Form St-809 -Sales And Use Tax Return For Part-Quarterly Filers 2004 Page 2

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Must be postmarked by Thursday, May 20, 2004, to be considered
Step 3
Sign and mail this return
of 3
filed on time. See below for complete mailing information.
Please be sure to keep a completed copy for your records.
Printed name of taxpayer
Title
Daytime telephone (
)
Signature of taxpayer
Date
Printed name of preparer, if other than taxpayer
Preparer’s address
Daytime telephone (
)
Signature of preparer, if other than taxpayer
Do you participate in the New Jersey/New York or the
Where to mail
May 10, 2004
Connecticut/New York Reciprocal Tax Agreement?
your return and
attachments
New York State Sales Tax
1,050.32
No
Yes
If using a private delivery
One thousand fifty and 32/100
service rather than the U.S.
Address envelope to:
Address envelope to:
Postal Service, see
in
instructions for
NYS SALES TAX PROCESSING
NYS SALES TAX PROCESSING
00-0000000
ST-809
4/30/04
the correct address.
JAF BUILDING
RECIPROCAL TAX AGREEMENT
PO BOX 1208
JAF BUILDING
NEW YORK NY 10116-1208
PO BOX 1209
Don’t forget to write your sales tax ID# ,
Don’t forget to
NEW YORK NY 10116-1209
ST-809, and 4/30/04
sign your check
Need help?
Hotline for the hearing and speech impaired:
Internet access:
If you have access to a telecommunications device for the
(for information, forms, and publications)
deaf (TDD), contact us at 1 800 634-2110. If you do not
own a TDD, check with independent living centers or
community action programs to find out where machines are
Fax-on-demand forms: Forms are
available for public use.
available 24 hours a day,
7 days a week.
1 800 748-3676
Persons with disabilities: In compliance with the
Americans with Disabilities Act, we will ensure that our
lobbies, offices, meeting rooms, and other facilities are
Telephone assistance is available from 8:00
to
A.M.
accessible to persons with disabilities. If you have
5:00
(eastern time), Monday through Friday.
P.M.
questions about special accommodations for persons
with disabilities, please call 1 800 972-1233.
To order forms and publications:
1 800 462-8100
If you need to write, address your letter to:
Business Tax Information Center:
1 800 972-1233
NYS TAX DEPARTMENT
BUSINESS TAX INFORMATION CENTER
W A HARRIMAN CAMPUS
From areas outside the U.S. and
ALBANY NY 12227
outside Canada:
(518) 485-6800
ST-809 (4/04) Page 2 of 2
Web site address:
Fax-on-demand forms ordering system: 1 800 748-3676

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