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-12/20) - Web only - One copy
Mail your completed form, with any required
attachments and payment to:
CENTRAL REGISTRATION DIVISION
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:
q
Signature: _______________________________________ Title:
________________________
Date: ___/___/______
Printed name: _______________________________________ SSN:
______
- _____ - _________
Address: _______________________________________ Phone: (______) ______
-
_________
*74512192W*
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
q Sales 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.
____ 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? ____/____/_____
q Check if you are a marketplace facilitator
-Attach Schedule REG-1-MKP.
q Soft drinks (other than fountain soft drinks) in Chicago
q Vehicle, watercraft, aircraft, or trailers
q Sales or delivery of tires. Do you always pay the Tire User Fee to
your supplier? ____ Yes ____ No
q Sales from vending machines. How many vending machines? ____
q Liquor at retail (bar, tavern, liquor store, etc.)
q Motor fuel/fuel: ____ Retail ____ Wholesale
- Attach Form REG-8-A
____ Check here if you are required to collect prepaid sales tax.
q Sales of Motor Fuel in a county that imposes County Motor Fuel Tax
q
Sales of Motor Fuel in a municipality that imposes Municipal Motor Fuel Tax
q Aviation fuel: ____ Retail ____ Wholesale
(if wholesale, attach Form REG-8-A)
q 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? ____/____/_____
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
q Cigarettes - See Schedule REG-1-C before you check here.
q Tobacco products - See Schedule REG-1-C before you check here.
q Cigarette machine operator - See Schedule REG-1-C before you
check here.
When will (did) these activities begin? ____/____/_____
Renting or leasing
q
Hotel rooms for less than 30 days - Attach Schedule REG-1-L
.
Do you charge for telecommunication services?____ Yes ____ No
q Vehicles for one year or less - Attach Schedule REG-1-L.
q Vehicles for more than one year
When will (did) these activities begin? ____/____/_____
Utility providers
q Electricity: ____ Retail ____ Wholesale
q Natural gas: ____ Retail ____ Wholesale
q Telecommunications - See Schedule REG-1-T.
____ Retail ____ Wholesale
q 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
q Liquor warehousing - Attach Schedule REG-1-A.
q Dry cleaning: ____ Facility ____ Solvent supplier
q Own/operate coin-operated amusement devices
q You wish to purchase electricity for non-residential use and pay
the tax to IDOR - Attach Schedule REG-1-D.
q 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.
q Not listed. Identify: _________________________________
When will (did) these activities begin? ____/____/_____
