’s 
                                                                    Purchase Credit.
Line 4 - Write your Illinois account ID number. If you do not have 
an account ID number, check the box and write your FEIN in the      Column C - Add the amounts from Columns A and B. 
space provided.                                                     Column D - Write the amount of credit you used. This amount 
Line 5 - Write the year during which you made production-related    must not exceed 6.25 percent of the taxable purchase price in 
purchases. This report is due by June 30 of the year following      Column C.
the calendar year in which you used Manufacturer’s Purchase         Totals - Add Lines 1 through 12 in Column C, and write the result 
Credit. For example, the report for purchase year 2014 is due       on the total line. Add Lines 1 through 12 in Column D, and write 
June 30, 2015.                                                      the 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 the lines provided. If this form is completed by a paid tax 
If you do not complete each column for each applicable line, we 
                                                                    preparer, the preparer must also sign the appropriate line and 
will reduce or deny your credit. 
                                                                    complete the requested information. Mail this form to:
In addition, do not report any MPC that you have authorized for      
use in an audit.                                                            SALES TAX PROCESSING DIVISION
Complete the requested information for each month. If you did not           ILLINOIS DEPARTMENT OF REVENUE
use credit, write “0” on the line.                                          PO BOX 19034
                                                                            SPRINGFIELD IL  62794-9034
Column A - Write the taxable purchase price of all 
production-related tangible personal property you purchased from 
Illinois suppliers on which you used Manufacturer’s Purchase 
Credit.

ST-17 (R-09/14)