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DTF-24.1 (1/05) (back)

OR-233 (back) (Revised 1/05)

Instructions

1. Enter the exact legal name of the business being registered.

Mail the completed application to your home state.

If sole proprietorship or partnership, enter legal name(s) of

Connecticut filers:

owner(s).

STATE OF CONNECTICUT

2 - 3. Enter the actual physical location of your principal place of

DEPARTMENT OF REVENUE SERVICES

business. If you have more than one place of business,

REGISTRATION SECTION

attach a list of all additional locations.

25 SIGOURNEY STREET

HARTFORD CT 06106-5032

4. Enter the trade name of the business if different from Line 1.

1 800 382-9463 (within Connecticut)

5. Enter the telephone number of your business.

(860) 297-5962

(outside Connecticut)

6. Enter the mailing address if different from Lines 2 and 3.

(860) 297-4911

(TTY, TDD and Text Telephone users only)

7. Check the box that applies to your type of business.

8. Enter a description of your business activity. This must

describe as closely as possible the principal activity of your

New York filers:

business.

NEW YORK STATE TAX DEPARTMENT

9. Enter the federal employer identification number (FEIN). If

SALES TAX - REGISTRATION SECTION

you do not have an FEIN, enter the social security number

W A HARRIMAN CAMPUS

of the owner or financially responsible partner.

ALBANY NY 12227

Need help?

10. Enter the registration number from your New York State

Certificate of Authority or your Connecticut Sales and Use

Internet access:

Tax Permit . If you are registered in both states, enter both

(for information, forms, and publications)

numbers. If you are not currently registered in either, enter

none .

Fax-on-demand forms:

1 800 748-3676

11. Answer either A or B by checking the appropriate box.

Telephone assistance is available from 8:00

to 5:00

A.M.

P.M.

Business location includes office, corporate headquarters,

(eastern time), Monday through Friday.

sales location, showroom, manufacturing facility, warehouse

To order forms and publications:

1 800 462-8100

or other owned or leased real property related to the

Business Tax Information Center:

1 800 972-1233

business, whether or not sales or sales related activities are

From areas outside the U.S. and outside Canada:

(518) 485-6800

carried on from that location.

Hearing and speech impaired (telecommunications device for the

12. The application must be signed and dated by the owner, a

deaf (TDD) callers only): 1 800 634-2110 (8:00

to 5:00

A.M.

P.M.

eastern time).

partner, or responsible officer of a corporation.

Persons with disabilities: In compliance with the Americans with

Disabilities Act, we will ensure that our lobbies, offices, meeting

rooms, and other facilities are accessible to persons with

disabilities. If you have questions about special accommodations for

persons with disabilities, please call 1 800 972-1233.

Instructions For Form Dtf-24.1/or-233 - Application For Connecticut/new York State Simplified Sales And Use Tax Reporting

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