Form Dtf-716 - Application For Registration Of Retail Dealers And Vending Machines For Sales Of Cigarettes Or Tobacco Products - 1999

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Application for Registration of Retail
DTF-716
(8/99)
Dealers and Vending Machines for Sales
of Cigarettes or Tobacco Products
C00
Use this form to register for all or any portion of the period from
January 1, 2000, through December 31, 2000.
Legal name of business
Date
DBA/trade name
Sales tax vendor identification number
Mailing address: c/o (name)
Business telephone number
(
)
Number and street
City, state, ZIP code
Read instructions on page 3 before completing this form.
You must be registered for New York State sales tax if you are selling cigarettes or tobacco products at retail.
G
G
Check the box that applies:
Registered sales tax vendor
DTF-17, Application for Registration as a Sales Tax Vendor, enclosed
G
G
Check the box that applies:
New applicant
Registering additional locations or vending machines
Check the boxes that describe how the cigarettes or tobacco products are sold at retail:
G
G
G
Retail locations
Carts, trucks, stands, etc.
Vending machines
1 Date you began business in New York State:
2 Date you will begin selling cigarettes or other tobacco products at
retail or through vending machines in New York State:
G
G
G
G
3 Type of organization:
Individual
Trust
Partnership
Corporation
G
G
G
Government
Exempt organization
Other (specify): _____________________________________________
E
C
D
Amount due
Code
New York State
Number needed
Cost of each
C × D
4 Certificates of registration
$100
7007
(from Part A)
5 Vending machine registration stickers
$ 25
7008
(from Part B)
6 Total amount due
...................................................................
$
(add lines 4 and 5, column E)
— Attach check or money order for the amount on line 6, column E, payable to: New York State Sales Tax.
— Write your sales tax identification number and DTF-716 on the front of your check or money order.
— Mail your application in the enclosed envelope to: NYS Tax Department, Cigarette/Tobacco Products Registration, Building 8,
W A Harriman Campus, Albany NY 12227.
— Do not mail this application in the envelope provided with your sales tax return.
Signature of applicant
Telephone number
For office use only
(
)
Title
Date

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