New York State Department of Taxation and Finance
Sales and Use Tax Returns E-File Program
Enrollment Form and Certifications
(for filers of Forms ST-100 and ST-102 only)
Please read instructions, Form ST-75-I, before completing. These instructions explain the purpose of the form and
how information entered on this form will be used.
Sales tax identification number
Please print clearly your sales tax identification number in the spaces provided at left.
(as it appears on your Certificate of Authority)
dba (doing business as) name
(number and street or PO box)
City, State, ZIP code
I, the undersigned, hereby enroll my business, as named above, as a participant in the sales and use tax e-file program for filers
of Forms ST-100 and ST-102.
I understand and agree that by virtue of my signature on this enrollment form, each and every return filed by me under the
sales and use tax e-file program shall be deemed to have been signed by me, that my deemed signature on such return shall
constitute a certification by me that such return is true, accurate, and complete, and that each such return shall be treated as
the legal equivalent of a signed paper return.
I further understand that if I use the services of a paid preparer in connection with any filings made through the sales and use
tax e-file program, in addition to my signature on this enrollment form, I must also obtain the authorized signature of the paid
preparer (see Paid preparer certification on page 3). I understand that I must file a new Form ST-75 if: (a) there has been a
change in paid preparer; (b) the owner/officer/responsible person signing the initial Form ST-75 is no longer associated with the
taxpayer, or such individual no longer has the authority to execute Form ST-75 on behalf of the taxpayer; or (c) there has been a
change in the type of entity of my business (for example, if your business has changed from a sole proprietorship to a
partnership, then you must complete a new Form ST-75 for the new entity).
I certify that I have examined this application and any accompanying information, and to the best of my knowledge and belief it is
true, correct, and complete.
If the taxpayer named above is other than an individual: I certify that I am acting in the capacity of a corporate officer,
partner (except a limited partner), member, or manager of a limited liability company, and that I have the authority to execute the
Taxpayer certification on behalf of the taxpayer.
Printed name (affix corporate seal, if applicable)
Name of contact representative
Business telephone number
Internet email address
For office use only