Form Dtf-96 - Report Of Address Change For Business Tax Accounts Page 2
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2Page 2 of 2 DTF-96 (2/11)
Instructions
If not doing so online, use Form DTF-96 to correct or change your business
first box, All business tax types on file with the NYS Tax Dept. If you are not
location (physical address) or mailing address, or both, for business tax
marking the first box and your change affects a tax not listed, mark the box
accounts on record with the New York State Department of Taxation and
labeled Other and enter the tax type and account number in the spaces
Finance (Tax Department). If you need to report any other changes for
below that check box.
your business records, you must use Form DTF-95, Business Tax Account
Note: If you wish to change the address for more than one tax type, and
Update. You can report address changes on Form DTF-95 instead of filing
the address is different for each tax type, you must either attach another
both forms. If there are no changes to be made at this time, keep this form in
Form DTF-96 for each additional tax type or, using the same format, create
your files for future use. If a change occurs, complete the form and send it to
and attach a separate listing that contains all the address information, the
us as soon as possible.
tax type(s) for that address, and your identification number.
Address changes to withholding tax information will also update
Step 3 — List your new address(es)
corresponding information on your unemployment insurance account with
the New York State Department of Labor and your Metropolitan Commuter
Enter address information only if it is different from current information.
Transportation Mobility Tax (MCTMT) account.
If applicable, enter the new physical location, the effective date of the
Legal restrictions for petroleum-, alcohol-, and cigarette-related
address change, and the new telephone number of your business.
businesses
If applicable, enter your new mailing address or the mailing address
Filing Form DTF-96 is not a substitute for prior approval required for certain
of the person and firm that you wish to receive mailings sent by the Tax
changes. Failure to obtain prior approval may result in the cancellation of
Department. Also enter the effective date of the change and the new
your registration, license, or permit.
contact telephone number for a person who can be contacted about any tax
information.
If you are registered, licensed, or granted a permit for any of
the following activities, in addition to filing Form DTF-96 you must
Step 4 — Sign and mail your report
also notify the Tax Department in writing to report changes to the
The authorized person must sign and date the report, enter his or her title,
owner/officer/responsible person information of any type of registrant or
and print the name of a contact and the contact’s daytime telephone number
licensee, or to report changes, additions, and deletions of the location of
(including area code and extension, if any). There is also an area to provide
a warehouse of a cigarette agent or wholesale dealer. This notification is
the contact’s business e-mail address. The person who signs the form must
required for:
be authorized to report updates for this business.
•
a distributor of beer, cider, wine, liquor, or other alcoholic beverages
(Article 18);
Mail your completed report to:
•
a cigarette agent, wholesale dealer of cigarettes, distributor of tobacco
NYS TAX DEPARTMENT
products or wholesale dealer of tobacco products, or a chain store
TCC/ACCOUNT SERVICES SECTION
(Articles 20 and 20-A);
W A HARRIMAN CAMPUS
•
ALBANY NY 12227
a motor fuel distributor, importing/exporting transporter, terminal
operator, or liquefied petroleum gas fuel permittee (Articles 12-A and
Privacy notification
13-A);
The Commissioner of Taxation and Finance may collect and maintain
•
a diesel motor fuel distributor, retailer of heating oil only, or distributor of
personal information pursuant to the New York State Tax Law, including but
kero-jet fuel only (Articles 12-A and 13-A); and
not limited to, sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697, 1096,
•
an aviation fuel business or residual petroleum products business
1142, and 1415 of that Law; and may require disclosure of social security
(Article 13-A).
numbers pursuant to 42 USC 405(c)(2)(C)(i).
Send your written notification to:
This information will be used to determine and administer tax liabilities
and, when authorized by law, for certain tax offset and exchange of tax
NYS TAX DEPARTMENT – WADE ROAD
information programs as well as for any other lawful purpose.
TDAB/FACCTS – REGISTRATION AND BOND UNIT
W A HARRIMAN CAMPUS
Information concerning quarterly wages paid to employees is provided
ALBANY NY 12227
to certain state agencies for purposes of fraud prevention, support
Certain changes may require you to complete a new registration for your
enforcement, evaluation of the effectiveness of certain employment and
business.
training programs and other purposes authorized by law.
Failure to provide the required information may subject you to civil or
Step 1 — Identify your business
criminal penalties, or both, under the Tax Law.
Identify your business by filling in all the requested information for your
business as currently on file with the Tax Department. This will assist us in
This information is maintained by the Manager of Document Management,
updating your records.
NYS Tax Department, W A Harriman Campus, Albany NY 12227;
telephone (518) 457-5181.
Identification number — Enter your identification number as it appears on
materials you are currently receiving or the identification number that you
entered when you last filed a tax return.
Need help?
Legal name — For a corporation or limited liability company (LLC), enter
the exact legal name of the business as it appears on the Certificate of
Incorporation or Certificate of Registration. For an unincorporated business,
Internet access:
use the name in which the business owns property or acquires debt, or for
(for information, forms, and publications)
a partnership, use the registered partnership name. A sole proprietor must
use the name of the individual owner.
Telephone assistance is available from 8:30
. to
A.M
Trade name (DBA) — Enter the trade name, doing business as name
4:30
(eastern time), Monday through Friday.
P.M.
(DBA), or assumed name, if different from the legal name. For an
unincorporated business, use the name filed with the county clerk’s office.
Business Tax Information Center:
(518) 457-5342
Corporations — Enter the year and state of incorporation in the spaces
To order forms and publications:
(518) 457-5431
provided.
Physical address — Enter the address where your business is physically
Text Telephone (TTY) Hotline (for persons with
located.
hearing and speech disabilities using a TTY):
(518) 485-5082
Country — If you are located outside of the United States and you find that
Persons with disabilities: In compliance with the
your address will not fit in the spaces provided, you may attach a separate
Americans with Disabilities Act, we will ensure that our
sheet with your address information. Be sure to identify for which tax type(s)
lobbies, offices, meeting rooms, and other facilities are
each address is to be used.
accessible to persons with disabilities. If you have questions
Step 2 — Select tax type(s) to change
about special accommodations for persons with disabilities, call the
See Legal restrictions for petroleum-, alcohol-, and cigarette-related
information center.
businesses before selecting the tax types. Then indicate which business
tax records should be changed by marking an X in the appropriate box(es)
in this section. If the updated information is the same for all your business
tax types on file with the NYS Tax Department, you only need to mark the
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