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Page 4 ST-810-I (11/99)

Signature

U.S. Postal Service, use the appropriate address

12201-1912. Make the check payable to New York

shown at the bottom of page 4 of Form ST-810.

State Sales Tax. Include on your check or money

The return must be signed by the vendor or an

order your identification number, the assessment

authorized officer or employee. A paid preparer

Tax Facts for Vendors

number (if applicable), and the period covered by

must also sign it on the line designated Signature

that payment.

of preparer (if other than vendor) .

Did you know?

You are subject to a $50 penalty if you don’t

Change of Business Information

prominently display your Certificate of Authority at

If there have been changes in your business name,

your place of business.

identification number, mailing address, paid

Your Certificate of Authority can be suspended or

Need help?

preparer address, business address, telephone

revoked if you:

number, or owner/officer/responsible person

Telephone assistance is available from 8:30 a.m. to 4:25 p.m.

— don’t file a return, or willfully file a false return,

information, complete Form DTF-95.1s , Change of

(eastern time), Monday through Friday.

Tax information: 1 800 972-1233

Business Information for Vendors , found in these

Forms and publications: 1 800 462-8100

instructions. Send the completed form to: NYS Tax

— willfully fail to collect, truthfully account for or

From outside the U.S. and outside Canada: (518) 485-6800

Department, RALS Account Services Section,

Fax-on-demand forms: 1 800 748-3676

pay over any state or local sales tax, or

Internet access:

Building 8 Room 258, W A Harriman Campus,

Hearing and speech impaired (telecommunications device for the

— have been convicted of a crime under the Tax

Albany NY 12227-0155. If there are currently no

deaf (TDD) callers only): 1 800 634-2110 (8:30 a.m. to 4:25 p.m.,

Law.

changes to the above information, keep this form in

eastern time)

your files. If a change occurs, complete the form

You may be charged with a misdemeanor if you

and send it to the address listed as soon as

issue a receipt without itemizing the sales tax, or

possible.

you advertise either directly or indirectly that the

Persons with disabilities: In compliance with the

Americans with Disabilities Act, we will ensure that our lobbies,

sales tax is not part of the price your customer

Where to mail your return and

offices, meeting rooms, and other facilities are accessible to

pays for goods or services.

persons with disabilities. If you have questions about special

attachments

accommodations for persons with disabilities, please call

If you are submitting a payment for tax due on a

1 800 225-5829.

previously filed sales tax return, do not send us a

Use the preprinted return envelope provided to

copy of that return. To ensure that your payment is

mail your return and attachments. If you are

properly processed, send a separate check or

using your own envelope, mail it to one of the

If you need to write, address your letter to: NYS Tax

money order for the prior tax due to the New York

addresses shown on page 4 of Form ST-810. If you

Department, Taxpayer Assistance Bureau, Taxpayer

State Tax Department, PO Box 1912, Albany NY

Correspondence, W A Harriman Campus, Albany NY 12227.

are using a private delivery service rather than the

Interest and Penalty Computation

Interest is always due on any underpayment of tax and is computed at the rate as determined pursuant to section 1142 of the Tax Law. It is compounded

daily from the due date of the return to the date the tax was paid. Call Taxpayer Assistance at one of the numbers listed below to get the current rate.

Penalty is due as follows:

A For failure to file a return on time, with no tax due, the penalty is $50.

B For failure to file a return on time with tax due, the penalty is:

For 1-60 days late, 10% (.10) of the tax due for the first month plus 1% (.01) of the tax due for each month thereafter, but in no instance less

than $50.

For 61 or more days late, the greater of:

— 10% (.10) of the tax due for the first month plus 1% (.01) of the tax due for each month thereafter, not to exceed 30% (.30); or

— the lesser of $100 or 100% (1.00) of the tax due; but not less than $50.

C For failure to pay tax, even though the return is filed on time, the penalty is 10% (.10) of the tax due for the first month, plus 1% (.01) of the tax

due for each additional month, up to a maximum of 30% (.30).

Privacy notification

The right of the Commissioner of Taxation and Finance and the Department of Taxation and Finance to collect and maintain personal information, including mandatory

disclosure of social security numbers in the manner required by tax regulations, instructions, and forms, is found in Articles 8, 28, and 28-A of the Tax Law; and

42 USC 405(c)(2)(C)(i).

The Tax Department uses this information primarily to determine and administer sales and use taxes or liabilities under the Tax Law, and for any other purpose

authorized by law.

Failure to provide the required information may subject you to civil or criminal penalties, or both, under the Tax Law.

This information is maintained by the Director of the Registration and Data Services Bureau, NYS Tax Department, Building 8 Room 924, W A Harriman Campus,

Albany NY 12227; telephone 1 800 225-5829. From areas outside the U.S. and outside Canada, call (518) 485-6800.

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Cut here

Reason for change:

Business tax records which should be changed:

Corporation Tax

Highway Use Tax

Petroleum Business Tax

Sales and Use Tax

Withholding Tax

Limited Liability Company/Partnership

Other - Tax type: __________________________

Enter the new owner/officer/responsible person information below if there have been any changes.

Use additional sheets if more space is needed.