Form ITR-1 Itr-1 Request for Tax Clearance - Illinois

Form ITR-1 is a Illinois Department of Revenue form also known as the "Itr-1 Request For Tax Clearance". The latest edition of the form was released in August 1, 2018 and is available for digital filing.

Download an up-to-date Form ITR-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
ITR-1 Request for Tax Clearance
Read this information first
Form ITR-1 will not be processed until all returns are filed and balances paid (including penalty and interest, if applicable).
Allow at least 10 business days for processing of Form ITR-1.
If you are selling or have sold your business assets, do not complete Form ITR-1, Request for Tax Clearance. You must complete
Form CBS-1, Notice of Sale or Purchase of Business Assets.
If you need assistance in completing Form ITR-1, you can contact us at 1 800 732-8866 or at the address listed below.
Note: By completing the email address fields below, you are authorizing the Illinois Department of Revenue to send confidential information
through internet email. Internet email replies from the Illinois Department of Revenue are not binding on the Department and create no rights
under the Taxpayer Bill of Rights. The Illinois Department of Revenue assumes no liability for lost, eavesdropped, or otherwise misused
information provided in the email. Please refer to the Department’s Privacy Policy for additional information.
Step 1: Identify yourself or your business
1
Name: _________________________________________________________________________________________________________
2
10
Doing business as (DBA): ______________________________________
Do you make retail sales in Illinois?
yes
no
3
11
Street address: ______________________________________________
Do you maintain an office in Illinois?
yes
no
12
City, state, ZIP: ______________________________________________
Do you have employees in Illinois?
yes
no
4
13
Telephone (include area code): (______)______-__________
If this tax clearance is to be sent to a third party, provide the
following:
5
Federal Employer Identification number (FEIN): __ __-__ __ __ __ __ __ __
Name: ________________________________________
6
Illinois Account ID: __ __ __ __-__ __ __ __
In-care-of name: ________________________________
7
Social Security number: ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Address: _______________________________________
Number and street or post office box
8
Excise Tax License number:_______________________________
City, state, ZIP: __________________________________
9
Date business started in Illinois :_____/_____/_____
E-mail Address: _________________________________
Month
Day
Year
Step 2: Check the taxes for which you are requesting tax clearance
Business Income Tax
Retailers’ Occupation Tax (including sales and use taxes)
Withholding Income Tax
Hotel/Motel Tax
Individual Income Tax
Automobile Renting Tax
Vehicle Use Tax
Excise Tax. Specify: ____________________________
Step 3: Check the reason you are requesting tax clearance
Real estate transaction
Required by a state other than Illinois
Bank closing
License renewal required by another agency
DCEO incentive. Please explain: _________________________________________________________________________________
Other. Please explain:__________________________________________________________________________________________
Step 4: Sign below
An owner or officer of the business requesting the tax clearance must complete this step. Signature stamps are not acceptable.
Note: If you have been appointed as power of attorney for the taxpayer requesting this tax clearance, you must attach a copy of your power of
attorney that specifically states your authorization in tax related situations. See Form IL-2848, Power of Attorney.
Sign:_________________________________________ _____/_____/_____
Print title: __________________________________________
Month
Day
Year
Title (i.e., president, owner, partner, individual)
Print name:___________________________________________________
E-mail Address:
_____________________________________
Step 5: Send your request
Mail to: PROBLEMS RESOLUTION DIVISION
Or email to: rev.prd@Illinois.gov
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19014
SPRINGFIELD, IL 62704-9014
Note: This tax clearance does not preclude assessment for any liability for pending, current, or future taxes or liabilities that may be established
by present or future audits conducted by the department.
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.
ITR‑1 (R‑08/18)
Failure to provide information could result in the denial of your request. Printed by the authority of the State of Illinois-Web Only-1
Reset
Print
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
ITR-1 Request for Tax Clearance
Read this information first
Form ITR-1 will not be processed until all returns are filed and balances paid (including penalty and interest, if applicable).
Allow at least 10 business days for processing of Form ITR-1.
If you are selling or have sold your business assets, do not complete Form ITR-1, Request for Tax Clearance. You must complete
Form CBS-1, Notice of Sale or Purchase of Business Assets.
If you need assistance in completing Form ITR-1, you can contact us at 1 800 732-8866 or at the address listed below.
Note: By completing the email address fields below, you are authorizing the Illinois Department of Revenue to send confidential information
through internet email. Internet email replies from the Illinois Department of Revenue are not binding on the Department and create no rights
under the Taxpayer Bill of Rights. The Illinois Department of Revenue assumes no liability for lost, eavesdropped, or otherwise misused
information provided in the email. Please refer to the Department’s Privacy Policy for additional information.
Step 1: Identify yourself or your business
1
Name: _________________________________________________________________________________________________________
2
10
Doing business as (DBA): ______________________________________
Do you make retail sales in Illinois?
yes
no
3
11
Street address: ______________________________________________
Do you maintain an office in Illinois?
yes
no
12
City, state, ZIP: ______________________________________________
Do you have employees in Illinois?
yes
no
4
13
Telephone (include area code): (______)______-__________
If this tax clearance is to be sent to a third party, provide the
following:
5
Federal Employer Identification number (FEIN): __ __-__ __ __ __ __ __ __
Name: ________________________________________
6
Illinois Account ID: __ __ __ __-__ __ __ __
In-care-of name: ________________________________
7
Social Security number: ___ ___ ___ - ___ ___ - ___ ___ ___ ___
Address: _______________________________________
Number and street or post office box
8
Excise Tax License number:_______________________________
City, state, ZIP: __________________________________
9
Date business started in Illinois :_____/_____/_____
E-mail Address: _________________________________
Month
Day
Year
Step 2: Check the taxes for which you are requesting tax clearance
Business Income Tax
Retailers’ Occupation Tax (including sales and use taxes)
Withholding Income Tax
Hotel/Motel Tax
Individual Income Tax
Automobile Renting Tax
Vehicle Use Tax
Excise Tax. Specify: ____________________________
Step 3: Check the reason you are requesting tax clearance
Real estate transaction
Required by a state other than Illinois
Bank closing
License renewal required by another agency
DCEO incentive. Please explain: _________________________________________________________________________________
Other. Please explain:__________________________________________________________________________________________
Step 4: Sign below
An owner or officer of the business requesting the tax clearance must complete this step. Signature stamps are not acceptable.
Note: If you have been appointed as power of attorney for the taxpayer requesting this tax clearance, you must attach a copy of your power of
attorney that specifically states your authorization in tax related situations. See Form IL-2848, Power of Attorney.
Sign:_________________________________________ _____/_____/_____
Print title: __________________________________________
Month
Day
Year
Title (i.e., president, owner, partner, individual)
Print name:___________________________________________________
E-mail Address:
_____________________________________
Step 5: Send your request
Mail to: PROBLEMS RESOLUTION DIVISION
Or email to: rev.prd@Illinois.gov
ILLINOIS DEPARTMENT OF REVENUE
PO BOX 19014
SPRINGFIELD, IL 62704-9014
Note: This tax clearance does not preclude assessment for any liability for pending, current, or future taxes or liabilities that may be established
by present or future audits conducted by the department.
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.
ITR‑1 (R‑08/18)
Failure to provide information could result in the denial of your request. Printed by the authority of the State of Illinois-Web Only-1
Reset
Print

Download Form ITR-1 Itr-1 Request for Tax Clearance - Illinois

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