Schedule Reg-1-A - Liquor Information Form

Download a blank fillable Schedule Reg-1-A - Liquor Information Form in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Schedule Reg-1-A - Liquor Information Form with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Use your 'Mouse' or 'Tab key' to move through the fields.
Illinois Department of Revenue
Schedule REG-1-A
Liquor Information
Attach to Form REG-1.
Business name: ________________________________________
FEIN: ______ - __________________
SSN:
_________ - ______ - ____________
(proprietorship only)
Step 1: Provide the following information
1
2
If you have an Illinois Liquor License(s) issued to you by the
Tell us where you will do business.
Illinois Liquor Control Commission (ILCC) list all below.
Address:
________________________________________
a
Manufacturer
Class: ____
License: ___________
Street address
Apt. or suite no.
Wine manfacturer
Class: ____
License: ___________
________________________________________
b
City
State
ZIP
Distributor
License: ___________
Phone: (_____)_____ - ________
c
Importing distributor
License: ___________
d
Retailer
License: ___________
3
Email address: ______________________________________
e
Special Event retailer (not-for-profit)
License: ___________
4
Web site: __________________________________________
f
Railroad
License: ___________
g
Boat
License: ___________
5
Do you deliver interstate shipments of liquor into Illinois?
h
Non-Beverage User
Class: ____
License : ___________
_____ yes
_____ no
i
Wine-maker’s premises
License: ___________
6
Do you warehouse alcoholic liquor? ___ yes
___ no
j
Airplane
License: ___________
If “yes”, are you compensated for this service? ___ yes ___ no
k
Foreign importer
License: ___________
7
Tell us about your warehouse:
l
Broker
License: ___________
m Non-resident dealer
License: ___________
Address: ___________________________________________
Street address
Apt. or suite no.
n
Brew Pub
License: ___________
o
Auction liquor
License: ___________
______________________________IL________________
City
ZIP
p
Caterer retailer
License: ___________
Phone: (_____)_____ - ________
q
Special use permit
License: ___________
r
Winery shipper
License: ___________
Note: You must complete a separate Schedule REG-1-A for each
warehouse.
Step 2: Complete your bond requirement - liquor distributors, winery shippers and airlines only
You are required to file a bond to complete your registration. Please refer to Form REG-4-B, Financial Responsibility Bond Liquor Gallonage
Tax and Form REG-4-C, Financial Institution Irrevocable Letter of Credit Bond Liquor Gallonage Tax.
*094301110*
REG-1-A (N-04/10)

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Schedule Reg-1-a - Liquor Information Schedule Reg-1-a - Liquor Information Financial
Schedule E-1 - Explanation Of Adjustments Form Schedule E-1 - Explanation Of Adjustments Form Legal
Schedule Reg-1-t (form Reg-1-t) - Telecommunications Tax Location Information Schedule Reg-1-t (form Reg-1-t) - Telecommunications Tax Location Information Financial
Schedule Reg-1-mr - Illinois Cigarette Manufacturer's Representative Attach To Form Reg-1 And Reg-1-c Schedule Reg-1-mr - Illinois Cigarette Manufacturer's Representative Attach To Form Reg-1 And Reg-1-c Financial
Schedule Reg-1-l - Illinois Department Of Revenue-schedule Reg-1-l Form Schedule Reg-1-l - Illinois Department Of Revenue-schedule Reg-1-l Form Legal
Schedule Reg-1-c - Cigarette Products Information Form Schedule Reg-1-c - Cigarette Products Information Form Business
Schedule Reg-1-o - Owner And Officer Information Form Schedule Reg-1-o - Owner And Officer Information Form Legal
Schedule Reg-1-o - Owner And Officer Information - Illinois Department Of Revenue Schedule Reg-1-o - Owner And Officer Information - Illinois Department Of Revenue Legal
Schedule Reg-1-r - Responsible Party Information - 2014 Schedule Reg-1-r - Responsible Party Information - 2014 Financial
Schedule Reg-1-o - Owner And Officer Information Schedule Reg-1-o - Owner And Officer Information Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2