- 2 -
|
Page 2 of 2 DTF-96 (2/11) Instructions
If not doing so online, use Form DTF-96 to correct or change your business first box, All business tax types on file with the NYS Tax Dept. If you are not
location (physical address) or mailing address, or both, for business tax marking the first box and your change affects a tax not listed, mark the box
accounts on record with the New York State Department of Taxation and labeled Other and enter the tax type and account number in the spaces
Finance (Tax Department). If you need to report any other changes for below that check box.
your business records, you must use Form DTF-95, Business Tax Account
Update. You can report address changes on Form DTF-95 instead of filing Note: If you wish to change the address for more than one tax type, and
both forms. If there are no changes to be made at this time, keep this form in the address is different for each tax type, you must either attach another
your files for future use. If a change occurs, complete the form and send it to Form DTF-96 for each additional tax type or, using the same format, create
us as soon as possible. and attach a separate listing that contains all the address information, the
tax type(s) for that address, and your identification number.
Address changes to withholding tax information will also update
corresponding information on your unemployment insurance account with Step 3 — List your new address(es)
the New York State Department of Labor and your Metropolitan Commuter Enter address information only if it is different from current information.
Transportation Mobility Tax (MCTMT) account.
If applicable, enter the new physical location, the effective date of the
Legal restrictions for petroleum-, alcohol-, and cigarette-related address change, and the new telephone number of your business.
businesses
If applicable, enter your new mailing address or the mailing address
Filing Form DTF-96 is not a substitute for prior approval required for certain of the person and firm that you wish to receive mailings sent by the Tax
changes. Failure to obtain prior approval may result in the cancellation of Department. Also enter the effective date of the change and the new
your registration, license, or permit. contact telephone number for a person who can be contacted about any tax
If you are registered, licensed, or granted a permit for any of information.
the following activities, in addition to filing Form DTF-96 you must Step 4 — Sign and mail your report
also notify the Tax Department in writing to report changes to the
owner/officer/responsible person information of any type of registrant or The authorized person must sign and date the report, enter his or her title,
licensee, or to report changes, additions, and deletions of the location of and print the name of a contact and the contact’s daytime telephone number
a warehouse of a cigarette agent or wholesale dealer. This notification is (including area code and extension, if any). There is also an area to provide
required for: the contact’s business e-mail address. The person who signs the form must
be authorized to report updates for this business.
• a distributor of beer, cider, wine, liquor, or other alcoholic beverages
(Article 18); Mail your completed report to:
• a cigarette agent, wholesale dealer of cigarettes, distributor of tobacco NYS TAX DEPARTMENT
products or wholesale dealer of tobacco products, or a chain store TCC/ACCOUNT SERVICES SECTION
(Articles 20 and 20-A); W A HARRIMAN CAMPUS
• a motor fuel distributor, importing/exporting transporter, terminal ALBANY NY 12227
operator, or liquefied petroleum gas fuel permittee (Articles 12-A and
13-A); Privacy notification
• a diesel motor fuel distributor, retailer of heating oil only, or distributor of The Commissioner of Taxation and Finance may collect and maintain
kero-jet fuel only (Articles 12-A and 13-A); and personal information pursuant to the New York State Tax Law, including but
not limited to, sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697, 1096,
• an aviation fuel business or residual petroleum products business 1142, and 1415 of that Law; and may require disclosure of social security
(Article 13-A). numbers pursuant to 42 USC 405(c)(2)(C)(i).
Send your written notification to: This information will be used to determine and administer tax liabilities
NYS TAX DEPARTMENT – WADE ROAD and, when authorized by law, for certain tax offset and exchange of tax
TDAB/FACCTS – REGISTRATION AND BOND UNIT information programs as well as for any other lawful purpose.
W A HARRIMAN CAMPUS
ALBANY NY 12227 Information concerning quarterly wages paid to employees is provided
to certain state agencies for purposes of fraud prevention, support
Certain changes may require you to complete a new registration for your enforcement, evaluation of the effectiveness of certain employment and
business. training programs and other purposes authorized by law.
Step 1 — Identify your business Failure to provide the required information may subject you to civil or
Identify your business by filling in all the requested information for your criminal penalties, or both, under the Tax Law.
business as currently on file with the Tax Department. This will assist us in This information is maintained by the Manager of Document Management,
updating your records. NYS Tax Department, W A Harriman Campus, Albany NY 12227;
Identification number — Enter your identification number as it appears on telephone (518) 457-5181.
materials you are currently receiving or the identification number that you
entered when you last filed a tax return.
Legal name — For a corporation or limited liability company (LLC), enter Need help?
the exact legal name of the business as it appears on the Certificate of
Incorporation orCertificate of Registration. For an unincorporated business, Internet access: www.tax.ny.gov
use the name in which the business owns property or acquires debt, or for
a partnership, use the registered partnership name. A sole proprietor must (for information, forms, and publications)
use the name of the individual owner.
Trade name (DBA) — Enter the trade name, doing business as name Telephone assistance is available from 8:30 A.M. to
(DBA), or assumed name, if different from the legal name. For an 4:30 P.M. (eastern time), Monday through Friday.
unincorporated business, use the name filed with the county clerk’s office.
Business Tax Information Center: (518) 457-5342
Corporations — Enter the year and state of incorporation in the spaces
provided. To order forms and publications: (518) 457-5431
Physical address — Enter the address where your business is physically Text Telephone (TTY) Hotline (for persons with
located. hearing and speech disabilities using a TTY): (518) 485-5082
Country — If you are located outside of the United States and you find that
your address will not fit in the spaces provided, you may attach a separate Persons with disabilities: In compliance with the
sheet with your address information. Be sure to identify for which tax type(s) Americans with Disabilities Act, we will ensure that our
each address is to be used. lobbies, offices, meeting rooms, and other facilities are
accessible to persons with disabilities. If you have questions
Step 2 — Select tax type(s) to change about special accommodations for persons with disabilities, call the
See Legal restrictions for petroleum-, alcohol-, and cigarette-related information center.
businesses before selecting the tax types. Then indicate which business
tax records should be changed by marking an Xin the appropriate box(es)
in this section. If the updated information is the same for all your business
tax types on file with the NYS Tax Department, you only need to mark the
|