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State of Illinois 
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Department of Employment Security   33 S. State Street, 10  Floor, Chicago, Illinois 60603           Clear
www.ides.illinois.gov               Phone: (312) 793-8333 | Fax: (312) 793-9981 
 
Request For Letter Of Clearance 
 
This form is authorized by IDES under Section 2600 of the Illinois Unemployment Insurance Act (820 ILCS 405/2600). 
This form, or company letterhead containing the same information, may be used to obtain a letter of clearance from IDES. 
Completion of this form is voluntary and no penalties are assessed for failure to respond. However, unless the purchaser 
or transferee withholds enough of the purchase price to pay to the IDES Director the amount owed by the transferor or 
seller, the purchaser or transferee may become PERSONALLY LIABLE for the payment of contributions, interest or 
penalties owed by the seller or transferor (up to the reasonable value of the property acquired). Failure to submit this form, 
or equivalent letter, may affect the purchaser's or transferee's ability to comply with Section 2600. Caution: Compliance 
with the Illinois Bulk Sales Act is insufficient to avoid liability for amounts owed by the seller. 
 
This form may be completed by either the seller/transferor or purchaser/transferee. However, information about the 
seller’s/transferor’s account will be provided to that party or its representative, only, due to confidentiality requirements of 
the U.I. Act. 
 
This form, or equivalent letter, must be accompanied with the attached Power of Attorney form (see page 2), if completed 
by the legal representative of either the seller/transferor or purchaser/transferee. Submit to the Collection Enforcement 
Subdivision at the above address or fax number.  
 
Seller’s Name                                                                                              
Seller’s Business Name                                                                                     
Business Address                                                                                           
Seller’s Home Address                                                                                      
Home Phone Number                                 
Business Phone Number                             
FEIN                                                U.I. Account Number                              
Seller’s Attorney                                   Address                                                
Phone Number                                        Fax Number                                             
 
Purchaser’s Name                                                                                           
Purchaser’s Home Address                                           Phone Number                            
Purchaser’s Attorney                                Address                                                
Phone Number                                        Fax Number                                             
Description of Property To Be Sold                                                                         
                                                                                                           
Sale Date                              Date of Closing                       Selling Price $               
Terms of Sale: Cash Sale                Contract Sale                     
Request Submitted By                                                Date Submitted                         
 
UI-2600  (Rev. 11/13) 

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State of Illinois 
                                                            th
Department of Employment Security 33 S. State Street, 10  Floor, Chicago, Illinois 60603 
www.ides.illinois.gov             Phone: (312) 793-8333 | Fax: (312) 793-9981                 Clear
 
Power of Attorney for Representing Employer Under 
the Illinois Unemployment Insurance Act 
 
 Fax:  312-793-9981                                           Account No. 
 
 Employer: 

 located at: 
                    (Street Address, City, State, Zip Code)    

 Email address:                                               Telephone: 

 hereby authorizes: 

 located at: 
                    (Street Address, City, State, Zip Code)    

 Email address:                                               Telephone: 

to represent the Employer before the Director in any and all matters, to act in the Employer’s stead with the same 
consequences as the Employer, and to receive any and all information requested by said Representative pertaining to the 
Employer’s liability for the payment of contributions, interest and penalties under the Illinois Unemployment Insurance Act 
(except that I understand that notices pertaining to a Determination and Assessment or Refund/Adjustment shall be sent 
to the employing unit at its principal place of business or its last known place of business or residence), until such time as 
the appointment is terminated. I understand that my Representative shall be provided information only to the extent that it 
is requested for one of the purposes set forth in Section 1900 of the Illinois Unemployment Insurance Act [820 ILCS 
405/1900]. 
 
                                                               Signature 

                                                               Name of Employer 

                                                               By 

                                                               Title 

                                                               Date 

LE-10  (Rev. 11/13)