Schedule Reg-1-R - Responsible Party Information

Download a blank fillable Schedule Reg-1-R - Responsible Party Information in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Schedule Reg-1-R - Responsible Party Information with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Use your 'Mouse' or 'Tab key' to move through the fields.
Illinois Department of Revenue
Schedule REG-1-R
Responsible Party Information
Attach to Form REG-1 or fax to us at 217 785-6013.
Business name: _________________________________________
FEIN: ______ - __________________
Contact for this schedule: __________________________________
SSN:
_________ - ______ - ____________
(Proprietorship only)
Phone: (__ __ __) ___ ___ ___ - ___ ___ ___ ___
Read this information first.
Complete this schedule and attach it to Form REG-1, Illinois Business Registration Application, to identify the person(s) who will be respon-
sible for filing returns and paying taxes due. If you need to identify more, attach a separate sheet using a similar format.
Step 1: Identify the person(s) responsible for filing your business’ returns and paying all tax due
Printed legal name: _______________________________________
SSN:
_________ - ______ - ____________
Legal address: __________________________________________
Phone: (_____) ______ - ___________
Check all for which you are responsible:
Sales and use taxes and fees
Motor fuel and related taxes
All taxes and fees
Motor vehicle renting tax
Excise taxes and fees- Identify tax/fee: _____________________________
Withholding income tax
Other: __________________________________________________________
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 the taxes indicated.
Signature: ______________________________________________
Title: ______________________
Date:___/___/______
If you need to identify another person, complete the following:
Printed legal name: _______________________________________
SSN:
_________ - ______ - ____________
Legal address:__________________________________________
Phone: (_____) ______ - ___________
Check all for which you are responsible:
Sales and use taxes and fees
Motor fuel and related taxes
All taxes and fees
Motor vehicle renting tax
Excise taxes and fees- Identify tax/fee: _____________________________
Withholding income tax
Other: __________________________________________________________
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 the taxes indicated.
Signature: ______________________________________________
Title: ______________________
Date:___/___/______
If you need to identify another person, complete the following:
Printed legal name: _______________________________________
SSN:
_________ - ______ - ____________
Legal address:__________________________________________
Phone: (_____) ______ - ___________
Sales and use taxes and fees
Motor fuel and related taxes
All taxes and fees
Motor vehicle renting tax
Excise taxes and fees- Identify tax/fee: _____________________________
Withholding income tax
Other: __________________________________________________________
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 the taxes indicated.
Signature: ______________________________________________
Title: ______________________
Date:___/___/______
*045501110*
Schedule REG-1-R (R-04/10)
Reset
Print

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Schedule Reg-1-r - Responsible Party Information - 2014 Schedule Reg-1-r - Responsible Party Information - 2014 Financial
Schedule Reg-1-c - Cigarette Products Information Form Schedule Reg-1-c - Cigarette Products Information Form Business
Schedule Reg-1-t (form Reg-1-t) - Telecommunications Tax Location Information Schedule Reg-1-t (form Reg-1-t) - Telecommunications Tax Location Information Financial
Schedule Reg-1-mr - Illinois Cigarette Manufacturer's Representative Attach To Form Reg-1 And Reg-1-c Schedule Reg-1-mr - Illinois Cigarette Manufacturer's Representative Attach To Form Reg-1 And Reg-1-c Financial
Schedule Reg-1-l - Illinois Department Of Revenue-schedule Reg-1-l Form Schedule Reg-1-l - Illinois Department Of Revenue-schedule Reg-1-l Form Legal
Schedule Reg-1-a - Liquor Information Form Schedule Reg-1-a - Liquor Information Form Financial
Schedule Reg-1-o - Owner And Officer Information Form Schedule Reg-1-o - Owner And Officer Information Form Legal
Schedule Reg-1-o - Owner And Officer Information - Illinois Department Of Revenue Schedule Reg-1-o - Owner And Officer Information - Illinois Department Of Revenue Legal
Schedule Reg-1-o - Owner And Officer Information Schedule Reg-1-o - Owner And Officer Information Financial
Schedule Reg-1-mc - Medical Cannabis Cultivation Center And Dispensing Organization Information Schedule Reg-1-mc - Medical Cannabis Cultivation Center And Dispensing Organization Information Financial

Related Categories

Parent category: Financial
Download
Go