Form St-809 - New York State And Local Sales And Use Tax Return For Part-Quarterly (Monthly) Filers - 2015 Page 2

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Sales tax identification number
0816
Page 2 of 2 ST-809 (10/15)
Part-Quarterly (Monthly)
Must be postmarked by Friday, November 20, 2015, to be considered filed on time.
Step 3
of 3 Sign and mail this return
See below for complete mailing information.
Please be sure to keep a completed copy for your records.
Do you want to allow another person to discuss this return with the Tax Dept?
Yes
No
(see
in instructions)
(complete the following)
Third –
Personal identification
Designee’s name
Designee’s phone number
party
(
)
number (PIN)
designee
Designee’s e-mail address
Printed name of taxpayer
Title
Taxpayer’s e-mail address
Daytime
(
)
Signature of taxpayer
Date
telephone
Firm’s employer
Printed name of preparer’s firm
identification number
(or yours if self-employed)
*
Preparer’s
*
Preparer’s address
PTIN
Preparer’s
NYTPRIN
Preparer’s e-mail address
*
excl. code
NYTPRIN
Daytime
(
)
Signature of preparer, if other than taxpayer
telephone
*See
in instructions
November 10, 2015
Where to file your return and attachments
X,XXX.XX
New York State Sales Tax
Web File your return at (see instructions).
(your payment amount)
(If you are not required to Web File, mail your return and
attachments to: NYS Sales Tax Processing, PO Box 15172,
Albany NY 12212-5172)
00-0000000
ST-809 10/31/15
If using a private delivery service rather than the U.S. Postal
Service, see Publication 55, Designated Private Delivery
Don’t forget to write your sales tax ID#,
Don’t forget to
Services.
ST-809, and 10/31/15.
sign your check
Need help?
See Form ST-809-I, Instructions for Form ST-809.
90000210150094

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