Form Reg 3 D PDF Details

Form Reg 3 D is a document that can be used to create and register securities. The form is fairly complex, and professional assistance is generally recommended when filing it. However, with the help of a good securities attorney, the process can be relatively straightforward. In order to complete Form Reg 3 D, you will need to provide detailed information about your company and the securities being offered. By following the instructions carefully and submitting all required information, you can ensure a smooth registration process.

QuestionAnswer
Form NameForm Reg 3 D
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesIL-492-0001, central registration division illinois, IBT, central registration division illinois department of revenue

Form Preview Example

Illinois Department of Revenue

REG-3-DRequest for Signature

Read this information first

Form REG-3-D must be filled out in its entirety to complete your registration or to change information previously provided for a registered business. Signature stamps are not acceptable. You can fax Form REG-3-D to us at 217 785-6013. If you prefer, mail your completed Form REG-3-D to the Central Registration Division, Illinois Department of Revenue, PO Box 19030, Springfield Illinois 62794-9030.

Step 1: Provide your business or organization information

Internet applicants must provide the application code. If you are changing information for a previously registered business, tell us your Illinois Business Tax number (IBT no.).

____________________________________________________________

(_____)_____ - ______________

Name of your business

 

 

Daytime telephone

____________________________________________________________

________-________-________-______

Street address of your business

 

 

Application code (e.g., A999-A999-A999-9999)

____________________________________________________________

___ ___ ___ ___ - ___ ___ ___ ___

City

State

ZIP

Illinois Business Tax number (IBT no.)

Step 2: Sign here

Under penalties of perjury, I certify I have examined all the information provided for my registration or renewal application and, to the best of my knowledge, it is true, correct, and complete.

Signature:_____________________________________________________ Date: ___/___/_______

Printed name: __________________________________________________ Title: ___________________________

Address: ___________________________________________________________________________________________

Step 3: Tell us the person(s) responsible for filing returns and paying taxes and fees due

The tax responsibilities listed below require the person who will be responsible for filing tax returns and paying the tax or fee due to complete the following information and sign. If you need to identify more, attach additional sheets using a similar format.

____________________________________________________________

(_____)_____ - ______________

Name

Daytime telephone

____________________________________________________________

___ ___ ___-___ ___-___ ___ ___ ___

Address

Social Security number (SSN)

Check all tax types for which you are responsible for filing returns and paying the tax or fee due.

___ Withholding Income Tax

___ Sales, Service & Use Taxes

___ Motor Vehicle Renting Tax

___ Hotel

Operators' Tax

___ Motor Fuel Tax

___ Environmental Impact Fee & Underground Storage Tax

Under penalties of perjury, I state that I am personally responsible for filing and paying the taxes and fees listed above.

______________________________________________

____/____/______

Signature

 

Date

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

____________________________________________________________

(_____)_____ - ______________

Name

Daytime telephone

____________________________________________________________

___ ___ ___-___ ___-___ ___ ___ ___

Address

Social Security number (SSN)

Check all tax types for which you are responsible for filing returns and paying the tax or fee due.

___ Withholding Income Tax

___ Sales, Service & Use Taxes

___ Motor Vehicle Renting Tax

___ Hotel

Operators' Tax

___ Motor Fuel Tax

___ Environmental Impact Fee & Underground Storage Tax

Under penalties of perjury, I state that I am personally responsible for filing and paying the taxes and fees listed above.

______________________________________________

____/____/______

Signature

 

Date

This form is authorized by 20 ILCS 687/6-1 et seq.; 35 ILCS 5/1 et seq., 105/1 et seq., 110/1 et seq., 115/1 et seq., 120/1 et seq., 130/1 et seq., 135/1 et seq., 143/10-1 et seq., 145 et seq., 155/1 et seq., 173/5-1 et seq., 505/1 et seq., 510/1 et seq., 615/1/et seq., 620/1 et seq., 625/1 et seq., 630/1 et seq.; 35 ILCS 635/1 et seq., 636/5-1 et seq., 640/2-1 et seq.; 230 ILCS 20/1 et seq., 25/1 et seq., 30/1 et seq.; 235 ILCS 5/1-1 et seq.; 305 ILCS 20/5 et seq.; 415 ILCS 125/301 et seq. Disclosure of this information may be REQUIRED. Failure to provide information could result in this form not being processed and possible penalties. This form has been approved by the Forms Management Center. IL-492-0001

REG-3-D (R-06/04)

How to Edit Form Reg 3 D Online for Free

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Step 2: As you open the file editor, you'll see the document all set to be filled in. Aside from filling in various fields, it's also possible to do many other things with the Document, namely writing your own words, editing the initial text, adding graphics, placing your signature to the document, and a lot more.

This PDF form will need some specific details; to ensure accuracy, take the time to take heed of the tips down below:

1. First, while filling out the REG-3-D, start out with the section that features the subsequent fields:

Step no. 1 for submitting SSN

2. After finishing the previous step, go on to the next stage and enter all required particulars in these blanks - Name, Daytime telephone, Address, Social Security number SSN, Check all tax types for which you, Withholding Income Tax, Motor Vehicle Renting Tax, Motor Fuel Tax, Sales Service Use Taxes, Hotel Operators Tax, Environmental Impact Fee, Under penalties of perjury I state, Signature, Date, and Name.

Motor Fuel Tax, Sales Service Use Taxes, and Check all tax types for which you inside SSN

3. This third section is considered pretty simple, Under penalties of perjury I state, Signature, Date, This form is authorized by ILCS, and REGD R - each one of these empty fields must be filled in here.

Part no. 3 in completing SSN

People frequently make errors while filling out Signature in this part. Be sure you reread everything you type in here.

Step 3: Once you have reread the information provided, simply click "Done" to finalize your document generation. Go for a free trial account at FormsPal and gain immediate access to REG-3-D - which you may then make use of as you want inside your FormsPal cabinet. FormsPal is invested in the personal privacy of all our users; we make sure all personal information processed by our tool is confidential.

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