Illinois Form REG-1 – Fill Out and Use This PDF

Step 1: Identify your business or organization

1Federal employer identification number (FEIN) FEIN: ______ - __________________

Proprietorships must provide the Social Security number (SSN) under which taxes will be filed.

SSN: _________ - ______ - ____________

2Legal business name:

___________________________________________________

3Doing-business-as (DBA), assumed, or trade name, if different from Line 2:

___________________________________________________

4Primary or legal business address:

___________________________________________________

Street address - No PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

If you have other locations in Illinois from where you do business, complete and attach Schedule REG-1-L.

5Mailing address if different from the address above:

___________________________________________________

In-care-of name

___________________________________________________

Street address or PO Box numberApartment or suite number

___________________________________________________

City

State

ZIP

6Check the organization type that applies to you: q Proprietorship

____ Check if owned by a married couple or civil union

q Partnership	q Trust or estate
q Corporation*	q S Corp (Subchapter S Corporation)*
*Is your corporation publicly traded? ___ Yes		___ No

If yes, provide the ticker symbol ____________

qGovernmental unit q Not-for-profit organization

q LLC - Corporation

q LLC - Partnership

qLLC - S Corporation q LLC - Single member

____ Check if your organization type is disregarded

7Illinois Secretary of State identification number:

___ - ___ ___ ___ ___ - ___ ___ ___ - ___

8 Is your business part of a unitary group? ___ Yes ___ No If “Yes”, provide the FEIN of your designated agent (the entity responsible for filing your Illinois income tax return):

FEIN: ______ - __________________

9Identify a contact person regarding your business.

Name: __________________________ Title: _____________

Phone: (______) ______ - ________ Ext.: __________

FAX: (______) ______ - ________

Email address: ______________________________________

_______ - _____ - _________ Ownership percentage: ______

Social Security number

b	___________________________________		_________________
	Name		Title
	______________________________________________________
	Home address - No PO Box number	City	State	ZIP
	____ / ____ / ________	(______) ______ - ________
	Date of birth	Phone
	_______ - _____ - _________ Ownership percentage: ______
	Social Security number
c	___________________________________		_________________
	Name		Title
	______________________________________________________
	Home address - No PO Box number	City	State	ZIP
	____ / ____ / ________	(______) ______ - ________
	Date of birth	Phone

_______ - _____ - _________ Ownership percentage: ______

_______ - _____ - _________ Ownership percentage: ______

Social Security number

Businesses: (include federal employer identification number (FEIN))

a	___________________________________ ____-_____________
	Name	FEIN
	______________________________________________________
	Legal address
	______________________________________________________
	City	State	ZIP
	(______) ______ - ________	Ownership percentage: ______
	Phone
b	___________________________________ ____-_____________
	Name	FEIN
	______________________________________________________
	Legal address
	______________________________________________________
	City	State	ZIP
	(______) ______ - ________	Ownership percentage: ______

Social Security number REG-1 (R-01/22)

Phone

*74501221W*

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

12 Will you have Illinois employees? ____ Yes ____ No

If yes, complete and attach Schedule REG-UI-1.

When was (is) the date of your first payroll in Illinois?

____/____/_____

13 Check all that apply to your type of business.

Sales and Use Tax

When will (did) these activities begin? ____/____/_____

You must complete and attach Schedule REG-1-L to identify all Illinois locations from which you must collect the local sales tax rate.

q General merchandise: ____ Retail ____ Wholesale

Note: Refer to the Leveling the Playing Field Resource Page for guidance on registering for Retailers’ Occupation Tax.

Do you estimate your monthly sales and use tax liability will be over $200? ____ Yes ____ No

qSales to Illinois customers from out of state

____ Check if you have an Illinois presence, including, but

not limited to having an office or other facility in Illinois or having employees or other representatives operating in Illinois.

____ Check if you have inventory in Illinois or if your Illinois

presence is due to inventory within the state. Attach Schedule REG-1-L.

____ Check if you make $100,000 or more in annual sales from

your own sales to Illinois purchasers.

____ Check if you make 200 or more separate transactions

annually from your own sales to Illinois purchasers. Are you registering as an out of state remote retailer?

____ Yes ____ No

When will (did) these activities begin? ____/____/_____

qCheck if you are a marketplace facilitator-Attach Schedule REG-1-MKP.

qSoft drinks (other than fountain soft drinks) in Chicago

qVehicle, watercraft, aircraft, or trailers

qSales or delivery of tires. Do you always pay the Tire User Fee to

your supplier? ____ Yes ____ No

qSales from vending machines. How many vending machines? ____

qLiquor at retail (bar, tavern, liquor store, etc.)

qMotor fuel/fuel: ____ Retail ____ Wholesale - Attach Form REG-8-A

____ Check here if you are required to collect prepaid sales tax.

qSales of Motor Fuel in a county that imposes County Motor Fuel Tax

qSales of Motor Fuel in a municipality that imposes Municipal Motor Fuel Tax

q Aviation fuel: ____ Retail ____ Wholesale

(if wholesale, attach Form REG-8-A)

qMedical cannabis - Attach Schedule REG-1-MC.

____ Cultivation Center ____ Dispensing Organization

When will (did) these activities begin? ____/____/_____

Services

Do you transfer items, on which tax must be collected, as part of your service? ____ Yes ____ No

When will (did) this activity begin? ____/____/_____

Purchaser (Self-assessed Use Tax)

Does your supplier collect Illinois Sales Tax for merchandise your

business uses or consumes in Illinois? ____ Yes ____ No

Does your supplier collect Illinois Sales Tax on sales of aviation fuel your business uses or consumes in Illinois? ____ Yes ____ No

When will (did) these activities begin? ____/____/_____

Cigarettes and other tobacco products

qCigarettes - See Schedule REG-1-C before you check here.

qTobacco products - See Schedule REG-1-C before you check here.

qCigarette machine operator - See Schedule REG-1-C before you check here.

When will (did) these activities begin? ____/____/_____

Renting or leasing

qHotel rooms for less than 30 days - Attach Schedule REG-1-L.

Do you charge for telecommunication services?____ Yes ____ No

qVehicles for one year or less - Attach Schedule REG-1-L.

qVehicles for more than one year

When will (did) these activities begin? ____/____/_____

Utility Service Providers

q Electricity: ____ Retail	____ Wholesale
q Natural gas: ____ Retail	____ Wholesale

qTelecommunications - See Schedule REG-1-T.

____ Retail ____ Wholesale

qWater or sewer services

Do you choose to voluntarily collect the Water and Sewer Assistance

Charge for:	____ Water	____ Sewer
Are you a utility cooperative?		____ Yes ____ No

Are you a municipality? ____ Yes ____ No

When will (did) these activities begin? ____/____/_____

All other tax types

qLiquor warehousing - Attach Schedule REG-1-A.

q Dry cleaning: ____ Facility ____ Solvent supplier

qOwn/operate coin-operated amusement devices

qYou wish to purchase electricity for non-residential use and pay the tax to IDOR - Attach Schedule REG-1-D.

qYou wish to purchase natural gas from outside of Illinois for your own use and pay the tax to IDOR - Attach Schedule REG-1-G.

qNot listed. Identify: _________________________________

When will (did) these activities begin? ____/____/_____

Mail your completed form, with any required	CENTRAL REGISTRATION DIVISION
attachments and payment to:	ILLINOIS DEPARTMENT OF REVENUE
	PO BOX 19030
	SPRINGFIELD IL 62794-9030

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 and may result in a penalty. Printed by the authority of the state of Illinois REG-1 (R-01/22) - Web only - One copy

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*74501222W*