Form Dtf-17-Att - Schedule Of Business Locations For A Consolidated Filer Page 2

Download a blank fillable Form Dtf-17-Att - Schedule Of Business Locations For A Consolidated Filer in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Dtf-17-Att - Schedule Of Business Locations For A Consolidated Filer with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Page 2 of 2 DTF-17-ATT (1/14)
Legal name
Sales tax ID number
To list more locations, photocopy this schedule, as needed.
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
DBA or trade name (if different from legal name above)
Street address (number and street)
City
U.S. state/Canadian province
ZIP/Postal code
County
Country
Business phone number
Date business will
begin at this location:
(
)
Signature of responsible person – Complete all fields
I certify that I have read and understand the instructions that accompany this schedule; and that the statements made as part of this schedule
are true, complete, and correct; and that no material information has been omitted. I have had the opportunity to discuss this schedule with
a tax advisor and to contact the Tax Department with any questions. I acknowledge that the Tax Department will rely on the information
supplied in this schedule in determining whether to issue the requested sales tax Certificate of Authority, and that this schedule will be filed
with and become a part of the records of the Tax Department. I make these statements with the knowledge that willfully providing false or
fraudulent information in this schedule may constitute a felony or other crime under New York State Law, punishable by a fine and/or jail. I
understand that the Tax Department is authorized to investigate the validity of any information entered on this document, and may request
additional information or documentation in connection with this schedule. If a Certificate of Authority is granted by the Department, it is subject
to renewal pursuant to Tax Law section 1134(a)(5), and it may be revoked at any time due to any false statement or fraud committed in the
application process. I also understand that I am required under New York State Law to promptly notify the Tax Department of any changes to
the information supplied in this schedule.
Name
SSN
Date
Signature
Title
Daytime telephone number
(
)
If your schedule is missing information or is not signed, we will return it to you.
See Form DTF-17-I, Instructions for Form DTF-17, for Need help? and mailing information.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2