VILLAGE OF WHEELING
AMUSEMENT TAX
2 COMMUNITY BLVD.
WHEELING, IL 60090
(847) 459-2600
REGISTRATION - AMUSEMENT TAX
Please review the Summary and the Amusement Tax Ordinance that are attached before answering the following
questions:
1. Is your business responsible for payment of the Amusement Tax? Yes No
If Question 1 is answered “No”, please complete Question 2, sign the registration and return to the address above.
If Question 1 is answered “Yes”, skip Question 2, complete rest of registration, sign and return registration to the address
above. Please see “Payments Due” section of the summary page for payment instructions.
2. Please list reason(s) why you believe your business is not liable for collection and payment of the Amusement Tax:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Current frequency of filing Illinois Sales Tax Return: Monthly Quarterly ________ Annually ________
Under penalties as provided by law, I declare that to the best of my knowledge and belief, the information on this form is true,
correct and complete.
____________________________
Signature Printed Name & Title Date
Business Location Address:
Mailing Address (if different from business location):
Emergency Contact Person:
Emergency Contact Phone Number:
Check One:
Sole Owner Partnership Corporation
If a Corporation or Partnership, give legal name if other than business name:
Corporation or Partnership Address:
Corporation or Partnership Email Address:
