Form Idr-341 - Tax Information Request - Illinois Department Of Revenue

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Illinois Department of Revenue
IDR-341
Tax Information Request
Who should complete this request?
You should complete and return this form if you want to be included on our mailing list to receive information, such as the
Package X , informational bulletins, and special notices.
You can receive this information faster by using our Web site at
Step 1: Complete the following information.
Be sure to include a valid Social Security number (SSN) or federal employer identification number (FEIN). We cannot process
your request without one of these two numbers.
1
Write your SSN or FEIN.
_________________________________________________
FEIN or SSN
2
Write your name and mailing address.
_________________________________________________
Your first name and initial
Your last name
_________________________________________________
Name of your business
_________________________________________________
Street address or post office box
_________________________________________________
City
State
ZIP
3
If available, write the following information.
Phone number:(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
FAX number:
(___ ___ ___) ___ ___ ___ - ___ ___ ___ ___
Email address: _____________________________________
4
Check the type of tax information you want to receive.
sales, service, and use taxes
liquor taxes
automobile renting taxes
income taxes
vehicle taxes
withholding tax
tire user fee
hotel taxes
MPEA taxes
public utilities taxes
Chicago soft drink tax
coin-operated amusement device tax
county motor fuel tax
cigarette and tobacco products taxes
drycleaning solvent tax
bingo/charitable games/pull tab taxes
manufacturer’s purchase credit
telecommunications taxes
motor fuel tax
Circuit Breaker/Pharmaceutical programs
motor fuel use tax (IFTA)
other _______________________________________
Step 2: Complete your Package X order.
If you would like a Package X, Informational Copies of Tax Returns , please complete the following information. You may order
one free Package X “CD” or Package X “booklet”. Additional CDs and booklets can be purchased at a cost.
5
Check the appropriate box to receive one free Package X .
Free Package X CD
or
Free Package X booklet
0.00
6
Check this box if you would like to order additional Package X CDs.
How many? _____ X $3 = $ ________
0.00
7
Check this box if you would like to order additional Package X booklets.
How many? _____ X $7 = $ ________
0.00
8
Add the amounts on Lines 6 and 7. Make your check payable to “Illinois Department of Revenue.”
Total
$ ________
Step 3: Send this request with the amount you owe.
TAXPAYER SERVICE ADMINISTRATION 3-000
PO BOX 19014
SPRINGFIELD IL 62794-9014
Clear Form
Print Form
IDR-341 (R-8/03)

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