Htxb Certificate Of Registration Template
ADVERTISEMENT
1
2HTX/
NEW YORK CITY • DEPARTMENT OF FINANCE • PAYMENT OPERATIONS DIVISION
CERTIFICATE OF REGISTRATION
HTXB
TM
PERTAINING TO HOTEL ROOM OCCUPANCY TAX
Finance
FOR HOTEL AND SMALL FACILITY OPERATORS AND ROOM REMARKETERS
Pursuant to Title 11, Chapter 25 of the Administrative Code of the City of New York, every hotel operator and room remarketer is required to
file a Certificate of Registration with the Department of Finance within three days after commencing business. A completely filled out Certificate
of Registration is required by Finance to issue a Certificate of Authority. A separate Certificate of Registration is required for each location.
Instructions: Use this form if you are a hotel or small facility operator or room remarketer. See General Information for further details.
Mail to: NYC Department of Finance, Automated Tax Processing Unit, Hotel Tax Section, 59 Maiden Lane, 18th Floor, New York, NY 10038.
SECTION I - HOTEL/SMALL FACILITY INFORMATION
1. Hotel/Small Facility Name: _______________________________________________________________________________________
PRINT LEGAL NAME
2. Hotel/Small Facility Name (d/b/a): _________________________________________________________________________________
“
”
1
DOING BUSINESS AS
IF DIFFERENT FROM ITEM
3. Hotel/Small Facility Address: _____________________________________________________________________________________
NUMBER AND STREET
4. City: ______________________________ State: _________
Zip: ___________
5. Date Business Began:______/______/ ______
6. Federal Identification Number of Hotel/Small Facility:
EIN/SSN:
K
K
K
K
K
K
7. Type of Hotel/Small Facility:
Hotel
Apartment Hotel
Motel
Club
Boarding House
Apartment
(Check one)
K
K
Bed & Breakfast
Other. Attach explanation
8. No. of Rentable Rooms or Apartments:_______
SECTION II - OWNER/OPERATOR AND ROOM REMARKETER INFORMATION
1. Name of Hotel/Small Facility Operator/Owner/Room Remarketer: ___________________________________________________________
2. Address: _____________________________________________________________________________________________________
NUMBER AND STREET
3. City:__________________________________________________________
State: ___________
Zip: ____________________
4. Federal Identification Number of
Hotel/Small Facility Operator/Owner/Room Remarketer:
EIN/SSN:
K
K
K
5. Business Entity of Small Facility Operator/Owner/Room Remarketer (check one):
Corporation
Partnership or LLC
Individual
6. If you checked "corporation" or "partnership or LLC" list below the name, address & EIN or SSN for each officer, general partner or
managing member, respectively. Attach a separate sheet if necessary.
a. Name: _____________________________________________
b. Name: _____________________________________________
PRINT FIRST AND LAST NAME
PRINT FIRST AND LAST NAME
Address: ___________________________________________
Address: ___________________________________________
NUMBER AND STREET
NUMBER AND STREET
City: _____________________ State: _____ Zip:__________
City: _____________________ State: _____ Zip:__________
ElN/SSN:
ElN/SSN:
c. Name: _____________________________________________
d. Name: _____________________________________________
PRINT FIRST AND LAST NAME
PRINT FIRST AND LAST NAME
Address: ___________________________________________
Address: ___________________________________________
NUMBER AND STREET
NUMBER AND STREET
City: _____________________ State: _____ Zip:__________
City: _____________________ State: _____ Zip:__________
ElN/SSN:
ElN/SSN:
7. Name of Contact Person: _____________________________________
Telephone Number: (_______)_______________________
PRINT FIRST AND LAST NAME
CERTIFICATION
I certify that the information on this application is, to the best of my knowledge, true, correct, and complete.
Signature: _______________________________________ Title: _______________________________ Date: ____________________
HTX/HTXB Cert. of Reg. Rev. 07/09/2009
ADVERTISEMENT
0 votes
Related Articles
Related forms
Certificate To Amend Application For Certificate Of Registration For A Foreign Limited Liability Company Form - Department Of Consumer And Regulatory Affairs, District Of Columbia
Legal
Certificate To Amend Application For Certificate Of Registration For A Foreign Limited Liability Company - Government Of The District Of Columbia
Legal
Related Categories
Parent category: Business