Illinois Department of Revenue
ITR-1 Request for Tax Clearance
Read this information first
ž Form ITR-1 will not be processed until all returns are filed and balances paid (including penalty and interest, if applicable).
• Allow at least 10 business days for processing of Form ITR-1.
• If you are selling or have sold your business assets, do not complete Form ITR-1, Request for Tax Clearance. You must complete
Form CBS-1, Notice of Sale or Purchase of Business Assets.
• If you need assistance in completing Form ITR-1, you can contact us at 1 800 732-8866 or at the address listed below.
Step 1: Identify yourself or your business
Date business started in Illinois :_____/_____/_____
Doing business as (DBA):______________________________________
Do you make retail sales in Illinois?
Street address: ______________________________________________
Do you maintain an office in Illinois?
City, state, ZIP: ______________________________________________
Do you have employees in Illinois?
Telephone (include area code): (______)______-__________
If this tax clearance is to be sent to a third party, provide the
Federal Employer Identification number (FEIN): __ __-__ __ __ __ __ __ __
Illinois Business Tax number (IBT no.): __ __ __ __-__ __ __ __
In-care-of name: ________________________________
Social Security number: ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Number and street or post office box
Excise Tax License number:_______________________________
City, state, ZIP:__________________________________
Step 2:Check the taxes for which you are requesting tax clearance
Business income tax
Retailer’s occupation tax (including sales and use taxes)
Withholding income tax
Individual income tax
Automobile renting tax
Excise tax. Specify tax type(s):_______________________________
Step 3:Check the reason you are requesting tax clearance
Real estate transaction
Required by a state other than Illinois
Other. Please explain:_________________________________________________________________________________________
Step 4: Sign below
An owner or officer of the business requesting the tax clearance must complete this step. Signature stamps are not acceptable.
Note: If you have been appointed as power of attorney for the taxpayer requesting this tax clearance, you must attach a copy of your power of
attorney that specifically states your authorization in tax related situations. See Form IL-2848, Power of Attorney.
Title (i.e., president, owner, partner, individual)
Step 5: Send your request
ILLINOIS DEPARTMENT OF REVENUE
Fax: 217 782-4217
TAXPAYER ASSISTANCE DIVISION (3-253)
PO BOX 19001
SPRINGFIELD IL 62794-9001
Official Use Only
This is your approved tax clearance approved for the taxes identified in Step 2, boxes _________________________________, per your
request. Note: This tax clearance does not preclude assessment for any liability for pending, current, or future taxes or liabilities that may be
established by present or future audits conducted by the department.
Clerk ID: ____________
Signature: ________________________ _____/_____/_____
This form is authorized as outlined by the Retailers’ Occupation Tax Act and Income Tax Act. Disclosure of this information is REQUIRED. Failure to
provide information could result in the denial of your request. This form has been approved by the Forms Management Center.