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Application for New Jersey/New York State Simplified Sales and Use Tax Reporting

DTF-24 (5/06)

This application should only be used by vendors located in New Jersey or New York State.

Read instructions below before completing — print or type (black or blue ink)

State Tax Department use only

1. Legal name of business from Certificate of Authority

(owner’s name, partners’ names, or corporate name)

2. Trade name or DBA, if different from above

3. Physical location of place of business

(number and street; see instructions)

NAICS ...................

4. City

State

ZIP code

5. County

6. Telephone number

(

)

Note: If you have more than one business location, attach a list of the additional locations.

If you do not have a business location in New Jersey or New York State, do not use this application.

7. Type of organization

Individual

Partnership

LLC

Corporation

8. Mailing address

9. Describe in detail the type of business you operate:

(number and street if different from lines 3 and 4)

City

State

ZIP code

10. Mark an X in one box only

(see instructions)

SSN

FEIN

11. Current sales tax registration numbers

New Jersey number

New York State number

12a. If your principal place of business is in New York, do you maintain a business location in New Jersey?

Yes

12b. If your principal place of business is in New Jersey, do you maintain a business location in New York State?

Yes

The undersigned hereby applies for registration under the New Jersey/New York State Simplified Tax Reporting Program and

understands that there will be an exchange of such information between New Jersey and New York State as may be necessary to

The undersigned agrees that upon approval of this registration, the vendor shall be subject to the laws of both New Jersey and

New York State for sales and use tax purposes.

13. I certify that the above statements are true.

Signature

Name

Title

Date

(please print)

(owner, partner, or responsible officer)

Instructions

1. Enter the exact legal name of the business being registered. If

sales location, showroom, manufacturing facility, warehouse,

a sole proprietorship or partnership, enter legal name(s) of the

or other owned or leased real property related to the business,

owner(s).

whether or not sale or sales-related activities are carried on

from that location.

2. Enter the trade or doing business as (DBA) name of the

business if different from line 1.

1 3. The application must be signed and dated by the owner, a

partner, or a responsible officer of the corporation.

3-6. Enter the actual physical location and telephone number of

your principal place of business. If you have more than one

Mail the completed application to your home state:

place of business, attach a list of all such additional locations.

STATE OF NEW JERSEY

NYS TAX DEPARTMENT

7. Mark an X in the box which applies to your type of business.

DIVISION OF TAXATION

SALES TAX REGISTRATION SECTION

PO BOX 264

W A HARRIMAN CAMPUS

8. Enter the mailing address if different from lines 3 and 4.

TRENTON NJ 08695-0264

ALBANY NY 12227

(609) 588-3764

1 800 698-2909

9. Enter a description of your business activity. New York State

vendors refer to Publication 910, NAICS Codes for Principal

Business Activity for New York State Tax Purposes, for typical

Need help?

(for NYS filers)

business descriptions.

Internet access:

10. Enter the federal employer identification number (FEIN). If you

(for information, forms, and publications)

do not have an FEIN, enter the social security number (SSN)

of the owner or financially responsible partner. Mark an X in the

Fax-on-demand forms:

1 800 748-3676

appropriate box to indicate which number you entered.

To order forms and publications:

1 800 462-8100

11. Enter the registration number from your Certificate of Authority.

Sales Tax Information Center:

1 800 698-2909

If you are registered in both states, enter both numbers. If you

From areas outside the U.S. and

are not currently registered in either, enter None.

outside Canada:

(518) 485-6800

Hearing and speech impaired

1 2. Answer either 12a or 12b by marking an X in the appropriate

(telecommunications device for the

box. Business location includes office, corporate headquarters,

deaf (TDD) callers only):

1 800 634-2110

Form Dtf-24 - Application For New Jersey/new York State Simplified Sales And Use Tax Reporting

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