Form Cbs-1 - Notice Of Sale, Purchase, Or Transfer Of Business Assets Page 2

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Step 5: List any additional persons to whom we must send a copy of the bulk sales
correspondence
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____________________________________________________
____________________________________________________
Name
Name
____________________________________________________
____________________________________________________
Home or mailing address
Home or mailing address
____________________________________________________
____________________________________________________
City
State
ZIP
City
State
ZIP
(
)
(
)
(
)
(
)
____________________________________________________
____________________________________________________
Daytime phone number
FAX number
Daytime phone number
FAX number
25
27
____________________________________________________
____________________________________________________
Name
Name
____________________________________________________
____________________________________________________
Home or mailing address
Home or mailing address
____________________________________________________
____________________________________________________
City
State
ZIP
City
State
ZIP
(
)
(
)
(
)
(
)
____________________________________________________
____________________________________________________
Daytime phone number
FAX number
Daytime phone number
FAX number
Step 6: Identify yourself
(the person submitting the form)
28
30
(
)
(
)
____________________________________________________
_________________________ _________________________
Your name
Daytime phone number
FAX number
29
____________________________________________________
Your mailing address
____________________________________________________
City
State
ZIP
Step 7: Sign below.
This form must be signed by the person identified in Step 6.
___/___/______
31
______________________________________________________________________________________
Signature
Month Day
Year
Step 8: Mail or fax completed form
Mail or fax your completed Form CBS-1, a copy of the sales contract, and financing agreement to:
217 785-2635
BULK SALES UNIT
Fax number:
ILLINOIS DEPARTMENT OF REVENUE
100 WEST RANDOLPH LEVEL 7-400
CHICAGO IL 60601
Reset
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Form CBS-1 Instructions
General Information
amount of the reasonable value of the property acquired by the
purchaser or transferee.
You (or the purchaser or the transferee) must complete Form
CBS-1 if, outside your usual course of business, you sell or
What if I need additional information?
transfer the major part of the
If you need additional information, you may call our Chicago
• stock of goods that you are in the business of selling,
office weekdays between 8:30 a.m. and 5:00 p.m. at
• furniture or fixtures,
312 814-3063.
• machinery and equipment, or
• real property of your business.
Forms received more than 10 days after the sale date will not
be processed. The purchaser or transferee may be held liable
for any debt incurred by the seller to the department up to the
CBS-1 (R-08/16) back

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