Form Tp-650 - Application For Registration Under Articles 12-A And 13-A

ADVERTISEMENT

TP-650
New York State Department of Taxation and Finance
Application for Registration Under Articles 12-A and 13-A
(12/13)
Read Form TP‑650‑I, Instructions for Form TP‑650, carefully before completing this form. Attach additional sheets as necessary to fully
answer all questions.
Print or type. All applicants must complete lines 1 through 14.
1
Legal name
2
DBA or trade name
(if different from legal name above)
3
Address of principal place of business
City
State
ZIP code
(number and street; not a PO box)
4
Mailing address
City
State
ZIP code
(if different from business address)
5
6
Business telephone
Date business began or will begin in New York State (NYS)
(mm/dd/yy)
(
)
/
/
Federal employer identification number (EIN)
Other EIN
7a
7b
8 Type of organization
(mark an X in one or more boxes)
Sole proprietor (individual)
Partnership
Corporation
Limited liability partnership (LLP)
Limited liability company (LLC)
Other
(specify)
9 Do you have an IRS Letter of Registration as a result of filing a federal Form 637, Application for Registration (For Certain Excise Tax Activities)?
Yes
No
(attach a copy)
10 Types of registration
Mark an X in the appropriate box for which this form applies
:
(see instructions)
New applicant
Change of registration
Transfer of registration
Mark an X in the box(es) for the license/registration for which you are applying and complete the lines indicated
:
(see instructions)
a.
Distributor of diesel motor fuel (lines 1-17 and 23)
f.
Retail seller of aviation gasoline (lines 1-16, 21, and 23)
b.
Retailer of non‑highway diesel motor fuel only (lines 1‑16 and 23)
g.
Importing/exporting transporter (lines 1‑14, 19, and 23)
c.
Distributor of kero‑jet fuel only (lines 1‑16, 21, and 23)
h.
Terminal operator (lines 1‑14, 20, and 23)
d.
Aviation fuel business (lines 1‑14, 22, and 23)
i.
Distributor of motor fuel (lines 1‑16, 18, and 23)
e.
Residual petroleum product business (lines 1-16 and 23)
j.
Liquefied petroleum gas permittee (lines 1-14 and 23)
11 Activities
(mark an X in all boxes that apply)
E
Selling at retail in NYS (other than at a filling station):
A
Importing or causing to import product owned by the applicant
into NYS for use, distribution, storage, or sale in NYS:
motor fuel
motor fuel
diesel motor fuel (includes No. 2 heating oil)
diesel motor fuel (includes No. 2 heating oil)
kero‑jet fuel
kero‑jet fuel
residual petroleum product
residual petroleum product
other fuel
other fuel
F
Owner of a vehicle powered by:
B
Refining, manufacturing, compounding, blending, or otherwise
liquefied petroleum gas
producing within NYS:
compressed natural gas
motor fuel
propane
diesel motor fuel (includes No. 2 heating oil)
other (identify)
kero‑jet fuel
G
Retailing aviation gasoline at an airport
residual petroleum product
H
Retailing kero‑jet fuel and no other diesel product
other fuel
I
Industrial user:
C
Selling to other resellers in NYS:
diesel motor fuel (includes No. 2 heating oil)
motor fuel
residual petroleum product
diesel motor fuel (includes No. 2 heating oil)
J
Importing kero‑jet fuel into NYS in fuel tanks of aircraft
kero‑jet fuel
K
Supplying passenger or cargo air carrier services to others
residual petroleum product
L
Other
(explain)
other fuel
D
Electric utility requesting use of a direct pay permit for:
non‑highway diesel motor fuel
residual petroleum product

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Tp-115 - Application For Registration As An Aviation Fuel Business Or As A Residual Petroleum Product Business Form Tp-115 - Application For Registration As An Aviation Fuel Business Or As A Residual Petroleum Product Business Financial
Form Tp-215 - Application For Registration As A Distributor Of Alcoholic Beverages Form Tp-215 - Application For Registration As A Distributor Of Alcoholic Beverages Financial
Form Llp-o1a - Application For Registration Including Articles Of Conversion - North Carolina Secretary Of State Form Llp-o1a - Application For Registration Including Articles Of Conversion - North Carolina Secretary Of State Legal
Instructions For Form Tp-215 - Application For Registration As A Distributor Of Alcoholic Beverages Instructions For Form Tp-215 - Application For Registration As A Distributor Of Alcoholic Beverages Financial
Form A - Application For Registration Under Section 7(1)/7(2) Of The Central Sales Tax Act, 1956 Form A - Application For Registration Under Section 7(1)/7(2) Of The Central Sales Tax Act, 1956 Financial
Form I - Application For Registration Of Birth Of A Minor Child At An Indian Consulate Under Section 4 (1) Of The Citizenship Act, 1995 Form I - Application For Registration Of Birth Of A Minor Child At An Indian Consulate Under Section 4 (1) Of The Citizenship Act, 1995 Business
Form Fpllc-1 - Application For Registration As A Foreign Professional Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms Form Fpllc-1 - Application For Registration As A Foreign Professional Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms Business
Form Fllc-1 - Application For Registration As A Foreign Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms Form Fllc-1 - Application For Registration As A Foreign Limited Liability Company, Form Sra - Addendum To Business Organization And Registration Forms Business
Form Ds-873 - Report On Annual Defensive Driving Performance For Driver Under Article 19-a Form Ds-873 - Report On Annual Defensive Driving Performance For Driver Under Article 19-a Legal
Form Tp-125 - Application For Temporary License To Import Liquors For Personal Use And Consumption Form Tp-125 - Application For Temporary License To Import Liquors For Personal Use And Consumption Financial

Related Categories

Parent category: Financial
Download
Go
Page of 4