VILLAGE OF MORTON GROVE
PREPARED FOOD AND BEVERAGE SALES TAX

Monthly Remittance Form BKN.FB.2015
Revised 09/15/2017

Finance Department
Village of Morton Grove
6101 Capulina Avenue
Morton Grove, IL 60053


Business Information

10.  Under penalties of perjury and other penalties provided by law, I declare that I have examined this return and to the best of my knowledge and belief it is true, correct and complete. I further declare that the information set forth is taken from the books and records of the business for which this return is filed.



11.  Signature of Taxpayer

16. COMPUTATION OF PREPARED FOOD AND BEVERAGE TAX

17.  Retail Sale of Prepared Food and Beverage includes all food, alcoholic and non-alcoholic beverages, prepared for immediate consumption, which may be consumed either on and/or off the premise. Retail Sale of Prepared Food and Beverage also includes the sale of all packaged liquor, beer, and wine, which is to be consumed off the premises.

$
$
$
$

22.  Late Penalties (penalties will apply after the due date of the return and the payments)

$
$
Number of Months:   Interest Penalty: $
$
$

28.  Mail this completed return and a check or money order for the amount shown on line 27. You must include a copy of the Illinois Department of Revenue for ST-1 for the period indicated on Line 1