Fillable REG-1 Illinois Business Registration Application (City of Woodstock)

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REG-1 Illinois Business Registration Application (City of Woodstock)

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The REG-1 Illinois Business Registration Application (City of Woodstock) form is 2 pages long and contains:

  • 0 signatures
  • 32 check-boxes
  • 203 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Woodstock

BROWSE CITY OF WOODSTOCK (IL) FORMS

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Individuals: (include Social Security number (SSN))
a ___________________________________
_________________
Name Title
______________________________________________________
Home address - No PO Box number City State ZIP
____ / ____ / ________ (______) ______ - ________
Date of birth Phone
_______ - _____ - _________ 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: ______
Social Security number
d ___________________________________
_________________
Name Title
______________________________________________________
Home address - No PO Box number City State ZIP
____ / ____ / ________ (______) ______ - ________
Date of birth Phone
_______ - _____ - _________ 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: ______
Phone
REG-1 (R-03/15)
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: _________ - ______ - ____________
2 Legal business name:
___________________________________________________
3 Doing-business-as (DBA), assumed, or trade name, if different
from Line 2:
___________________________________________________
4 Primary or legal business address:
___________________________________________________
Street address - No PO Box number Apartment 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.
5 Mailing address if different from the address above:
___________________________________________________
In-care-of name
___________________________________________________
Street address or PO Box number Apartment or suite number
___________________________________________________
City State ZIP
6 Check the organization type that applies to you:
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
7 Illinois 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: ______ - __________________
9 Identify a contact person regarding your business.
Name: __________________________ Title:
_____________
Phone: (______) ______ - ________ Ext.: __________
FAX: (______) ______ - ________
Email address:
______________________________________
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.
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.
Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes.
REG-1 (R-03/15)
Mail your completed form, with any required
attachments and payment to:
CENTRAL REGISTRATION DIVISION 3-222
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19030
SPRINGFIELD IL 62794-9030
Step 4: Sign below
Under penalties of perjury, I state that I have examined this information and, to the best of my knowledge, it is true, correct, and complete.
I further attest that I will be responsible for filing returns and paying all taxes due unless Schedule REG-1-R, Responsible Party Information,
is attached to this application or forwarded to the department. Check here if you are attaching or forwarding Schedule REG-1-R:
Signature: _______________________________________ Title:
________________________
Date: ___/___/______
Printed name: _______________________________________ SSN:
______
- _____ - _________
Address: _______________________________________ Phone: (______) ______
-
_________
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.
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
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? ____/____/_____
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 the
Tire User Fee to your supplier? ____ Yes ____ No
Sales from vending machines. How many vending
machines? ____
Liquor at retail (bar, tavern, liquor store, etc.)
Motor fuel/fuel: ____ Retail ____ Wholesale
____ Check here if you are required to collect prepaid
sales tax.
Medical 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? ____/____/_____
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? ____/____/_____
Renting or leasing
Hotel rooms for less than 30 days - Attach Schedule REG-1-L.
Do you charge for telecommunication services?
____ Yes ____ No
Vehicles for one year or less - Attach Schedule REG-1-L.
Vehicles for more than one year
When will (did) these activities begin? ____/____/_____
Utility providers
Electricity: ____ Retail ____ Wholesale
Natural gas: ____ Retail ____ Wholesale
Telecommunications - See Schedule REG-1-T.
____ Retail ____ Wholesale
Water or sewer services
Are you a utility cooperative? ____ Yes ____ No
Are you a municipality? ____ Yes ____ No
When will (did) these activities begin? ____/____/_____
All other tax types
Liquor warehousing - Attach Schedule REG-1-A.
Dry cleaning: ____ Facility ____ Solvent supplier
Own/operate coin-operated amusement devices
You wish to purchase electricity for non-residential use
and pay the tax to IDOR - Attach Schedule REG-1-D.
You wish to purchase natural gas from outside of
Illinois for your own use and pay the tax to IDOR - Attach
Schedule REG-1-G.
Not listed. Identify:
___________________________________
When will (did) these activities begin? ____/____/_____
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REG-1 Illinois Business Registration Application (City of Woodstock)

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Completed 17 July 2020

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