Form Tr-370 - Withholding Tax - Registration Application Page 2
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If you are applying for voluntary participation in the PrompTax Withholding Tax Program, check the box below.
Yes
I am not mandated to participate. I wish to volunteer.
If you are a higher educational organization as described in subdivision (k), (l), and (m) of section 50.1 of 8 NYCRR,
check the box below.
Yes
If you are a health care provider (as described in Article 28 or 36 of the Public Health Law or in Article 16 or 31 of
the Mental Hygiene Law) and are applying for voluntary participation in the PrompTax Withholding Tax Program
(health care providers are exempt from mandatory participation), check the box below. You must also complete
Form TR-371, Statement of Exemption from Mandatory Participation , to apply for voluntary participation.
Yes
You will receive notification from the Tax Department within 30 calendar days approving or denying your voluntary
participation.
II
. Authorization for release of confidential information
Check here if you wish to authorize release of your confidential tax information to any payroll service vendor
filing a return or making payment of tax on your behalf.
III
. Participation option selection
Refer to the PrompTax Web site for an explanation of the four available options for filing
and remitting withholding tax payments. Select only one option. As explained on the PrompTax Web site, you may
change your option at a later date, and you may use an alternate method in an emergency. If you use a payroll
service vendor to file withholding taxes on behalf of your company, select the payment method that they will use to
remit your tax payments.
Check the box to the left of your selection:
D
I select the ACH Debit payment option. I will also complete Section IV, ACH Debit Authorization .
C
I select the ACH Credit payment option.
F
I select the Fedwire payment option.
P
I select the Certified Check payment option.
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