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 

        EFT‑1  Authorization Agreement for Certain Electronic Payments

Read this information first: Complete this form ONLY if you 1) want to pay amounts owed to the Illinois Department of
Revenue using pay-by-phone debit or cigarette tax stamp purchase debit; or 2) are changing previously submitted information 
about one of the methods of payment listed above. 
Note: For most taxes, electronic payments can be made easily using MyTax Illinois available at mytax.illinois.gov. Do not 
complete Form EFT-1 if you pay using MyTax Illinois.

Step 1: Complete the following information
      1 Check the payment method you wish to use.                                 2  If amending a previously submitted Form EFT-1 
           Pay-by-phone debit                                                     a  Write the effective date of the change           /  / 
          Cigarette tax stamp purchase debit                                      b  Reason for amending: 

Step 2: Identify yourself  
   3                                                                              5                ‑  
   Taxpayer’s name                                                                   Federal employer identification number (FEIN) 
   4                                                                              6                         ‑     ‑  
   Address                                                                            Social Security number (SSN)

   City                                           State        ZIP 

Step 3:  Complete designated agent or contact person information
   7                                                                              9    ( )                                  (      ) 
     Designated agent’s or contact person’s name                                       Telephone                           Fax 

  8                                                                           10 
        Address                                                                      Email address        
                                                                              11 
   City                                           State            ZIP               Signature authorization (authorized officer of designated agent or contact person)

Step 4: Check the taxes for which you wish to authorize these payments

Illinois income taxes:                                                            Excise taxes:
        Individual Income Tax                                                            Cigarette Tax Stamp Purchase 
                                                  Illinois Account ID number                                                         Illinois Account ID number 
        Withholding Income Tax                                                           Electricity Dist. and Inv Cap Tax 
                                                  Illinois Account ID number                                                        Illinois Account ID number 
        Business Income Tax                                                              Electricity Excise Tax  
                                                  Illinois Account ID number                                                        Illinois Account ID number 
 Sales taxes:                                                                            Gas Revenue/Gas Use Tax   
                                                                                                                                    Illinois Account ID number 
        Sales/Use Tax & E911 Surcharge                                                   Hotel Operators Occupation Tax 
                                                  Illinois Account ID number                                                        Illinois Account ID number 
        Chicago Soft Drink Tax                                                           Liquor Tax - Airline     
                                                  Illinois Account ID number                                                        Illinois Account ID number 
        County Motor Fuel Tax                                                            Liquor Tax - Importer/MFTR/Dist  
                                                  Illinois Account ID number                                                          Illinois Account ID number 
        MPEA Food and Beverage Tax                                                       Liquor Tax - Direct Wine Shipper  
                                                  Illinois Account ID number                                                        Illinois Account ID number 
        Prepaid Sales Tax (motor fuel)                                                   Telecommunications Excise Tax 
                                                  Illinois Account ID number                                                        Illinois Account ID number 
        Automobile Renting Tax                                                           Telecom Infrastruct. Maint Fee   
                                                  Illinois Account ID number                                                        Illinois Account ID number 
                                                                                         Tobacco Products Tax 
                                                                                         (not for Cigarette Tax Stamps)             Illinois Account ID number 

Page 1 of 2                                                                                                                             Continue to Page 2

Taxpayer’s name 
 
Step     5:  Complete the following financial institution information for debit withdrawals 
  12                                                                       15 Check one:             Business    or                                                  Individual/Consumer
     Financial institution’s name

  13                                                                       16  Check one:            Checking    or                                                  Savings
     Name on account  
  14                                                                       17 
     Account number                                                           Routing transit number

Step 6: Sign and complete 
The signature of the taxpayer, authorized officer, or partner is required, as well as the title and date (even if you are using a designated 
agent).
For the debit payment method, I agree and understand that I am authorizing the Illinois Department of Revenue (IDOR) to make withdrawals 
from the financial institution account listed in Step 5 when payments are scheduled. 
Under penalties of perjury, I state that I have examined this form and to the best of my knowledge it is true, correct, and complete. The Illinois 
Department of Revenue is authorized to use this information in accordance with the Department of Revenue Law of the Civil Administrative 
Code of Illinois and all applicable Illinois tax acts. This agreement shall remain in force until the Department receives written notification from 
the taxpayer.
                                                                                                                                                                    /  / 
     Signature of taxpayer, authorized officer, or partner                   Title                                                                             Date

                                                           Form EFT‑1 Instructions

                    General Information                                                   Specific Instructions 
What payment methods require that I complete                               Step 1:  Complete the following information
Form EFT‑1?                                                                Check the payment method you wish to use and whether this is an 
Certain ACH Debits -                                                       initial registration or if you are changing information you previously 
                                                                           provided. Attach additional sheets if necessary.
    •  Pay-by-phone debit method: This option is available for most
       tax accounts. You must complete a separate Form EFT-1 for           Step 3: Complete designated agent or contact 
       each account from which you will make payments.                     person information
     •   Cigarette tax stamp purchasers: You are required to use the       If a designated agent will be transferring payments, complete Step 3. 
         debit payment method for your cigarette tax stamp orders.         If the designated agent is completing Form EFT-1 on behalf of a 
         You must complete Form EFT-1 for the account from which           taxpayer, the taxpayer must provide a signature in Step 6, unless a 
         you will make payments.                                           signed Form IL-2848-E is kept in the designated agent’s books and 
                                                                           records.
IMPORTANT: Do not complete Form EFT‑1 to make the following 
                                                                           Note: If the pay-by-phone option will be used and the bank account 
electronic payments: 1) debit using MyTax Illinois at tax.illinois.gov; 2) 
                                                                             is the designated agent’s, an authorized officer of the agent  
direct file debit; or 3) credit card option for Illinois Individual Income 
                                                                             must sign on Step 3, Line 11, to authorize us to debit that account.
Tax (follow the instructions at tax.illinois.gov and please note a 
convenience fee will be assessed for each credit card transaction).        The contact person should be the person who will be initiating and 
                                                                           making the payment transfer. Include the telephone number, fax 
Where do I send my completed Form EFT‑1?                                   number, and email address. 
Mail to:        ELECTRONIC PAYMENTS SECTION
                ILLINOIS DEPARTMENT OF REVENUE
                PO BOX 19015
                SPRINGFIELD IL  62794‑9015
Fax number:     217 524‑8282

What if I need help?
If you encounter any problems or have any questions regarding 
ACH payments, please contact the Electronic Payments Section at 
217 782‑6257 or REV.taxpay@illinois.gov.

                      This form is authorized as outlined under the tax or fee Act related to the tax or fee for which this form is filed.  Disclosure of this 
                      information is required.  Failure to provide information may result in this form not being processed and may result in a penalty.
Page 2 of 2                                                                        Printed by authority of the state of Illinois  - Web only, One copy EFT-1 (R-10/23)
                                                                   Reset             Print