New York State Department of Taxation and Finance
PrompTax — Sales and Compensating Use Tax
Change of Enrollment Information
Complete this form if any of the taxpayer’s current PrompTax sales tax enrollment data has changed. Please complete
section I, Taxpayer identification as currently enrolled, section VIII, Authorized signature, and only the section(s) related
to the enrollment data to be changed.
Note: Required fields are indicated by an asterisk (*).
I. Taxpayer identification as currently enrolled
You must complete this section before reporting any changes to the taxpayer’s PrompTax sales tax electronic funds
transfer (EFT) enrollment data. You may not use this form to report a change in identification number, business name, or
business address. If you wish to change the taxpayer identification number, name, and/or address, you must complete and
return Form DTF-95, Business Tax Account Update.
*
Taxpayer ID:
DBA company name:
(please print)
*
Legal company name:
Mailing address:
City:
State/Province:
Country:
ZIP code:
II. Change of primary contact information
Please indicate below any change to information concerning the taxpayer’s primary contact person with whom we should
communicate regarding the PrompTax Sales Tax EFT Program. This individual will receive all material related to PrompTax
participation, including access code, confidential password, forms, and payment advices. Do not designate a paid preparer
as a primary contact person. The taxpayer’s primary contact must be a member of its organization. Complete only the
fields requiring change.
Primary contact person:
(please print)
Mailing address:
City:
State/Province:
Country:
ZIP code:
Telephone number: (
)
Fax number: (
)
Email address:
TR-696 (3/06)