Enlarge image | Use your mouse or Tab key to move through the fields. Use your mouse or space bar to enable check boxes. Illinois Department of Revenue ST-586 Annual Certification of No Solicitation Read this information first Individuals, organizations and corporations must complete Form ST-586, Annual Certification of No Solicitation, to certify under penalty of perjury that they have not engaged in any prohibited solicitation activities in Illinois at any time during the previous year. Step 1: Identify the Individual, Organization or Corporation Please check one: r Individual (Complete Steps 1 and 2) r Organization/Corporation (Complete Steps 1, 2 and 3) Individual’s Name____________________________________________________ Title__________________________ Organization/Corporation_______________________________________________ FEIN _________________________ Address__________________________________________ _________________________________________________ Street address (no P.O. Box) City State ZIP Step 2: Annual Certification of No Solicitation I HEREBY CERTIFY, UNDER PENALTY OF PERJURY: That the individual, organization or corporation listed above is operating under an agreement with _______________________ Out-of-State Retailer’s Name and the person, organization or corporation named above has not engaged in prohibited solicitation activities in Illinois that refer potential customers to _____________________________________________ at any time during the previous year ___________to Out-of-State Retailer’s Name MM-DD-YYYY ___________. The prohibited solicitation activities include, but are not limited to, distributing flyers, coupons, newsletters, and MM-DD-YYYY other printed promotional materials or electronic equivalents, verbal soliciting (e.g., in-person referrals), initiating telephone calls, and sending emails or text messages. Print Name____________________________________________________ Individual or an Officer of the organization or corporation listed above Signature ________________________________________________________ Date______________________ Signature of person’s name printed above Step 3: Additional Statement Required from Organization or Corporation I HEREBY CERTIFY, UNDER PENALTY OF PERJURY: That the website of the organization or corporation listed above includes information that alerts its members that anyone operating under the organization’s/corporation’s agreement with ________________________________________ is prohibited from Out-of-State Retailer’s Name engaging in any solicitation activities in Illinois that refer potential customers to ________________________________, including, Out-of-State Retailer’s Name but not limited to, distributing flyers, coupons, newsletters, and other printed promotional materials or electronic equivalents, verbal soliciting (e.g., in-person referrals), initiating telephone calls, and sending emails or text messages. Print Name____________________________________________________ Officer of the organization or corporation listed in Step 1 Signature ________________________________________________________ Date______________________ Signature of person’s name printed above Printed by authority of the State of Illinois web copy only ST586 front (N-10/16) Reset Print |
Enlarge image | General Information Who should complete Form ST-586? What if I need additional assistance? Public Act 98-1089 sets forth the criteria out-of-state retailers must If you need assistance, satisfy in order to be presumed to be maintaining a place of business • visit our website at tax.illinois.gov, and review Informational in Illinois, requiring them to register and to collect and remit Use Tax Bulletin FY2015-07, Important Notice of Changes for Out-of- on all of its sales to Illinois customers. Out-of-state retailers may rebut this presumption if the persons, organizations and corporations State Retailers, with whom they have agreements are able to certify under penalty • call our Taxpayer Assistance Division at 1 800 732-8866 or of perjury that they have not engaged in any prohibited solicitation 217 782-3336, or activities in Illinois during the previous year (i.e., they complete Form • call our TDD (telecommunications device for the deaf) at ST-586). Out-of-state retailers must maintain this certification in their 1 800 544-5304. books and records. Our office hours are 8:00 a.m. to 5:00 p.m. Monday through Friday. The person or persons operating under the agreement in Illinois shall certify to out-of-state retailers by January 1 of each year, under penalty of perjury, that they have not engaged in any prohibited solicitation activities in Illinois at any time during the previous year. If the person in Illinois with whom an out-of-state retailer has an agreement is an organization or corporation, the annual certification shall also include a statement from the organization or corporation, signed by an officer of the organization or corporation, certifying that its website includes information directed at its members (in the case of a corporation – its officers, employees or independent contractors) alerting them to the prohibition against the solicitation activities. ST-586 back (N-10/16) |