Form Reg-1 - Illinois Business Registration Application Form
Download a blank fillable Form Reg-1 - Illinois Business Registration Application 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 Form Reg-1 - Illinois Business Registration Application 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
1
2Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
Illinois Department of Revenue
REG-1
Illinois Business Registration Application
Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have
questions, visit our website or call us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-3707.
Step 1: Identify your business or organization
1
6
Federal employer identification number (FEIN)
Check the organization type that applies to you:
Proprietorship
FEIN: ______ - __________________
____ Check if owned by a married couple or civil union
Proprietorships must provide the Social Security number (SSN)
under which taxes will be filed.
Partnership
Trust or estate
*
*
SSN: _________ - ______ - ____________
Corporation
S Corp (Subchapter S Corporation)
*
Is your corporation publicly traded? ___ Yes
___ No
2
Legal business name:
If yes, provide the ticker symbol ____________
___________________________________________________
Governmental unit
Not-for-profit organization
3
Doing-business-as (DBA), assumed, or trade name, if different
LLC - Corporation
LLC - Partnership
from Line 2:
LLC - Single member
___________________________________________________
____ Check if disregarded
4
Primary or legal business address:
7
Illinois Secretary of State identification number:
___ - ___ ___ ___ ___ - ___ ___ ___ - ___
___________________________________________________
Street address - No PO Box number
Apartment or suite number
8
Is your business part of a unitary group?
___ Yes
___ No
___________________________________________________
If “Yes”, provide the FEIN of your designated agent (the entity
City
State
ZIP
responsible for filing your Illinois income tax return):
If you have other locations in Illinois from where you do
business, complete and attach Schedule REG-1-L.
FEIN: ______ - __________________
5
9
Mailing address if different from the address above:
Identify a contact person regarding your business.
Name: __________________________ Title: _____________
___________________________________________________
In-care-of name
Phone: (______) ______ - ________ Ext.: __________
___________________________________________________
FAX:
(______) ______ - ________
Street address or PO Box number
Apartment or suite number
___________________________________________________
Email address: ______________________________________
City
State
ZIP
Step 2: Identify your owners and officers
- If you need to identify more, attach Schedule REG-1-O.
10
Identification depends on the organization type you selected in Step 1, Line 6 (proprietorship - owner(s); partnership - general partners;
non-publicly traded corporation - president, secretary, and treasurer; publicly traded corporation - chief operating officer and chief financial
officer; trust or estate - trustee(s) or executor(s); governmental unit - one contact person; not-for-profit organization - president, secretary, or
treasurer; limited liability company - managers and members). For each individual or business required, complete the following information.
Individuals:
(include Social Security number (SSN))
a
d
___________________________________ _________________
___________________________________ _________________
Name
Title
Name
Title
______________________________________________________
______________________________________________________
Home address - No PO Box number
City
State
ZIP
Home address - No PO Box number
City
State
ZIP
____ / ____ / ________
(______) ______ - ________
____ / ____ / ________
(______) ______ - ________
Date of birth
Phone
Date of birth
Phone
_______ - _____ - _________
______
_______ - _____ - _________
______
Ownership percentage:
Ownership percentage:
Social Security number
Social Security number
Businesses:
b
(include federal employer identification number (FEIN))
___________________________________ _________________
Name
Title
a
___________________________________ ____-_____________
Name
FEIN
______________________________________________________
Home address - No PO Box number
City
State
ZIP
______________________________________________________
Legal address
____ / ____ / ________
(______) ______ - ________
Date of birth
Phone
______________________________________________________
City
State
ZIP
_______ - _____ - _________
______
Ownership percentage:
Social Security number
(______) ______ - ________
______
Ownership percentage:
c
Phone
___________________________________ _________________
b
Name
Title
___________________________________ ____-_____________
Name
FEIN
______________________________________________________
Home address - No PO Box number
City
State
ZIP
______________________________________________________
Legal address
____ / ____ / ________
(______) ______ - ________
______________________________________________________
Date of birth
Phone
City
State
ZIP
_______ - _____ - _________
______
Ownership percentage:
(______) ______ - ________
______
Ownership percentage:
Social Security number
Phone
REG-1 (R-03/15)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Life