Fillable Form Reg-1 - Illinois Business Registration Application (Page 2 of 2) in pdf

Step 3: Tell us about your business activities

Describe your business activities: _________________________

Renting or leasing:

______________________________________________

____ Hotel

___________________________________________________

____ Vehicles. Check the terms of your agreements (both

may apply):

Will you have employees? ____ Yes

____ No

____ Longer than 12 months

____ 12 months or less

Tell us when your Illinois payroll will begin: ____/____/_____

Utilities -

Check your utility and type of sales and services:

Check all that apply to your type of business.

____ Electricity:

____ Retail

____ Resale

____ Natural gas:

____ Retail

____ Resale

Sales:

____ General merchandise: ____ Retail ____ Wholesale

____ Telecommunications:

____ Retail

____ Resale

Do you estimate your monthly sales tax liability to

____ Water or sewer services

be over $200? ____ Yes

____ No

Are you a utility cooperative? ____ Yes

____ No

____ Sales to Illinois customers from out-of-state

Are you a municipality?

____ Yes

____ No



Check here if you have an Illinois presence.

____ Soft drinks in sealed containers

Other:

____ Liquor warehousing - Attach Schedule REG-1-L.

____ Vehicle, watercraft, aircraft, or trailer

____ Sales or delivery of tires . Do you always pay the

____ From vending machines

Tire User Fee to your supplier? ____ Yes

____ No

Tell us how many machines: ________

____ Dry cleaning solvents

____ Liquor at retail (bar, tavern, liquor store, etc.)

____ Coin-operated amusement devices

____ Cigarettes:

____ Retail ____ Wholesale

____ Purchase electricity for non-residential use and want

____ Tobacco products:

____ Retail ____ Wholesale

to pay the tax to IDOR.

____ Motor fuel/fuel:

____ Retail ____ Wholesale

____ Purchase natural gas from out-of-state for my own

use and want to pay the tax to IDOR. Identify your

Services:

delivering supplier(s):

Do you transfer items as part of your service?

_________________________________________

____ Yes

____ No

____ Not listed. Identify: __________________________

Use:

If you purchase merchandise for your use in Illinois,

When will (did) these activities begin? ____/____/_____

does your supplier collect the Illinois sales tax?

____ Yes

____ No

Step 4: Check any schedule attached (

not all applicants are required to complete schedules)



Schedule REG-1-L

Schedule REG-1-O

Other information

Step 5: Sign below

Under penalties of perjury, I state that I have examined this information and, to the best of my knowledge, it is true, correct, and complete.

I further attest that I will be responsible for filing returns and paying all taxes due unless Schedule REG-1-R, Responsible Party Information,



is attached to this application or forwarded to the department. Check here if you are attaching or forwarding Schedule REG-1-R:

Signature:

___ _______________________________________

Title:________________________________ Date:___/___/______

Printed name:

___ _______________________________________

SSN: ________ - _______ - _____________

Address:

__________________________________________

Telephone: (_____) _______ - ___________

Step 6: Mail your application

Mail your completed application and attachments (if applicable) to us at

CENTRAL REGISTRATION DIVISION

ILLINOIS DEPARTMENT OF REVENUE

PO BOX 19476

SPRINGFIELD IL 62794-9476

This form is authorized by 20 ILCS 687/6 et seq.; 35 ILCS 5/1et seq.,105/1et seq., 110/1et seq., 115/1et seq., 120/1et seq., 130/1et seq., 135/1 et seq., 143/10-1et seq., 155/1 et seq., 415/1 et

seq., 505/1et seq., 510/1et seq., 615/1et seq., 620/1 et seq., 625/1et seq., 630/1et seq., 635/1et seq.; 640/2-1 et seq.; 230 ILCS 20/1 et seq.; 25/1et seq., 30/1et seq.; 235 ILCS 5/1-1 et seq.;

305 ILCS 20/5 et seq., 687/6-1 et seq.; 415 ILCS 125/301et seq.; Disclosure of this information may be REQUIRED. Failure to provide information could result in this form not being processed and

possible penalties. This form has been approved by the Forms Management Center. IL-492-0001

REG-1 (R-11/09)

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