Form Rr-80 - Agency Agreement
Download a blank fillable Form Rr-80 - Agency Agreement 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 Form Rr-80 - Agency Agreement 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
1
2Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
ILLINOIS DEPARTMENT OF REVENUE
AGENCY AGREEMENT
Section 1: Terms of agreement
This agreement establishes an understanding between the Illinois Department of Revenue and the undersigned registrant regarding the
collection and reporting of taxes due under the Retailers’ Occupation Tax Act.
• Effective ________________________________, we, as agent for our independent dealers engaged in direct selling activities,
assume full responsibility for collecting, reporting, and paying state and local taxes on the sale of our products by our dealers
located in Illinois. We will remit tax directly to the department in lieu of having each dealer who is buying goods from us and
doing business in the state of Illinois register and remit tax.
•
The tax due is based on the published suggested retail price in effect at the time we accept the order from our dealer.
•
Local taxes are due based on the sales location of our dealer. In the absence of other evidence, the department will presume the
sales location is the dealer’s billing address.
•
On all sales made directly to dealers who give the items away or otherwise use them, the tax shall be based on the selling
price to our dealers, with local taxes based on our sales location.
•
By signing below, we agree to be bound by the terms of this agreement. The department does not agree to and will not be
bound by any changes to this agreement.
Section 2: Registrant/Agent information
1.
Name:________________________________________________________ Email:________________________
(
)
—
2.
Address of registrant (agent):__________________________________________Telephone: _______________________
_________________________________________________________________________________________________
City
State
ZIP
3.
If you are registered with us, tell us your account ID:_______________________ FEIN:________________________.
4.
Check the best description of your activity type. If you check “Other”, provide a brief description.
Manufacturer
Distributor
Other. Please describe:__________________________________
5.
Describe the kinds of products you distribute. _________________________________________________________
Section 3: Registrant/Agent signature
6.
Signature of person authorized to sign on behalf of registrant (agent):________________________________________
7.
Title:_____________________________________________________________________________________________
8.
Prepared by:_______________________________________________________________________________________
9.
Date:_______________
Mail your completed agreement to:
Central Registration Division, Illinois Department of Revenue, PO BOX 19030, Springfield IL 62794-9030
Official use only
Approved by : ___________________________________________
Date:_______________
Manager, Central Registration Division
This form is authorized as outlined under the tax or fee Act imposing the tax or
fee for which this form is filed. Disclosure of this information is required. Failure to
provide information may result in this form not being processed.
RR-80 front (R-01/12)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial