Form REG-1 Schedule Reg-1-l - Illinois Business Site Location Information - Illinois

Form REG-1 or the "Schedule Reg-1-l - Illinois Business Site Location Information" is a form issued by the Illinois Department of Revenue.

The form was last revised in November 1, 2017 and is available for digital filing. Download an up-to-date Form REG-1 in PDF-format down below or look it up on the Illinois Department of Revenue Forms website.

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Illinois Department of Revenue
Schedule REG-1-L
Illinois Business Site Location Information
Attach to Form REG-1
Business name: _________________________________________
FEIN: ______ - __________________
Contact for this schedule:_________________________________
SSN:
_________ - ______ - ____________
(Proprietorship only)
Phone: (_____) ______ - ___________
Read this information first.
Complete Schedule REG-1-L, to identify all Illinois locations from which you will make retail sales, rent/lease vehicles, and/or rent or lease hotel rooms to the
public for periods of less than 30 days. You must also identify the same location you did on Form REG-1, Line 4, if the activities at that location include retail
sales or rental/leases. In Illinois some tax rates vary based upon the specific location of the business activities. The location of your business will determine the
tax rate that we will preprint on your return. We recognize three types of locations:
Permanent - Examples include a building, warehouse, or storefront. To identify these, complete Step 1.
Changing - A changing location is one that constantly changes (e.g., door-to-door sales, home party sales). If you have changing locations, complete
Step 2. You must identify sales from a vending machine as a changing location.
Temporary - Examples include a fair, festival, or convention. To identify temporary locations, complete Step 3. Special events or seasonal sales should
also complete Step 3.
To identify more locations, attach a sheet using a similar format. If you have previously registered and need to add a location, call us at 217 785-3707.
Step 1: Identify each permanent location.
Permanent Location 3:
Permanent Location 1:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: _________________
If in Madison or St. Clair county, list township: _________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Check all of your activities at this location:
Check all of your activities at this location:
Retail sales
Aviation Fuel
Retail sales
Aviation Fuel
Vehicles:
Sales
Renting/leasing
Vehicles:
Sales
Renting/leasing
Check if your rental/lease agreements are for more than12 months:
Check if your rental/lease agreements are for more than12 months:
Hotel room rental to the public for periods less than 30 days.
Hotel room rental to the public for periods less than 30 days.
Do you charge for telecommunication services? ___yes ___no
Do you charge for telecommunication services? ___yes ___no
Other: ______________________________________________
Other: ______________________________________________
Permanent Location 4:
Permanent Location 2:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: _________________
If in Madison or St. Clair county, list township: _________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Check all of your activities at this location:
Check all of your activities at this location:
Retail sales
Aviation Fuel
Retail sales
Aviation Fuel
Vehicles:
Sales
Renting/leasing
Vehicles:
Sales
Renting/leasing
Check if your rental/lease agreements are for more than12 months:
Check if your rental/lease agreements are for more than12 months:
Hotel room rental to the public for periods less than 30 days.
Hotel room rental to the public for periods less than 30 days.
Do you charge for telecommunication services? ___yes ___no
Do you charge for telecommunication services? ___yes ___no
Other: ______________________________________________
Other: ______________________________________________
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
174530101
REG-1-L front (R-11/17)
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 (web only)
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
Schedule REG-1-L
Illinois Business Site Location Information
Attach to Form REG-1
Business name: _________________________________________
FEIN: ______ - __________________
Contact for this schedule:_________________________________
SSN:
_________ - ______ - ____________
(Proprietorship only)
Phone: (_____) ______ - ___________
Read this information first.
Complete Schedule REG-1-L, to identify all Illinois locations from which you will make retail sales, rent/lease vehicles, and/or rent or lease hotel rooms to the
public for periods of less than 30 days. You must also identify the same location you did on Form REG-1, Line 4, if the activities at that location include retail
sales or rental/leases. In Illinois some tax rates vary based upon the specific location of the business activities. The location of your business will determine the
tax rate that we will preprint on your return. We recognize three types of locations:
Permanent - Examples include a building, warehouse, or storefront. To identify these, complete Step 1.
Changing - A changing location is one that constantly changes (e.g., door-to-door sales, home party sales). If you have changing locations, complete
Step 2. You must identify sales from a vending machine as a changing location.
Temporary - Examples include a fair, festival, or convention. To identify temporary locations, complete Step 3. Special events or seasonal sales should
also complete Step 3.
To identify more locations, attach a sheet using a similar format. If you have previously registered and need to add a location, call us at 217 785-3707.
Step 1: Identify each permanent location.
Permanent Location 3:
Permanent Location 1:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: _________________
If in Madison or St. Clair county, list township: _________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Check all of your activities at this location:
Check all of your activities at this location:
Retail sales
Aviation Fuel
Retail sales
Aviation Fuel
Vehicles:
Sales
Renting/leasing
Vehicles:
Sales
Renting/leasing
Check if your rental/lease agreements are for more than12 months:
Check if your rental/lease agreements are for more than12 months:
Hotel room rental to the public for periods less than 30 days.
Hotel room rental to the public for periods less than 30 days.
Do you charge for telecommunication services? ___yes ___no
Do you charge for telecommunication services? ___yes ___no
Other: ______________________________________________
Other: ______________________________________________
Permanent Location 4:
Permanent Location 2:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: _________________
If in Madison or St. Clair county, list township: _________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Check all of your activities at this location:
Check all of your activities at this location:
Retail sales
Aviation Fuel
Retail sales
Aviation Fuel
Vehicles:
Sales
Renting/leasing
Vehicles:
Sales
Renting/leasing
Check if your rental/lease agreements are for more than12 months:
Check if your rental/lease agreements are for more than12 months:
Hotel room rental to the public for periods less than 30 days.
Hotel room rental to the public for periods less than 30 days.
Do you charge for telecommunication services? ___yes ___no
Do you charge for telecommunication services? ___yes ___no
Other: ______________________________________________
Other: ______________________________________________
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
174530101
REG-1-L front (R-11/17)
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 (web only)
Step 2: Identify each changing location
A changing location is one that constantly changes (e.g., door-to-door sales, home party sales).
Changing Location 1:
Changing Location 4:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: ___________________
If in Madison or St. Clair county, list township: ___________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Changing Location 2:
Changing Location 5:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: ___________________
If in Madison or St. Clair county, list township: ___________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Changing Location 3:
Changing Location 6:
DBA name:____________________________________________
DBA name:____________________________________________
Municipality:___________________________________________
Municipality:___________________________________________
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: ___________________
If in Madison or St. Clair county, list township: ___________________
Starting date: ____/____/_______
Starting date: ____/____/_______
Step 3: Identify each temporary location
Examples include fairs, festivals, or special events. Seasonal sales (e.g., trade-shows, holiday sales, concession stands) are considered a temporary location.
Temporary Location 1:
Temporary Location 2:
DBA name:____________________________________________
DBA name:____________________________________________
Address: _____________________________________________
Address: _____________________________________________
Street address - No PO Box numbers
Apt. or suite no.
Street address - No PO Box numbers
Apt. or suite no.
IL
IL
_____________________________________________
_____________________________________________
City
State
ZIP
City
State
ZIP
County:_______________________________________________
County:_______________________________________________
If in Madison or St. Clair county, list township: ___________________
If in Madison or St. Clair county, list township: __________________
Contact: ____________________ Phone: (____)____ - _______
Contact: ____________________ Phone: (____)____ - _______
Starting date for this location: ____/____/_______
Starting date for this location: ____/____/_______
Vehicle sales
Vehicle sales
Sales
Sales
Other: ___________________________________________
Other: ___________________________________________
Check if your business activities are seasonal or for a special
Check if your business activities are seasonal or for a special
event. Provide the following dates.
event. Provide the following dates.
Starting: ____/____/_______
Ending: ____/____/_______
Starting: ____/____/_______
Ending: ____/____/_______
Reset
Print
174530102
REG-1-L back (R-11/17)

Download Form REG-1 Schedule Reg-1-l - Illinois Business Site Location Information - Illinois

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