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    Illinois Department of Revenue

    REG-1 Illinois Business Registration Application

Register faster using MyTax Illinois, our online account management program, available at mytax.illinois.gov  . If you have questions, visit our 
website at tax.illinois.gov or call us weekdays between 8:00 a.m. and 4:30 p.m. at 217 785-3707.
Step 1:  Identify your business or organization                              6   Check the organization type that applies to you:
  1 Federal employer identification number (FEIN)                                q         Proprietorship
    FEIN:  ______ - __________________                                                     ____ Check if owned by a married couple or civil union
   Proprietorships must provide the Social Security number (SSN)                 q         Partnership            q              Trust or estate
    under which taxes will be filed.                                             q         Corporation*           q              S Corp (Subchapter S Corporation)*
  SSN:   _________ - ______ - ____________                                                 * Is your corporation publicly traded?  ___ Yes            ___ No
  2 Legal business name:                                                                   If yes, provide the ticker symbol ____________
                                                                                 q         Governmental unit      q              Not-for-profit organization
  ___________________________________________________ 
                                                                                 q         LLC - Corporation       q             LLC - Partnership
  3 Doing-business-as (DBA), assumed, or trade name,  if different 
    from Line 2:                                                                 q         LLC - S Corporation    q              LLC - Single member
                                                                                 ____ Check if your organization type is disregarded
    ___________________________________________________ 
  4 Primary or legal business address:                                         7 Illinois Secretary of State identification number:
                                                                                ___ - ___ ___ ___ ___ - ___ ___ ___ - ___
  ___________________________________________________
    Street address - No PO Box number              Apartment or suite number
                                                                               8 Is your business part of a unitary group?  ___ Yes     ___ No
  ___________________________________________________                            If “Yes”, provide the FEIN of your designated agent (the entity
           City                                    State       ZIP      
                                                                                 responsible for filing your Illinois income tax return):
    If you have other locations in Illinois from where you do 
    business, complete and attach Schedule REG-1-L.                              FEIN:  ______ - __________________
  5 Mailing address if different from the address above:                       9 Identify a contact person regarding your business.
  ___________________________________________________                           Name:  __________________________ Title: _____________
    In-care-of name
                                                                                 Phone:  (______) ______ - ________   Ext.: __________
  ___________________________________________________
    Street address or PO Box number                Apartment or suite number     FAX:    (______) ______ - ________
  ___________________________________________________                            Email address:                 ______________________________________
    City                                           State   ZIP

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.
Individuals: (include Social Security number (SSN))
  a      ___________________________________       _________________            d          ___________________________________         _________________
         Name                                      Title                                   Name                                        Title
     ______________________________________________________                                 ______________________________________________________  
         Home address - No PO Box number City            State ZIP                         Home address - No PO Box number       City             State     ZIP
         ____ / ____ / ________          (______) ______ - ________                        ____ / ____ / ________                (______) ______ - ________ 
         Date of birth                   Phone                                             Date of birth                         Phone 
         _______ - _____ - _________  Ownership percentage: ______                         _______ - _____ - _________  Ownership percentage: ______ 
         Social Security number                                                            Social Security number
  b      ___________________________________       _________________          Businesses:(include federal employer identification number (FEIN))
         Name                                      Title                        a          ___________________________________ ____-_____________
     ______________________________________________________                                Name                                        FEIN
         Home address - No PO Box number City            State ZIP                         ______________________________________________________  
                                                                                           Legal  address
         ____ / ____ / ________          (______) ______ - ________                        ______________________________________________________  
         Date of birth                   Phone                                             City                                                 State       ZIP 
         _______ - _____ - _________  Ownership percentage: ______                         (______) ______ - ________            Ownership percentage: ______
         Social Security number                                                            Phone  
  c      ___________________________________       _________________            b          ___________________________________ ____-_____________
         Name                                      Title                                   Name                                        FEIN
     ______________________________________________________                                ______________________________________________________  
         Home address - No PO Box number City            State ZIP                         Legal  address
         ____ / ____ / ________          (______) ______ - ________                        ______________________________________________________  
         Date of birth                   Phone                                             City                                                 State       ZIP 
         _______ - _____ - _________  Ownership percentage: ______                         (______) ______ - ________            Ownership percentage: ______
         Social Security number                                                            Phone  
REG-1 (R-01/22)                                                                                                                  *74501221W*

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Step 3: Tell us about your business activities Services
11 Describe your business activities: ______________________ Do you transfer items, on which tax must be collected, as part of your
____________________________________________ service? ____ Yes ____ No
Provide your North American Industry Classification System When will (did) this activity begin? ____/____/_____
(NAICS) number: ___________________________________ Purchaser (Self-assessed Use Tax)
Refer to the website www.naics.com Does your supplier collect Illinois Sales Tax for merchandise your
12 Will you have Illinois employees? ____ Yes ____ No business uses or consumes in Illinois? ____ Yes ____ No
If yes, complete and attachSchedule REG-UI-1. Does your supplier collect Illinois Sales Tax on sales of aviation fuel
When was (is) the date of your first payroll in Illinois? your business uses or consumes in Illinois? ____ Yes ____ No
____/____/_____ When will (did) these activities begin? ____/____/_____
13 Check all that apply to your type of business. Cigarettes and other tobacco products
Sales and Use Tax q Cigarettes - See Schedule REG-1-C before you check here.
When will (did) these activities begin? ____/____/_____ q Tobacco products - See Schedule REG-1-C before you check here.
You must complete and attach Schedule REG-1-L to identify all Illinois q Cigarette machine operator - See Schedule REG-1-C before you
locations from which you must collect the local sales tax rate. check here.
q General merchandise: ____ Retail ____ Wholesale When will (did) these activities begin? ____/____/_____
Note: Refer to the Leveling the Playing Field Resource Page for Renting or leasing
guidance on registering for Retailers’ Occupation Tax. q Hotel rooms for less than 30 days - Attach Schedule REG-1-L.
Do you estimate your monthly sales and use tax liability will be over Do you charge for telecommunication services?____ Yes ____ No
$200? ____ Yes ____ No Vehicles for one year or less - Attach Schedule REG-1-L.
q
q Sales to Illinois customers from out of state Vehicles for more than one year
q
____ Check if you have an Illinois presence, including, but When will (did) these activities begin? ____/____/_____
not limited to having an office or other facility in Illinois or having Utility Service Providers
employees or other representatives operating in Illinois. Electricity: ____ Retail ____ Wholesale
q
____ Check if you have inventory in Illinois or if your Illinois Natural gas: ____ Retail ____ Wholesale
q
presence is due to inventory within the state. Attach Schedule REG-1-L. Telecommunications - See Schedule REG-1-T.
q
____ Check if you make $100,000 or more in annual sales from ____ Retail ____ Wholesale
your own sales to Illinois purchasers. Water or sewer services
q
____ Check if you make 200 or more separate transactions Do you choose to voluntarily collect the Water and Sewer Assistance
annually from your own sales to Illinois purchasers. Charge for: ____ Water ____ Sewer
Are you registering as an out of state remote retailer? Are you a utility cooperative? ____ Yes ____ No
____ Yes ____ No Are you a municipality? ____ Yes ____ No
When will (did) these activities begin? ____/____/_____ When will (did) these activities begin? ____/____/_____
q Check if you are a marketplace facilitator-Attach Schedule REG-1-MKP.
All other tax types
q Soft drinks (other than fountain soft drinks) in Chicago Liquor warehousing - Attach Schedule REG-1-A.
q
q Vehicle, watercraft, aircraft, or trailers Dry cleaning: ____ Facility ____ Solvent supplier
q
q Sales or delivery of tires. Do you always pay the Tire User Fee to Own/operate coin-operated amusement devices
q
your supplier? ____ Yes ____ No You wish to purchase electricity for non-residential use and pay
q
q Sales from vending machines. How many vending machines? ____ the tax to IDOR - Attach Schedule REG-1-D.
q Liquor at retail (bar, tavern, liquor store, etc.) You wish to purchase natural gas from outside of Illinois for your
q
q Motor fuel/fuel: ____ Retail ____ Wholesale - Attach Form REG-8-A own use and pay the tax to IDOR - Attach Schedule REG-1-G.
____ 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 Not listed. Identify: _________________________________
q Sales of Motor Fuel in a municipality that imposes Municipal Motor Fuel Tax When will (did) these activities begin? ____/____/_____
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? ____/____/_____

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: (______) ______ -_________

Mail your completed form, with any required CENTRAL REGISTRATION DIVISION
attachments and payment to: ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19030
SPRINGFIELD IL 62794-9030
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 *74501222W*
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-01/22) - Web only - One copy
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