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 (i.e., 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 1: Permanent Location 3: DBA name:____________________________________________ DBA name:____________________________________________ Address: _____________________________________________ Address: _____________________________________________ Street address - No PO Box numbers Apt. or suite no. Street address - No PO Box numbers IL _____________________________________________ City State Apt. or suite no. IL _____________________________________________ ZIP City State ZIP County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your 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: ˆ ˆ ˆ ˆ ˆ ˆ Retail sales Vehicles: ˆ Sales ˆ Renting/leasing Check if your rental/lease agreements are for more than12 months: ˆ Hotel room rental to the public for periods less than 30 days. Do you charge for telecommunication services? ___yes ___no Other: ______________________________________________ ˆ ˆ Retail sales Vehicles: ˆ Sales ˆ Renting/leasing Check if your rental/lease agreements are for more than12 months: ˆ Hotel room rental to the public for periods less than 30 days. Do you charge for telecommunication services? ___yes ___no Other: ______________________________________________ Permanent Location 2: Permanent Location 4: 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 City State ZIP State ZIP County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your 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: ˆ ˆ ˆ ˆ ˆ ˆ Retail sales Vehicles: ˆ Sales ˆ Renting/leasing Check if your rental/lease agreements are for more than12 months: ˆ Hotel room rental to the public for periods less than 30 days. Do you charge for telecommunication services? ___yes ___no Other: ______________________________________________ ˆ ˆ Retail sales Vehicles: ˆ Sales ˆ Renting/leasing Check if your rental/lease agreements are for more than12 months: ˆ Hotel room rental to the public for periods less than 30 days. Do you charge for telecommunication services? ___yes ___no Other: ______________________________________________ Schedule REG-1- L (R-04/10) American LegalNet, Inc. www.FormsWorkFlow.com Step 2: Identify each changing location A changing location is one that constantly changes (i.e., door-to-door sales, home party sales). Changing Location 1: Changing Location 4: DBA name:____________________________________________ DBA name:____________________________________________ Municipality:___________________________________________ Municipality:___________________________________________ County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your township: _______________________ Starting date: ____/____/_______ Starting date: ____/____/_______ Changing Location 2: Changing Location 5: DBA name:____________________________________________ DBA name:____________________________________________ Municipality:___________________________________________ Municipality:___________________________________________ County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your township: _______________________ Starting date: ____/____/_______ Starting date: ____/____/_______ Changing Location 3: Changing Location 6: DBA name:____________________________________________ DBA name:____________________________________________ Municipality:___________________________________________ Municipality:___________________________________________ County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your township: _______________________ Starting date: ____/____/_______ Starting date: ____/____/_______ Step 3: Identify each temporary location Examples include fairs, festivals, or special events. Seasonal sales (i.e., 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 City State ZIP State ZIP County:______________________ If located within Madison or County:______________________ If located within Madison or St. Clair county, tell us your township: _______________________ St. Clair county, tell us your township: _______________________ Contact: ____________________ Phone: (____)____ - _______ Contact: ____________________ Phone: (____)____ - _______ Starting date for this location: ____/____/_______ Starting date for this location: ____/____/_______ ˆ Sales ˆ Vehicle sales ˆ Other: ___________________________________________ ˆ Check if your business activities are seasonal or for a special event. Provide the following dates. Starting: ____/____/_______ ˆ Sales ˆ Vehicle sales ˆ Other: ___________________________________________ ˆ Check if your business activities are seasonal or for a special event. Provide the following dates. Ending: ____/____/_______ Starting: ____/____/_______ Schedule REG-1- L (R-04/10) Ending: ____/____/_______ American LegalNet, Inc. www.FormsWorkFlow.com