Form Tp-215 - Application For Registration As A Distributor Of Alcoholic Beverages
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2TP-215
New York State Department of Taxation and Finance
Application for Registration as a
(1/15)
Distributor of Alcoholic Beverages
Tax Law — Article 18
Read Form TP-215-I, Instructions for Form TP-215, before completing this form. Answer all questions. Attach additional sheets as necessary.
I am applying for registration as a distributor of alcoholic beverages for the following
(mark an X in the box for all that apply):
Liquor
Beer
Direct wine shipper
Wine
Cider
Do you elect to file annually?
Yes – I am eligible, and I elect to file my tax return on an annual basis rather than on a monthly basis
.
(see instructions)
Section A – Business identification
(complete all applicable fields; see instructions)
Legal name
(if different from legal name above)
DBA or trade name
Federal employer ID number (EIN)
(number and street; not a PO box)
Address of principal place of business
City
U.S. state / Canadian province
County
ZIP / Postal code
Country
(if different from business address)
Mailing address
City
U.S. state / Canadian province
ZIP / Postal code
Country
Business number
Fax number
E-mail address
(
)
(
)
Type of organization
(mark an X in one or more boxes):
Sole proprietorship (individual) .........
Partnership ...................................
Corporation ..............
Limited liability partnership (LLP) .....
Limited liability company (LLC) .....
Other
.........................
(specify)
Indicate the number of liters (or gallons if wine, cider, or beer) you expect to sell per month.
Liquor, alcohol, and distilled or rectified spirits:
Over 24% alcohol by volume
..................................................................................................
liters
.........................................................................
Over 2% but not over 24% alcohol by volume
liters
½% but not over 2% alcohol by volume
..................................................................................
liters
Wine
gallons
Cider
gallons
Beer
gallons
(include sparkling and still)
Section B – Other requirements
Do you have a State Liquor Authority (SLA) license?
Yes – Enter below the exact name, address, and identification number that appear on your New York State license.
No – You must be licensed by the SLA before your application can be approved
(see instructions)
.
Application pending
(see instructions).
Name
License type
License number
Number and street
City
State
ZIP code
Are you registered as a New York State sales tax vendor?
Yes
No – You must apply and receive your NYS Certificate of Authority before this application will be approved for registration. You may apply online by
using the NYS License Center at
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