Step 2: Identify each changing location
A changing location is one that constantly changes (i.e., door-to-door sales, home party sales).
Changing Location 1:
Changing Location 4:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:______________________ If located within Madison or
County:______________________ If located within Madison or
St. Clair county, tell us your township: _______________________
St. Clair county, tell us your township: _______________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Changing Location 2:
Changing Location 5:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:______________________ If located within Madison or
County:______________________ If located within Madison or
St. Clair county, tell us your township: _______________________
St. Clair county, tell us your township: _______________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Changing Location 3:
Changing Location 6:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:______________________ If located within Madison or
County:______________________ If located within Madison or
St. Clair county, tell us your township: _______________________
St. Clair county, tell us your township: _______________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Step 3: Identify each temporary location
Examples include fairs, festivals, or special events. Seasonal sales (i.e., trade-shows, holiday sales, concession stands) are considered a temporary location.
Temporary Location 1:
Temporary Location 2:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:______________________ If located within Madison or
County:______________________ If located within Madison or
St. Clair county, tell us your township: _______________________
St. Clair county, tell us your township: _______________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Vehicle sales
Sales
Sales
Vehicle sales
Other: ___________________________________________
Other: ___________________________________________
Check if your business activities are seasonal or for a special
Check if your business activities are seasonal or for a special
event. Provide the following dates.
event. Provide the following dates.
Starting: ____/____/_______
Ending: ____/____/_______
Starting: ____/____/_______
Ending: ____/____/_______
*045302110*
Schedule REG-1- L (R-04/10)
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