Application for Business Registration Renewal

Application for Business Registration Renewal
Business/Occupancy Information
Business Name*
Provide the exact name for how you are 'Doing Business As' (DBA) in West Chicago
Legal Name of Business if Other than DBA Above
North American Industry Classification System (NAICS) Code*
Enter the 6-digit number that best represents your primary business activity
New to NAICS Codes? Click HERE (open in a new tab) to find your business NAICS Code.
Describe ALL activities and operations currently performed in West Chicago*
Tax Status*

Fully Taxable BusinessGovernmental Agency/Taxing Body - Exempt from Renewal FeeNon-Profit, Religious or Charitable Organization - Exempt from Renewal Fee
Upload Here a Copy of Your IRS Determination Letter

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Illinois Department of Revenue (IDOR) Account Number
Provide 8-digit Account Number (e.g. 1234-5678) for sales tax payors or federal taxpayer ID (FEIN) for non-sales tax payors
Registration with the Illinois Department of Revenue is required if you conduct business in Illinois. If you do not have an account with the Illinois Department of Revenue (IDOR), learn more and register your business at tax.illinois.gov.

Business Contact Information
Business Website
Business Phone*
Business Owner Name*
First and Last Name
Business Owner Email*
example@example.com
Business Owner Cell Phone*
Indicate if the Business Owner is also any of the following (Select All That Apply)

Applicant (Person completing this application)Onsite/Local Manager (Person onsite regularly)Primary Business Contact (Person to be contacted for inquiries about this business and its activities)
Applicant Name*
First and Last Name
Applicant Title*
Applicant Phone*
Provide direct phone number
Applicant Email*
example@example.com
Onsite/Local Manager Name*
First and Last Name
Onsite/Local Manager Title*
e.g. Regional Manager, General Manager, etc.
Onsite/Local Manager Phone*
Provide direct phone number
Onsite/Local Manager Email*
example@example.com
Primary Contact Name*
First and Last Name
Primary Contact Title*
e.g. Regional Manager, General Manager, etc.
Primary Contact Phone*
Provide direct phone number
Primary Contact Email*
example@example.com
Business Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Payment Information
Submission of this form must be accompanied by payment. The registration renewal fee is $110.00 if the application and fee are received or postmarked after December 31st. (Note that City Hall is closed on November 24 & 25, December 23, 26 and January 2.)

Government Agencies/Taxing Bodies and Non-Profit, Religious or Charitable Organizations may skip this page by clicking "Next."
Indicate the payment method:

Check (made out to "City of West Chicago" with the business name on the memo line) in the amount of $110.00Credit Card
Indicate how the check will be submitted

Mailed to Community Development, 475 Main St, West Chicago, IL 60185Dropped in drop box outside City Hall (label envelope with Business Registration)Brought into City Hall to the Community Development Counter
Credit card payments are accepted online through the State of Illinois E-Pay System. The application process is not completed upon payment. Save your work and then click HERE to pay. (Open as a new tab to keep this application open.) Click on "Make a One Time Payment" and select "Business Registration Fee" as the Payment Category. Provide the business information that matches what is being submitted with this application. Once the payment is completed, upload a copy of the payment confirmation email to this application.
Upload a copy of the payment receipt

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Applicant Certification
By signing below, I {applicantName126} hereby certify that to the best of my knowledge, this application represents a true and complete representation of the above named entity and person(s) listed. I also understand that any change to the information contained within this application, including change in ownership of the business or property, change of business name, expansion of business activities, and physical expansion (into adjacent space or additional location) requires a new Certificate of Occupancy Application to be submitted within 30 days of that change.
Applicant Signature

Clear
Should be Empty:

Property #2 Information