Form Dtf-96 - Report Of Address Change For Business Tax Accounts
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2DTF-96
New York State Department of Taxation and Finance
Report of Address Change
(2/11)
for Business Tax Accounts
For office use only
The fastest and easiest way to report an address change is online (not available for all tax types). Visit our Web site
(see Need help?) and select the option to change your address. See the instructions on page 2.
Identification number
Legal name
(with suffix, if any)
Step 1
(see instructions)
Identify
Trade name (DBA)
your
For corporations - Year of incorp.:
State of incorporation:
business as
Physical address (number and street)
currently
on file with
the NYS Tax
City
County
State ZIP code
Country if not U.S. (see instructions)
Department.
All business tax types
Withholding/
Petroleum
Limited Liability Company (LLC) or
Step 2
on file with NYS Tax Dept.
MCTMT
business (all fuels)
Limited Liability Partnership (LLP)
Select tax
type(s) to
Alcoholic
Corporation
IFTA
Other (list below):
change in
beverages
Step 3.
Tax type
Account number
Sales and use
Highway use
Cigarette/Tobacco
products
Step 3
Note: To change the physical address for petroleum business, alcoholic beverages, and
Effective date of this address change
New
cigarette tax types, see Legal restrictions for petroleum-, alcohol-, and cigarette-related businesses.
List your new
physical
address(es);
Physical location of business (number and street) - Do not enter a PO box here.
New telephone number
address
(
)
enter only if
different from
City
County
State ZIP code
Country if not U.S. (see instructions)
current
information.
Business or firm name to which NYS Tax Department mailings are to be sent
Effective date of this address change
Note: The
New
address(es)
mailing
you list in
Name of person to whom NYS Tax Department mailings are to be sent (optional)
address
Step 3 will be
used for the
New number and street or PO box
New contact telephone number
tax types you
(
)
marked in
City
County
State ZIP code
Country if not U.S. (see instructions)
Step 2.
Step 4
I certify to the best of my knowledge and belief that this report is true, correct, and
complete, and that I am authorized to report address changes.
Sign and mail
Signature
your report.
For where
Sign
Title
Date
to file see
here
instructions.
Print contact name
Contact’s daytime telephone number
(
)
For office use only
E-mail address of contact person
Previous doc loc number
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