Illinois Business Registration Application {REG-1} | Pdf Fpdf Doc Docx | Illinois

Illinois Business Registration Application {REG-1}

Illinois/Secretary Of State/Department Of Revenue/
Illinois Business Registration Application {REG-1} | Pdf Fpdf Doc Docx | Illinois

Illinois Business Registration Application Form

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This is a Illinois form that can be used for Department Of Revenue within Secretary Of State.

Last updated: 4/13/2015
Illinois Department of Revenue REG-1 Illinois Business Registration Application Register faster using MyTax Illinois, our online account management program, available on our website at tax.illinois.gov. If you have questions, visit our website or call us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-3707. Step 1: Identify your business or organization 1 Federal employer identification number (FEIN) FEIN: ______ - __________________ Proprietorships must provide the Social Security number (SSN) under which taxes will be filed. SSN: _________ - ______ - ____________ 6 Check the organization type that applies to you: 2 Legal business name: ___________________________________________________ 3 Doing-business-as (DBA), assumed, or trade name, if different from Line 2: ___________________________________________________ Proprietorship ____ Check if owned by a married couple or civil union Partnership Trust or estate Corporation* S Corp (Subchapter S Corporation)* Is your corporation publicly traded? ___ Yes ___ No * If yes, provide the ticker symbol ____________ Governmental unit Not-for-profit organization LLC - Corporation LLC - Partnership LLC - Single member ____ Check if disregarded ___ - ___ ___ ___ ___ - ___ ___ ___ - ___ 4 Primary or legal business address: Street address - No PO Box number City 7 Illinois Secretary of State identification number: Apartment or suite number State ZIP ___________________________________________________ ___________________________________________________ 8 Is your business part of a unitary group? ___ Yes If you have other locations in Illinois from where you do business, complete and attach Schedule REG-1-L. ___ No If "Yes", provide the FEIN of your designated agent (the entity responsible for filing your Illinois income tax return): FEIN: ______ - __________________ 5 Mailing address if different from the address above: In-care-of name 9 Identify a contact person regarding your business. Name: __________________________ Title: _____________ Phone: (______) ______ - ________ Ext.: __________ FAX: (______) ______ - ________ Email address: ______________________________________ ___________________________________________________ ___________________________________________________ Apartment or suite number State ZIP Street address or PO Box number City ___________________________________________________ Step 2: Identify your owners and officers - If you need to identify more, attach Schedule REG-1-O. 10 Identification depends on the organization type you selected in Step 1, Line 6 (proprietorship - owner(s); partnership - general partners; non-publicly traded corporation - president, secretary, and treasurer; publicly traded corporation - chief operating officer and chief financial officer; trust or estate - trustee(s) or executor(s); governmental unit - one contact person; not-for-profit organization - president, secretary, or treasurer; limited liability company - managers and members). For each individual or business required, complete the following information. Individuals: (include Social Security number (SSN)) a ___________________________________ Name _________________ Title d ___________________________________ Name _________________ Title ______________________________________________________ Home address - No PO Box number City State ZIP ______________________________________________________ Home address - No PO Box number City State ZIP ____ / ____ / ________ Date of birth Social Security number Name (______) ______ - ________ Phone ____ / ____ / ________ Date of birth Social Security number (______) ______ - ________ Phone _______ - _____ - _________ Ownership percentage: ______ _______ - _____ - _________ Ownership percentage: ______ Businesses: (include federal employer identification number (FEIN)) b ___________________________________ _________________ Title ______________________________________________________ Home address - No PO Box number City State ZIP a ___________________________________ ____-_____________ Name FEIN ______________________________________________________ Legal address City ____ / ____ / ________ Date of birth Social Security number Name (______) ______ - ________ Phone ______________________________________________________ State ZIP _______ - _____ - _________ Ownership percentage: ______ c (______) ______ - ________ Phone Name Ownership percentage: ______ ___________________________________ _________________ Title b ___________________________________ ____-_____________ FEIN ______________________________________________________ Home address - No PO Box number City State ZIP ______________________________________________________ Legal address City ____ / ____ / ________ Date of birth Social Security number (______) ______ - ________ Phone ______________________________________________________ State ZIP _______ - _____ - _________ Ownership percentage: ______ REG-1 (R-03/15) (______) ______ - ________ Phone Ownership percentage: ______ American LegalNet, Inc. www.FormsWorkFlow.com Step 3: Tell us about your business activities 11 Describe your business activities: ______________________ ____________________________________________ Provide your North American Industry Classification System (NAICS) number: ___________________________________ Refer to the website www.naics.com. Cigarettes and other tobacco products Cigarettes - See Schedule REG-1-C before you check here. Tobacco products - See Schedule REG-1-C before you check here. Cigarette machine operator - See Schedule REG-1-C before you check here. When will (did) these activities begin? ____/____/_____ 12 Will you have Illinois employees? ____ Yes ____ No When will (did) your Illinois payroll begin: ____/____/_____ 13 Does your supplier collect Illinois sales tax for merchandise your business uses or consumes in Illinois? ____ Yes ____ No When will (did) these activities begin? ____/____/_____ Renting or leasing 14 Check all that apply to your type of business. Sales You must complete and attach Schedule REG-1-L to identify all Illinois locations from which you make retail sales. General merchandise: ____ Retail ____ Wholesale Do you estimate your monthly sales tax liability to be over $200? ____ Yes ____ No Sales to Illinois customers from out of state ____ Check here if you have an Illinois presence. Soft drinks (other than fountain soft drinks) in Chicago Vehicle, watercraft, aircraft, or trailers Sales or delivery of tires. Do you always pay th