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Department of Taxation and Finance
Business Purchaser’s Report of Sales and Use Tax ST-130
(11/19)
This form is for use only by New York State businesses not registered or required to be registered for sales tax purposes. Do not
use this form to report sales and use taxes due: (1) on business purchases if the business is registered, or required to be registered,
for sales tax purposes; (2) on nonbusiness purchases; or (3) on the purchase of a motor vehicle, trailer, all-terrain vehicle, vessel, or
snowmobile that must be registered or titled by the New York State Department of Motor Vehicles. See instructions.
For Tax Department use only
Type or print clearly
Tax jurisdiction code
Purchaser’sname Employeridentificationnumber
Location code
Purchaser’s address (number and street or rural route)
Taxable sales
City County State ZIP code
Sales and use tax
1a Dateitem(s)orservice(s)wasfirstbroughtintoNew YorkState (see instructions)
1b Description of item(s) or service(s) purchased (see instructions)
1c Seller’s name Address (number and street or rural route)
City State ZIP code
2 Locationofdeliveryoruse,ifdifferentfrompurchaser’saddressabove (see instructions)
Address (number and street or rural route)
City County State ZIP code
3 Amountsubjecttosalesorusetax (see instructions) ..................................................................... 3
4 Tax rate (see instructions) ............................................................................................................... 4 %
5 Tax due (multiply amount on line 3 by rate on line 4) .......................................................................... 5
6 Allowablecreditfortaxpaid(ifany)toanotherjurisdiction (see instructions) ................................. 6
7 Subtotal (subtract line 6 from line 5) ................................................................................................. 7
8 Amountsubjecttosupplementaltaxonvaporproducts (see instructions) ..................................... 8
9 Supplemental tax rate on vapor products .................................................................................... 9 20%
10 Supplemental tax due on vapor products (multiply amount on line 8 by rate on line 9) ...................... 10
11 Total New York State sales or use taxes (add lines 7 and 10) ......................................................... 11
12 Penaltyandinterestifyouarefilingorpayinglate (see instructions) ............................................. 12
13 Total amount due (add lines 11 and 12). .......................................................................................... 13
14 Amount paid (enter your payment amount; this amount should match the amount due on line 13).
Attach check or money order payable in U.S. funds to: New York State Sales Tax ............... 14
Certification: I certify that the above statements are true and correct, and I make these statements with the knowledge that willfully
issuing a false or fraudulent document with the intent to evade tax may constitute a felony under New York State Tax Law, punishable
byasubstantialfineandapossiblejailsentence.Ialsounderstandthatthe TaxDepartmentisauthorizedtoinvestigatethevalidityor
the accuracy of any information entered on this document.
Purchaser’s signature (give title and relationship) Date Telephone number of purchaser
( )
Printed name of preparer (if other than purchaser) Preparer’s PTIN
Preparer’s address Preparer’s NYTPRIN Excl. code
Preparer’s signature (if other than purchaser) Preparer’s telephone number
( )
Mail this report and remittance to:
NYS SALES TAX PROCESSING
43000100190094 PO BOX 15173
ALBANY NY 12212-5173
If not using U.S. Mail, see Publication 55, Designated Private Delivery Services.
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