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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 Doing business as (DBA): ______________________________________  10                       Do you make retail sales in Illinois?                                                  yes       no 

3  Street address: ______________________________________________                        11 Do you maintain an office in Illinois?                                                 yes       no

  City, state, ZIP: ______________________________________________  12                      Do you have employees in Illinois?                                                     yes       no
4  Telephone (include area code): (______)______-__________                               13  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
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