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Question | Answer |
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Form Name | Dtf 17 1 Form |
Form Length | 2 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 30 sec |
Other names | CEO, LLP, dtf 17 1 fill in form, LLCs |
Department of Taxation and Finance |
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Business Contact and |
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Responsible Person Questionnaire |
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Retain a copy of this form for your records for each business contact or responsible person.
Who should complete this questionnaire
Any oficer, partner, member, shareholder, or employee who is considered a business contact of the business applying for a sales tax Certiicate of Authority should complete the Business contact information section below. Also, a business contact who is a responsible person should also complete the Responsible person information section on page 2.
Responsible person
Aresponsible person generally includes anyone who does any of the following:
• is actively involved in operating the business on a daily basis
• is involved in deciding which inancial obligations are paid
• is involved in personnel activity (such as hiring or iring employees)
• has check signing authority
• prepares tax returns
• has authority over business decisions
• is a tax manager or general manager
In addition, certain owners, oficers, partners, and members of LLCs are automatically considered responsible persons. To determine who is considered a business contact or responsible person, see the table below.
Entity type |
Business contacts |
Responsible persons? |
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Individual (sole proprietor) |
Owner |
Yes |
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Partnership, LP, or LLP |
All general partners |
Yes |
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Any limited partner who: |
Yes, if the limited partner does any of the following: |
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• actively runs the business, or |
• is actively involved in operating the business on a daily |
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• has at least 20% ownership or proit distribution |
basis |
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percentage |
• is involved in deciding which inancial obligations are |
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paid |
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• is involved in personnel activity (such as hiring or iring |
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employees) |
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• has check signing authority |
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• prepares tax returns |
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• has authority over business decisions |
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• is a tax manager or general manager |
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LLC |
All members |
Yes |
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Appointed manager (if a |
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Corporation |
CEO |
Yes, if the corporate oficer or shareholder does any of |
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CFO |
the following: |
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• is actively involved in operating the business on a daily |
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President |
basis |
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Vice President |
• is involved in deciding which inancial obligations are |
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paid |
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Treasurer |
• is involved in personnel activity (such as hiring or iring |
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Secretary |
employees) |
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• has check signing authority |
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• prepares tax returns |
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• has authority over business decisions |
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• is a tax manager or general manager |
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Any shareholder who has at least 20% ownership or proit |
Yes, if the shareholder: |
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distribution interest. |
• does any of the following (regardless of the amount of |
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ownership or proit distribution interest): |
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– |
is actively involved in operating the business on a |
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daily basis |
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– |
is involved in deciding which inancial obligations are |
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paid |
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– |
is involved in personnel activity (such as hiring or |
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iring employees) |
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– |
has check signing authority |
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– |
prepares tax returns |
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– |
has authority over business decisions |
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– |
is a tax manager or general manager |
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• owns more than 50% of the voting stock of the |
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corporation |
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Page 2 of 2
Business contact information
Name (irst, middle initial, last, sufix) |
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Business title |
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Home address (number and street; not a PO Box) |
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City |
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U.S. state/Canadian province |
ZIP/Postal code |
Country |
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Home phone number |
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Ownership percentage except for |
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Proit distribution percentage, if different |
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government entities, trusts, and estates: |
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than ownership percentage: |
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Are you a responsible person? |
Yes |
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No |
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If you are a responsible person, complete the Responsible person |
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information section. |
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Responsible person information
SSN |
Country of residence |
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Effective date of assuming |
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responsibility |
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Partnerships, LPs, LLPs, and LLCs: Have you been designated as a tax matters partner or as the person responsible for |
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tax issues? |
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Yes No |
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Yes |
No |
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Will you be actively involved in operating this business on a daily basis? |
Yes |
No |
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Will you be involved in deciding which inancial obligations are paid? |
Yes |
No |
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Will you be involved in personnel activity (such as hiring or iring)? |
Yes |
No |
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Primary duties - You must check YES for at least one of the business duties listed below: |
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• Will you have check signing authority? |
Yes |
No |
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• Will you prepare tax returns? |
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Yes |
No |
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• Will you have authority over business decisions? |
Yes |
No |
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• Are you a tax manager or general manager? |
Yes |
No |
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Do you have any open, unsatisied judgments, injunctions, or liens in effect today? |
Yes |
No |
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Do you have any felony, misdemeanor, and/or administrative charges currently pending? |
Yes |
No |
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At any time within the last ive years, have there been any judgments, injunctions, or liens issued against you? |
Yes |
No |
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At any time within the last ive years, have you had any permit, license, concession, franchise, or lease terminated for |
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cause or revoked for any reason? |
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Yes |
No |
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At any time within the last ive years, have you been investigated by any governmental or |
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including but not limited to federal, state, and local regulatory agencies? |
Yes |
No |
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At any time within the last ive years, have you been convicted of a misdemeanor and/or found in violation of any |
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administrative, statutory, or regulatory provisions? |
Yes |
No |
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At any time within the last ive years, have you had any sanction imposed as a result of a judicial, regulatory, or |
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administrative proceeding with respect to any license, permit, concession, franchise, or lease? |
Yes |
No |
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At any time within the last ive years, have you failed to ile any applicable federal, state, or New York City tax return by |
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the applicable due date? |
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Yes |
No |
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At any time within the last ive years, have you failed to pay any applicable taxes or assessed government charges by |
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the applicable due date? |
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Yes |
No |
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At any time within the past seven years, has any bankruptcy proceeding been initiated by or against you? |
Yes |
No |
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At any time within the last ten years, have you been convicted of a felony and/or any crime related to truthfulness and/or |
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business conduct? |
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Yes |
No |
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Retain a copy of this form for your records for each business contact or responsible person.