The New York State 100 form is a document that all business owners in the state are required to complete. The form is used to collect information about the company, including its contact information and legal structure. Completing the form is a requirement for businesses operating in New York, so it's important to understand what's required and how to complete it accurately. This blog post will provide an overview of the NYS 100 form and explain how to fill it out correctly.
You will see info about the type of form you want to prepare in the table. It will show you the amount of time you will need to finish nys 100, what fields you need to fill in and some other specific details.
Question | Answer |
---|---|
Form Name | Nys 100 |
Form Length | 3 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 45 sec |
Other names | nys employer withholding, nys unemployment acquire online, form nys 100, ny registration unemployment |
Department of Taxation and Finance and
Department of
Albany, N.Y.
New York State Employer Registration for Unemployment Insurance, Withholding, and Wage Reporting
You may apply online at www.labor.ny.gov.
For office use only:
U.I. Employer Registration No.
Return completed form (type or print in ink) to the address above, or fax to (518)
Need Help? Call
Do Not use this form to register a Nonprofit IRC 501 (c) (3), Agricultural, Governmental Employer, or Indian Tribe.
Call
Part A – Employer Information
1. |
Type (check one): |
|
Business (complete parts A, B, D, and E) |
|
|
|||||||
|
|
|
|
|
Household Employer of Domestic Services (complete A, C, D, and |
|||||||
|
|
|
|
|
||||||||
2. |
Legal entity (check one – do not complete if household employer): |
|
|
|||||||||
|
|
|
Corporation (includes |
|
Limited Liability Company (LLC) |
|
Limited Liability Partnership (LLP) |
|||||
|
|
|
|
|
||||||||
|
|
|
Sole Proprietorship |
|
Partnership |
|
|
Other (please describe):_______________________________________ |
||||
|
|
|
|
|
|
3. FEIN (Federal Employer Identification Number):
-
4. Phone no.: ( |
|
|
|
|
|
) |
|
|
|
|
|
- |
|
|
|
|
|
|
|
5. Fax no.: ( |
|
|
|
|
|
) |
|
|
|
|
|
- |
6.Legal name of business: ____________________________________________________________________________
7.Trade name (doing business as), if any: ________________________________________________________________
8.Business
Part B – Business Employer
1. |
Enter date of first operations in New York |
State: |
|
|
|
/ |
|
|
|
/ |
|
|
|
|
|
|
|
(mm/dd/yyyy) |
|||||||||||||||
2. |
Enter the date of the first payroll from which you withheld or will withhold NYS Income Tax from your employees’ |
||||||||||||||||||||||||||||||||
|
pay: |
|
|
|
/ |
|
|
|
/ |
|
|
|
|
|
|
|
(mm/dd/yyyy) |
|
|
|
|
|
|
|
|
|
|
|
|
|
3.a. Indicate the first calendar quarter and enter the year you paid (or expect to pay) total remuneration of $300 or more. (Remuneration is every form of compensation, including payments to employees or to corporate and
|
|
|
Jan 1 – Mar 31 (1st) |
|
Apr 1 – Jun 30 (2nd) |
|
Jul 1 – Sep 30 (3rd) |
|
Oct 1 – Dec 31 (4th) |
Year |
||||||||
|
b. Are you registering to remit withholding tax only? |
|
|
Yes |
|
|
No |
|
|
|
|
|||||||
|
|
|
|
|
|
|
|
|
||||||||||
4. |
Total number of employees:_____________________ |
|
|
|
|
|
|
|
|
|||||||||
5. |
Do persons work for you, whom you do not consider employees? |
|
|
Yes* |
|
|
No |
|
||||||||||
|
|
|
|
|
*If Yes, explain the services performed and the reason you do not consider these persons employees.
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
* REFER TO NYS – 100 I FOR INSTRUCTIONS.
NYS 100 page 2 |
|
|
|
|
|
Legal Name: __________________________________ER Number: _________________________ |
|||||||||||||||||||||||||||||||||||||||||||||||
6. |
Have you acquired the business of another employer liable for NYS Unemployment Insurance? |
|
|
|
|
|
Yes* |
|
No |
||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
||||||||||||||||||||||||||||||||||||||||||||||||
|
* If Yes, did you acquire |
|
All or |
|
|
Part? |
Date of acquisition: |
|
|
|
|
|
/ |
|
|
|
/ |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
(mm/dd/yyyy) |
|||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||||||||||||||||
|
Prior Owner’s: Registration number: |
|
|
|
|
- |
|
|
|
|
|
|
|
|
|
|
|
FEIN: |
|
|
|
- |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
|
Legal name of business: ______________________________________________________________ |
||||||||||||||||||||||||||||||||||||||||||||||||||||
|
Address:___________________________________________________________________________ |
||||||||||||||||||||||||||||||||||||||||||||||||||||
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
||||||||||||||
7. |
Have you changed legal entity? |
|
|
Yes* |
|
No |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
* If Yes, date of legal entity change: Previous employer’s: Registration number:
/
/
-
(mm/dd/yyyy)
FEIN:
-
Part C – Household Employer of Domestic Services
1. Indicate the first calendar quarter and enter the year you paid (or expect to pay) total cash wages of $500 or more:
|
|
|
Jan 1 – Mar 31 (1st) |
|
Apr 1 – Jun 30 (2nd) |
|
Jul 1 – Sep 30 (3rd) |
|
|
Oct 1 – Dec 31 (4th) |
Year |
|||
2. |
Enter the total number of persons employed in your home: ________________________ |
|
||||||||||||
|
|
|
|
|
|
|
|
|||||||
3. |
Will you withhold New York State income tax from these employees? |
|
|
Yes |
|
No |
|
Part D – Required Addresses
1.Mailing Address: This is your business mailing address where your Withholding Tax (WT) and Unemployment Insurance (UI) mail will be delivered. However, if you elect to have your UI mail directed to an address other than your place of business, complete number 4 below.
Street or PO Box: _______________________________________________________________________________
City:_______________________________________________________ State: _________ZIP Code:____________
2.Physical Address: This is the physical location of your business, if different from the Mailing Address in number 1.
Street: ________________________________________________________________________________________
City:_______________________________________________________ State: _________ZIP Code:____________
3.Location of Books/Records: This is the physical location where your Books and Records are maintained.
Street: ________________________________________________________________________________________
City:_______________________________________________________ State: _________ZIP Code:____________
Optional Addresses
4.Agent Address (C/O): Complete this if your UI mail should be sent to an address other than your business address.
C/O: __________________________________________________________________________________________
Street or PO Box: _______________________________________________________________________________
City:_______________________________________________________ State: _________ZIP Code:____________
Telephone: (
)
-
ext:________________
5.LO 400 Form - Notice of Entitlement and Potential Charges Address: If completed, this is where the LO 400 will be directed. (It is mailed each time a former employee files a claim for Unemployment Insurance benefits.)
C/O: __________________________________________________________________________________________
Street or PO Box: _______________________________________________________________________________
City:_______________________________________________________ State: _________ZIP Code:____________
Telephone: (
)
-
ext:________________
* REFER TO NYS – 100 I FOR INSTRUCTIONS.
NYS 100 page 3 |
Legal Name: __________________________________ER Number: _________________________ |
Part E – Business Information
1.Complete the following for sole proprietor (owner), household employer of domestic services, all partners, including partners of LP, LLP or RLLP, all members of LLC or PLLC, and corporate officers (President, Vice President, etc.), whether or not remuneration is received or services are performed in New York State.
Name |
|
Social Security |
|
Title |
|
Residence Address |
|
|
Number |
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
|
2.Please enter the number of physical locations at which your company operates: _____. You MUST list the physical address and answer questions A through E below, for each location. Use a separate sheet of paper for each.
a. Location: _______________________ |
____________________ |
_____________________ |
___________ |
Number and Street |
City or Town |
County |
Zip Code |
b. Approximately how many persons do you employ there? _______________
c. Check the principal activity at the above location:
Manufacturing
Wholesale trade
Retail trade
Construction
Warehousing
Transportation
Computer services
Educational services
Health & social assistance
Real estate
Scientific/professional & technical services
Finance & insurance
Arts, entertainment & recreation
Food service, drinking & accommodations
Corporate, subsidiary managing office
Other (Please specify):_____________________________________________________________________
d. If you are primarily engaged in manufacturing, complete the following:
Principal Products Produced |
Percent of Total Sales Value |
Principal Raw Materials Used |
____________________________ |
__________________________ |
_________________________ |
e. If your principal activity is not manufacturing, indicate products sold or services rendered:
Type of Establishment |
Principal Product Sold or |
Percent of Total Revenue |
|
Service Rendered |
|
_____________________________ |
__________________________ |
________________________ |
I affirm that I have read the above questions and that the answers provided are true to the best of
my knowledge and belief.
X________________________________________________________________
Signature of Officer, Partner, Proprietor, Member or Individual
_______________________________________________ Phone no.: (
Official Position
)
|
/ |
|
|
|
/ |
|
(mm/dd/yyyy)
-
* REFER TO NYS – 100 I FOR INSTRUCTIONS.