Form Reg-1 - Schedule T - Telecommunications Tax Location Information

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Illinois Department of Revenue
Telecommunications Tax
Schedule REG-1-T
Location Information
Attach to Form REG-1.
Business name: _________________________________________
FEIN: ______ - __________________
Contact for this schedule: __________________________________
SSN:
_________ - ______ - ____________
(Proprietorship only)
Phone: (_____) ______ - _______________
Read this information first.
Complete Schedule REG-1-T to identify each municipality and county where you provide telecommunications services (this does not include
locations where you only make retail sales of telephones and accessories).To determine the appropriate code, refer to the tax rate finder on
our our web site at tax.illinois.gov. Because some municipalities are located in more than one county and/or have very similar names, be sure
to provide the appropriate code for the location that you are identifying. If you provide service to customers you know are not located within a
municipality, list the appropriate county where they are located. If you need to identify more, attach a separate sheet using a similar format.
Step 1: Identify each municipality where you provide your services
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Municipality: ________________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
Step 2: Identify each county where you provide your services
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
County name:_______________________________________
Code: ___ ___ ___ - ___ ___ ___ __ - ___
*045601110*
REG-1-T (N-04/10)
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