Fillable CPP-1 Installment Payment Plan Request (Illinois)

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CPP-1 Installment Payment Plan Request (Illinois)

On average this form takes 17 minutes to complete

The CPP-1 Installment Payment Plan Request (Illinois) form is 1 page long and contains:

  • 0 signatures
  • 2 check-boxes
  • 67 other fields

Country of origin: US
File type: PDF

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This form is authorized as outlined under the tax or fee Act imposing the tax or fee for which this form is led. Disclosure of this
information is REQUIRED. Failure to provide information may result in this form not being processed and may result in a penalty.
Illinois Department of Revenue
CPP-1 Installment Payment Plan Request
Step 1: Identify yourself (and spouse, if applicable)
A ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Your Social Security number
___ ___ ___ - ___ ___ - ___ ___ ___ ___
Your spouse’s Social Security number
__________________________________________________
Your first name and middle initial Last name
_________________________________________________________________
Your spouse’s first name and middle initial Last name
_________________________________________________________________
Street address - No PO Box number Apartment or suite number
_________________________________________________________________
City State ZIP
_________________________________________________________________
Your email address
(_____)______________ (_____)______________
Your home phone number Your work phone number
(_____)______________ (_____)______________
Your mobile phone number Your spouse’s phone number
B If business debt, identify your business or organization
___ ___ - ___ ___ ___ ___ ___ ___ ___
Federal employer identification number (FEIN)
___ ___ ___ ___ - ___ ___ ___ ___
Illinois account ID
Legal business name: ________________________________
Doing-business-as (DBA), assumed, or trade name, if different
from the legal business name on the line above:
__________________________________________________
__________________________________________________
Business mailing address
__________________________________________________
City State ZIP
__________________________________________
Name of person responsible for remitting payments
(_____)______________
Phone number
Step
2: Describe your debt and installment payment plan request
1 Identify the tax periods covered by this agreement. _________ _________ _________ _________ _________
2 Write the amount of your good faith downpayment. See instructions. 2 $_____________
3 Write the remaining amount of debt to be covered by this installment payment plan request. 3 $_____________
4 Write the date of your first installment payment __ __ /__ __ /__ __ __ __ and payment amount. 4 $_____________
5 Check one of the following options to describe how often you will make payments.
One payment per month
One payment per week One payment every other week
Date of month ___ ___ Day of week _______________ Day of week _______________
Step
3: Provide your financial institution and account information
6 ______________________________________________________ Check this box if you do not have a bank account.
Financial institution’s name
____________________________________________________________________________________________________________________
Mailing address City State ZIP
____________________________________________________________________________________________________________________
Name(s) on the account (list all names)
Routing number ___ ___ ___ ___ ___ ___ ___ ___ ___
Checking or
Savings
Find your routing number at the bottom of your check (for checking accounts) or contact your financial institution for the routing number (for savings accounts).
Account number ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Check this box to authorize ACH debit payments from this account.
Step
4: Read the statement and sign below
I agree to, and understand, that (1) the Illinois Department of Revenue (IDOR) is authorized to use the information on this form to make withdrawals
(ACH debits) at the frequency I selected in Line 5 and from the account listed on Line 6 in accordance with the Department of Revenue Law of the Civil
Administrative Code of Illinois and all applicable Illinois tax acts, and that this authorization remains in effect until the debt is paid or I notify IDOR in writing
to cancel; (2) IDOR may request additional information about my financial condition and I may be required to pay a higher amount than the payment plan
described above; (3) IDOR has the discretion to file a lien at any time, including, but not limited to, when IDOR determines there is a risk of non-
payment; (4) IDOR may contact me about this payment plan at any address and phone number listed in Step 1 (this includes electronic communication
by email or text); and (5) if I do not remit the scheduled payment, file all required returns, and pay all taxes when due, IDOR may cancel my installment
payment plan, my entire unpaid balance will become due immediately, and IDOR may take enforcement action, including levy of my bank account or wages.
Under penalties of perjury, I state that I have examined this form and, to the best of my knowledge, it is true, correct, and complete.
______________________________________________________________________ __ __ / __ __ / __ __ __ __
Your signature or authorized officer (if officer, write title) Month, day, year
Department use only
_________________________________ __ / __ __ / __ __ __ __ ______________________________ __ __ / __ __ / __ __ __ __
Approved by assignee Date approved by assignee Approved by supervisor Date approved by supervisor
If your unpaid liability is over $10,000, complete and attach Form EG-13-I or Form EG-13-B. See instructions.
Printed by the authority of the state
of Illinois — Web only, One copy
CPP-1 (R-10/20)
Use your 'Mouse' or 'Tab key' to move through the fields.
Reset
Print
CPP-1 back (R-10/20)
See instructions on next page.
Instructions for Form CPP-1, Installment Payment Plan Request
General Information
Who should file this form?
You should file Form CPP-1,
Installment Payment Plan Request,
if you have tax delinquencies that
you cannot pay in full because of a
financial hardship and you would like
to enter into an installment payment
plan with us.
What is an installment
payment plan?
An installment payment plan is an
agreement between you and the
Illinois Department of Revenue to pay
your tax delinquencies using regularly
scheduled payments. Your scheduled
payment amount and the length of time
that you have to pay is based on your
financial condition.
When is this form due?
There is no specific due date. We
recommend that you file this form when
you receive a bill or notice which you
are unable to pay because of a financial
hardship. Once you receive the bill or
notice, you should complete and return
this form within 10 days.
Note: Even
when you enter into an installment
payment plan, you continue to accrue
interest and applicable penalties and
fees on the delinquent tax you owe.
When will my installment
payment plan request be
approved?
Approval of your request for an
installment payment plan will depend
upon the completeness of the
information you provide on this form.
If additional information is needed to
process your request, we will contact
you.
If our review finds that you
• can pay in full, then we will require
you to do so.
• qualify for an installment payment
plan, we will send you a letter of
approval and the conditions of the
installment payment plan.
How must I make my
installment plan payments?
ACH debit — If you have a checking
or savings account, you may be
required to make your installment
payments using the ACH debit
program. It is the recommended form
of payment for installment payments.
The ACH debit program allows you
to have the installment payments
automatically withdrawn from a
savings or checking account.
Note: If we approve your installment
payment plan request, your plan
approval letter will describe the
requirements for your payments.
How must I make my first
payment or extra payments?
To make your first payment or if you
would like to make payments in
addition to your regular installment
payments, you may use one of the
following options.
• MyTax Illinois — This is the
Department’s online account
management system. You may use
MyTax Illinois to make electronic
payments as well as file returns for
most taxes. Go
to mytax.illinois.gov.
• “Pay by Phone” — Call
1 866-490-2061 to make a payment
from your checking or savings
account. You will need your
Taxpayer ID, bank routing number,
and bank account number.
• Mail — You may mail your
remittance to
INSTALLMENT CONTRACT UNIT
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19035
SPRINGFIELD IL 62794-9035
• Credit card (This payment method
is only available for Individual
Income Tax liability.) — You
CPP-1 Instructions Front (R-10/20) Printed by the authority of the state of Illinois — Web only, One copy
may make payments using your
Visa, Discover, MasterCard, or
American Express. The credit card
service provider will assess a
convenience fee. Each service
provider charges its own rate. The
rates can vary daily. The Department
of Revenue receives no money from
these fees. Please note that this is
the only payment option where you
will be charged a convenience fee.
To make a credit card payment, visit
our website at
tax.illinois.gov
or call
1 866-490-2061 and choose the
credit card payment option. If your
payment is for a prior year, select
“prior year.”
Where do I send my
completed form?
Please fax your completed form to us
at 217 785-2635 or mail it to
INSTALLMENT CONTRACT UNIT
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19035
SPRINGFIELD IL 62794-9035
Where do I get help?
• Visit our website at tax.illinois.gov
• Call our Installment Contract Unit at
217 785-8556
• Write to
INSTALLMENT CONTRACT UNIT
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19035
SPRINGFIELD IL 62794-9035
CPP-1 Instructions Back (R-10/20)
Step-by-step Instructions
Step 1: Debtor identification
Line A Complete all lines. If you have
a spouse who is also liable, complete
the lines about your spouse.
Line B If business debt, complete
all lines to identify the business or
organization.
Step 2: Describe your debt
and installment payment plan
request
Line 1 Identify all tax periods (i.e.,
month, quarter, or year) for which
the liability exists. For individual or
business income tax liabilities, write
the tax year covered by the return.
If you need additional space, write the
tax period beside the line provided or
list the tax periods on a separate sheet of
paper and attach it to this form.
If you have both individual income tax
and other tax debt, submit a separate
Form CPP-1 for the individual income
tax liability.
If you are requesting an installment
payment plan for more than one type
of tax other than individual income
tax (i.e., sales, withholding, excise,
or business income tax), you may
combine the tax types on your Form
CPP-1. Write the type of tax beside the
line provided or list the tax types and
periods on a separate sheet of paper
and attach it to this form.
Line 2 Write the amount of your good
faith down payment (which is due with
your completed Form CPP-1). You
must make this payment using MyTax
Illinois or “Pay by Phone” payment
method or by mailing us a check or
guaranteed remittance. Please make
your down payment amount as large
as possible to reduce additional
interest accrual. Interest accrues on
the tax until paid.
Line 3 Write the amount of debt
to be included in your installment
payment plan. If your unpaid
liability is over $10,000, complete
Form EG-13-I, Financial and Other
Information Statement for Individuals,
or Form EG-13-B, Financial and Other
Information Statement for Businesses,
and submit it with Form CPP-1. Both
of these forms are available on our
website at tax.illinois.gov.
Line 4 For your regular installment
plan payments, write the date
payments will begin and the amount
of each payment. Please make the
payment amount as large as possible
to reduce additional interest accrual.
Interest accrues on the tax until paid.
Line 5 Check one box to tell us
how frequently you will make your
installment plan payments as identified
on Line 4.
Step
3: Provide your financial
institution and account
information
Complete all lines about your account.
Check the box to authorize the Illinois
Department of Revenue to utilize the
ACH debit method of payment from
this account.
Step 4:
Read the statement
and sign the form
You (or in the case of a business,
the person responsible for remitting
payments) must sign the statement. If
you do not, processing of your request
will be delayed and we may take
collection action to collect the unpaid
debt.
We will contact you if we do not
approve the installment payment plan
as you request or if we need additional
information from you.
By signing the application, you
agree to the following:
(1) the Illinois Department of Revenue
(IDOR) is authorized to use the
information on this form to make
withdrawals (ACH debits) at the
frequency you selected in Line 5
and from the account listed on
Line 6 in accordance with the
Department of Revenue Law of the
Civil Administrative Code of Illinois
and all applicable Illinois tax acts,
and that this authorization remains
in effect until the debt is paid or you
notify IDOR in writing to cancel;
(2) IDOR may request additional
information about your financial
condition and you may be required
to pay a higher amount than the
payment plan described on this
form;
(3) IDOR has the discretion to file a
lien at any time, including, but not
limited to, when IDOR determines
there is a risk of non-payment;
(4) IDOR may contact you about this
payment plan at any address
and phone number listed in
Step 1 (this includes electronic
communication by email or text);
and
(5) if you do not remit the scheduled
payment, file all required returns,
and pay all taxes when due,
IDOR may cancel the installment
payment plan, the entire unpaid
balance will become due
immediately, and IDOR may take
enforcement action, including levy
of your bank account or wages.
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CPP-1 Installment Payment Plan Request (Illinois)

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Completed 4 February 2021

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