Form Dtf-804 - Statement Of Transaction - Claim For Credit Of Sales Tax Paid To Another State - New York State Department Of Taxation And Finance
ADVERTISEMENT
1
2DTF‑804
New York State Department of Taxation and Finance
Statement of Transaction — Claim for
(10/11)
Credit of Sales Tax Paid to Another State
For Motor Vehicle, Trailer, All‑Terrain Vehicle (ATV),
Vessel, or Snowmobile
Use of this form is restricted to transactions processed by county clerk offices or the Department of Motor Vehicles and its agents.
Note: Misuse of this form may subject you to serious civil and criminal sanctions in addition to the payment of any tax and interest
due.
Please type or print. Read instructions on back before completing this form.
Owner
Purchased from
Last name, first name, middle initial (or business name)
SSN or EIN
Last name, first name, middle initial (or dealership name)
Number and street address
Number and street address
City
City
County
State
ZIP code
County
State
ZIP code
Vehicle Type:
Motor vehicle (includes trailers)
All-terrain vehicle
Vessel (length in feet)
ft.
Snowmobile
Year
Make
Model
Vehicle or hull identification number
Date of purchase:
Purchase price: $
Date vehicle entered New York State:
Enter name of the other state where sales tax was paid
Refer to the chart on back to determine if you are eligible to claim a credit from the state to which you paid tax.
1
Amount subject to New York State tax
.....................................................................................
1
(see instructions)
2
Combined New York State and local tax rate
..........
2
%
(enter the tax rate imposed within your jurisdiction of residence)
3
New York State use tax due
...........................................................................................
3
(multiply line 1 by line 2)
4
Enter the tax rate paid to other state .....................................................................
4
%
5
Tax rate eligible for reciprocal credit
.........................................................................................
5
%
(see instructions)
6
Reciprocal credit
.............................................................................................................
6
(multiply line 1 by line 5)
7
Net New York State use tax due
............................
7
(subtract line 6 from line 3; this amount cannot be less than zero)
Certification:
I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I make
these statements and issue this exemption certificate with the knowledge that this document provides evidence that state and local sales or
use taxes do not apply to a transaction or transactions for which I tendered this document and that willfully issuing this document with the
intent to evade any such tax may constitute a felony or other crime under New York State law, punishable by a substantial fine and possible
jail sentence. I understand that this document is required to be filed with, and delivered to the recipient as agent for the Tax Department for the
purposes of Tax Law section 1838, and is deemed a document required to be filed with the Tax Department for the purpose of prosecution of
offenses. I also understand that the Tax Department is authorized to investigate the validity of tax exclusions or exemptions claimed and the
accuracy of any information entered on this document.
Signature of owner (sign in full)
Date
Sales Tax Information Center:
(518) 485-2889
Need help?
To order forms and publications:
(518) 457-5431
Visit our Web site at
• get information and manage your taxes online
Text Telephone (TTY) Hotline
• check for new online services and features
(for persons with hearing and
speech disabilities using a TTY):
(518) 485-5082
For office use only
Taxable valuation
Tax rate
Tax due
Initials
Office
Date
Affidavit submitted
Proof of payment submitted
Possible audit
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Dtf-804 - Claim For Credit Of Sales Tax Paid To Another State - New York State Department Of Taxation And Finance
Financial
Form Dtf-804 - Statement Of Transaction - Claim For Credit Of Sales Tax Paid To Another State, New York State
Financial
Form Dtf-804 - Statement Of Transaction - Claim For Credit Of Sales Tax Paid To Another State
Financial
Form Dtf-804 - Statement Of Transaction - Calim For Credit Of Sales Tapaid To Another State
Financial
Form Sc1040tc Worksheet Instructions - Credit For Taxes Paid To Another State - South Carolina Department Of Revenue
Financial
Form It-140 - Schedules H & E - Certification For Permanent And Total Disability And Credit For Income Tax Paid To Another State - 2013
Financial
Related Categories
Parent category: Financial