Form Reg-1 - Illinois Business Registration Application Page 2

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Step 4: Describe your business type or activity
1
Describe your business and provide the percentage of each activity used in your description.
______% _____________________________________________________________________________________________
______% _____________________________________________________________________________________________
2
Check all that apply to your type of business:
Withholding
(employees, dividends, or certain winnings) - You pay wages, taxable dividends, or wagering transactions in
Illinois
;
or, you pay wages to Illinois residents under your state’s income tax reciprocity agreement with Illinois.
Sales -
You sell merchandise. Are all of your sales for resale or otherwise exempt from sales tax?
yes
no
Check any that apply to your type of retail sales (if applicable).
Vehicles, trailers, mobile homes, watercraft, aircraft
Items sold from vending machines.
Tires
How many machines will you have? _____________
Beverages (soft drinks) in closed or sealed containers
Solvents sold to dry cleaners
Motor fuel ( e.g., gasoline, gasohol, diesel fuel)
Do your sales include purchase orders accepted outside of Illinois and items shipped directly into Illinois?
yes
no
If “yes,” check the best description of your business.
Located in Illinois, including but not limited to an office or agent.
No location in Illinois but will voluntarily collect sales tax on receipts from sales into Illinois.
Use -
You buy items for use in Illinois on which you do not pay the Illinois sales tax to your supplier. This includes items from
your inventory bought tax-free for your own use.
Services -
You provide services ( e.g., repairs, printing, funeral, consulting, barber) and you are not a public utility.
Do you transfer or sell items ( e.g., parts, paper, chemicals, shampoo) with your service?
yes
no
Motor vehicle renting -
You are in the business of renting motor vehicles ( i.e., automobiles, motorcycles, certain vans/
recreational vehicles) for one year or less.
Water or sewer utility services -
You provide water or sewer utility service in Illinois.
Hotel/motel operators -
You rent, lease, or let rooms to the public for living quarters for periods of less than 30 days.
Liquor warehousing (not liquor sales) -
You warehouse or deliver alcoholic liquors for compensation.
Methane gas landfills -
You are a Qualified Solid Waste Energy Facility (QSWEF).
Below are tax responsibilities that may require additional information. We will contact you for this information. If you
check any of the boxes below, please check the “Additional Requirements” box in Step 1 on the front of this application.
Natural gas -
You sell natural gas, provide natural gas services to persons in Illinois, or purchase natural gas from outside of
Illinois for your own use (not for resale). Check all that apply.
How do you sell natural gas or natural gas services?
at retail
at resale
Are you a municipal utility?
yes
no
Do you purchase natural gas from outside of Illinois for your own use (not for resale) and want to pay the tax directly to us?
yes
no
Telecommunications -
You provide telecommunications services in Illinois. How do you sell your service?
Retail
Resale
Is the only service you provide a paging or wireless service?
yes
no
Cigarette or tobacco products -
You manufacture, wholesale, or distribute cigarettes or tobacco products.
Check all that apply to your business’ activities.
Cigarette:
Manufacture
Stamp
Distribute
Tobacco products:
Distribute
Retail (purchase from distributors and tax is not or will not be paid)
Motor fuel, aviation fuels and kerosene -
Check the activities which apply to your business.
Distributor - not from retail outlets
Compressed gas sales - highway use only
Bulk storage plants - not at retail outlets
Retail outlet only
Manufacturing
Gas/motor fuel blending
Importing
Exporting
Electricity services -
You deliver electricity to persons in Illinois for their own use.
How do you sell your service?
Retail
Resale
Check any that apply to your type of business:
Electric cooperative
Municipal utility
Self-assessing purchaser of electricity for nonresidential use who elects to pay the Electricity Excise Tax directly to us.
Gaming events -
You operate gaming ( i.e., bingo, charitable games, pull tabs) events or are a premise provider, supplier, or
manufacturer of equipment used during gaming events. Check all that pertains to your organization or business.
organization operating an event
supplier or manufacturer of gaming equipment
premise provider for events
Page 2 of 4
(REG-1 N-1/00)

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