Form Dtf-17 - Application For Registration As A Sales Tax Vendor - New York
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1
2DTF-17 (6/06)
New York State Department of Taxation and Finance
Department use only
Application for Registration as a
Sales Tax Vendor
Please print or type
1 Type of certificate you are applying for
(You must mark an X in one box; see instructions): Regular
Temporary
Show
Entertainment
2 Legal name of vendor
3 Trade name or DBA
4 Federal employer identification number
(if different from item 2)
5 Address of business location
(show/entertainment or temporary vendors, use physical home address, not a P.O. box)
Number and street
City
County
State
ZIP code
Country, if not U.S.
6a Business telephone
6b Business fax number
6c Business e-mail address
7 Date you will begin business
8 Temporary vendors: Enter the date
number
)
in New York State
you will end business in New York
(include area code)
(include area code
(see instructions)
(
)
(
)
/
/
/
/
9 Mailing address, if different from business address on line 5
c/o name
Number and street
City
State
ZIP code
10 Type of organization:
Individual (sole proprietor)
Partnership
Trust
Governmental
Exempt organization
Corporation
Limited liability partnership
Limited liability company
Other
(specify)
11 Reason for applying: Starting new business
Acquiring all or part of existing business
Adding a new location
Change in organization
Other
specify)
12 Regular vendors: Will you operate more than one place of business?
Ye
(mark an X in appropriate box below)
No
s
A Separate sales tax return will be filed for each business location. Complete a separate Form DTF-17 for each location.
B One sales tax return will be filed for all business locations
(complete Form DTF-17-ATT and attach it to this application).
13 List all owners/officers. Attach a separate sheet if necessary. All applicants must complete this section.
Name
Title
Social security number
Home address
City
State
ZIP code
Telephone number
(
)
Name
Title
Social security number
Home address
City
State
ZIP code
Telephone number
(
)
Name
Title
Social security number
Home address
City
State
ZIP code
Telephone number
(
)
14 If your business currently files New York State returns for the following taxes, check the box for the appropriate tax type and enter the identification
number used on the return:
ID #
Corporation tax
ID #
Other
(explain)
Withholding tax
ID #
15 If you have ever registered as a sales tax vendor with New York State, enter the information shown on the last sales tax return you filed:
Name
Identification number
16 Do you expect to collect any sales or use tax or pay any sales or use tax directly to the Department of Taxation and Finance?
... Yes
No
(see instructions)
17 Describe your principal business activity in New York State and enter your six-digit NAICS code:
North American Industry
Describe your business activity in detail
(attach a separate sheet if necessary)
Classification System (NAICS)
18 Are you a sidewalk vendor? .................................................................................................................................................................... Yes
No
If Yes, do you sell food? ....................................................................................................................................................................... Yes
No
19 Do you participate solely in flea markets, antique shows, or other shows? ............................................................................................ Yes
No
20 Do you intend to make retail sales of cigarettes or other tobacco products? ......................................................................................... Yes
No
21 If you withhold or will withhold New York State income tax from employees, do you need withholding tax forms or information? ......... Yes
No
22 Do you intend to supply two-way wireless communication services to New York State customers? ...................................................... Yes
No
23 Do you intend to sell new tires in New York State? ................................................................................................................................. Yes
No
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