Complete Form

Business Registration Application – Department of Revenue

This form registers your business with your state’s Department of Revenue. This is not for registering a new business with the Secretary of State.

Legal Business Name(Required)

Federal Employer Identification Number (FEIN)(Required)

Primary Business Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Mailing Address (if different)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Organizational Type(Required)

Proprietorship

Partnership

Corporation

S Corporation

Limited Liability Company (LLC)

Contact Person for business(Required)

Enter Name, Title, Phone Number, and Email

List all Owners and Officers(Required)

Provide names and title of all owners and officers.

Describe your business activities(Required)

Will you have Illinois employees?(Required)

Yes

Please check any activities that apply to your business(Required)

Sales and Use Tax

Services

Purchaser (Self-assessed Use Tax)

Cigarettes and Other Tobacco Products

Renting or Leasing

Utility Service Providers

All Other Tax Types

Out-of-State Remote Retailer

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