DTF-95
New York State Department of Taxation and Finance
Business Tax Account Update
(2/11)
For office use only
• If you are only reporting an address change, the fastest and easiest way is online (not available for all tax types). Visit our Web site (see
Need help? in Form DTF-95-I, Instructions for Form DTF-95) and select the option to change your address. Use this form to update your
business name, identification number, telephone number, address, owner/officer/responsible person information and business activity.
• You may not use this form to request an entity change. See Legal restrictions in the instructions before completing this form.
Step 1
All business tax types
Withholding/
Petroleum
Limited Liability Company (LLC) or
on file with NYS Tax Dept.
MCTMT
business (all fuels)
Limited Liability Partnership (LLP)
Select tax type(s)
to be updated.
Alcoholic
Corporation
IFTA
Other (list below):
beverages
Tax type
Account number
Cigarette/Tobacco
Sales and use
Highway use
products
Step 3
Step 2
Current information on file
Updated information
(complete all items)
(enter only changed items)
Enter updated
Identify your
*
Identification number (with suffix, if any)
New identification number (with suffix, if any)
information.
business.
Legal name
*New legal name
(see instructions)
(see instructions for special requirements)
Trade name (DBA)
New trade name (DBA)
Business telephone number
Business fax number
New business telephone number
New business fax number
(
)
(
)
(
)
(
)
E-mail address
New e-mail address
Physical address (number and street)
Mark an X here if updating address information in Section A.
City
County
State ZIP code
Your reason(s) for update(s):
Country if not U.S.
(see instr.)
For corporations - Year of incorp.:
* The new information you report here will be effective for all tax types on file.
State of incorporation:
All other changes will be made to only the tax types you marked in Step 1.
Name of owner/officer/responsible person
% Ownership
Social security number
Step 4
Add
Enter owner/officer/
Title
Telephone number
Effective date
responsible person
(
)
Delete
information and
Home address (number and street)
City, village, or post office
State
ZIP code
mark an X in the
Revise
appropriate box(es);
Name of owner/officer/responsible person
% Ownership
Social security number
see instructions for
Add
legal restrictions.
Title
Telephone number
Effective date
(
)
Delete
Attach additional
Home address (number and street)
City, village, or post office
State
ZIP code
sheets if necessary.
Revise
Describe your new business activity (if changed) and enter
Mark an X here if you sold your business, and enter the
Step 5
your new NAICS business activity code(s) in the box(es)
information below
below if known
:
(see instructions)
Report sale of
business or change
Name of buyer
of business activity.
Address of buyer
Buyer’s EIN
Date of sale
NAICS
NAICS
Important:
You may not use this form to close your account. In most cases you must file a final return;
corporations must complete a dissolution process. See Closing a business in the instructions.
For office use only
I certify to the best of my knowledge and belief that this report is true, correct,
Step 6
and complete, and that I am authorized to report account updates.
Previous doc loc number
Sign and mail
Signature
Sign
your update. For
Title
Date
where to file see
here
instructions.
Print contact name
Contact’s daytime telephone number
(
)
E-mail address of contact person