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Nys Dtf 17 Form is a vital form that you will need to fill out if you are a resident of New York State. This form allows the government to collect information about your income and assets, which will help them determine your eligibility for various state benefits. Make sure to fill out the form accurately and completely so that you can receive the benefits you deserve. For more information on how to fill out this form, please visit our website.

The table features specifics of the nys dtf 17. Our advice is that you read through this material before you begin editing the form.

Question	Answer
Form Name	Nys Dtf 17
Form Length	6 pages
Fillable?	Yes
Fillable fields	225
Avg. time to fill out	23 min 17 sec
Other names	dtf 17 registration online, sales dtf 17, dtf 17 form nys form, dtf 17 application ny

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DTF-17	New York State Department of Taxation and Finance
	New York State Department of Taxation and Finance
	Application to Register for a
	Sales Tax Certiﬁcate of Authority

For ofﬁce use only

ID#

COA type

Regular

Temporary

You can ﬁle this application online

The easiest and fastest way to apply for your sales tax Certiﬁcate of Authority is online at www.nys-permits.org.

•It’s easy to use.

•There’s less chance of errors.

•You’ll get your certiicate faster.

You must ile your application, online or paper, at least 20 days prior to starting business in New York State (NYS). (See When to register in Form DTF-17-I, Instructions for Form DTF-17.)

Use this application if you are:

•starting a new business that will engage in activity that requires a sales tax Certiﬁcate of Authority;

•changing your organization type, such as changing from a sole proprietorship to a corporation (see Tax Bulletin ST-25 (TB-ST-25), Amending or Surrendering a Certiﬁcate of Authority);

•applying for a sales tax Certiﬁcate of Authority in order to pay compensating use tax;

•applying for a sales tax Certiﬁcate of Authority in order to issue or receive exemption certiicates;

•currently iling any other types of tax returns (such as withholding tax or corporation tax) and your business will now be engaging in activity that requires a sales tax Certiﬁcate of Authority; or

•adding a new location to a business that already has a sales tax Certiﬁcate of Authority and you will be iling a separate sales tax return for each location.

Do not use this application if you are:

•only adding additional locations to a business that already has a sales tax Certiﬁcate of Authority and you are iling one return for all locations. To add a location in that instance, complete Form DTF-17-ATT, Schedule of Business Locations for a Consolidated Filer; or

•changing information such as the name, identiication (ID) number, physical address, owner/oficer information, or business activity. See TB-ST-25.

Section A — Business identiﬁcation Complete all applicable ields (see instructions) .

1Legal name

2DBA or trade name (if different from legal name above)

3Federal employer ID number (EIN)

4Physical address of business location (not a PO box; if you have additional locations, see Form DTF-17-I)

Care of (c/o)		Number and street

City	U.S. state / Canadian province	County	ZIP / Postal code	Country

5Mailing address, if different from physical address above

Care of (c/o)		Number and street or PO box

City	U.S. state / Canadian province		ZIP / Postal code	Country

6Telephone number(s)

( )

7 Fax number

( )

9E-mail address(es)

8 Cell phone number

( )

10 Enter the date you will begin business in NYS for sales tax purposes (mm/dd/yy)

10.

•You must ile a return for the iling period that includes this date. You must ile even if you change your plans and begin business at a later date or if you don’t make any taxable sales during the iling period.

•Do not ile this application more than 90 days before you will begin business.

Section B — Type of entity or organization Mark an X in one box only (see instructions) .

11Individual (sole proprietor)

Trust

Estate

Partnership

S Corporation

Limited partnership (LP)

C Corporation

Government

Limited liability partnership (LLP)

Limited liability company (LLC) (mark one of the following): Member-managed LLC

Manager-managed LLC

DTF-17 (12/10) PAGE 1 of 6

PAGE 2 of 6 DTF-17 (12/10)

Section B — Type of entity or organization (continued)

12a	Are you a franchisee?	12a. Yes
12b	If Yes, provide franchisor’s name and address:

Franchisor’s name

Franchisor’s address (number and street)

City

U.S. state/Canadian province

ZIP/ Postal code

Country

Section C — Business information (see instructions)

If you have more than one permanent place of business, mark an X in the appropriate box to indicate how you will ile.

13a Separate sales tax returns for each location (you must complete a separate Form DTF-17 for each location)	13a.
13b One sales tax return for all locations (you must also complete Form DTF-17-ATT)	13b.

14a If you or your business currently ile, have iled in the past, or were required to ile sales tax returns or returns for other NYS business taxes, such as corporation tax or withholding tax, enter the ID number(s) below.

•

ID number

Tax type

14b Were you previously registered to collect sales tax, but your Certiﬁcate of Authority expired or was
	surrendered, revoked, or suspended?		14b. Yes	No
	If Yes, provide the ID number from your previous business (if available)
14c		14c.

15You can choose to register as a temporary vendor if your business does not expect to make taxable sales for more than two consecutive sales tax quarters (see instructions). Provide the date that your business

activity will end (mm/dd/yy)							15.
16 If you acquired all or part of the assets of a business that was registered (or required to be registered) for sales tax,
did you ile Form AU-196.10, Notiﬁcation of Sale, Transfer, or Assignment in Bulk, with the Tax Department?							... 16. Yes		No
	Information about former business owner:

	Name					Sales tax ID number

	Address (number and street)		City	U.S. state / Canadian province	ZIP / Postal code			Country


Section D — Business activity		Mark an X in the applicable box for each item (see instructions).

Licenses

17a Are you or do you intend to be licensed by the NYS Liquor Authority (SLA)?	17a.	Yes
17b If Yes, enter your SLA license number (if available)	17b.
17b If Yes, enter your SLA license number (if available)	17b.

18a	Are you or do you intend to be licensed by the NYS Lottery?	18a.	Yes
18b	If Yes, enter your Lottery retailer number (if available)	18b.

19a	.............Do you or will you operate a facility registered with the NYS Department of Motor Vehicles (DMV)?	19a.	Yes
19b	If Yes, enter your DMV facility number (if available)	19b.

DTF-17 (12/10) PAGE 3 of 6

Section D — Business activity (continued)

Sales of goods and services

Do you intend to sell or provide any of the following goods and services?
20a Cigarettes or other tobacco products sold at retail		20a.	Yes
	If Yes, complete and attach Form DTF-716, Application for Registration of Retail Dealers
	and Vending Machines for Sales of Cigarettes and Tobacco Products.
20b	New tires (automotive, motorcycle, trailer, etc.)	20b.	Yes
20c	Passenger car rentals	20c.	Yes
20d	Motor fuel sold at a illing station	20d.	Yes
20e	Diesel motor fuel sold at a illing station	20e.	Yes
20f	Heating fuels, including diesel, irewood, pellets, or coal	20f.	Yes
20g	Electricity or gas (including propane in containers of 100 pounds or more), steam, or refrigeration	20g.	Yes
20h	Mobile telecommunications service	20h.	Yes
20i	Other telecommunications service, including telephone answering service	20i.	Yes
20j	Clothing or footwear	20j.	Yes
20k	Hotel, motel, or other accommodations located in Nassau County or Niagara County	20k.	Yes
20l	Restaurant or tavern food or drink, or other food service (including catering, take-out, cafeterias, etc.)
	located in Nassau County or Niagara County	20l.	Yes
20m	Admissions to places of amusement, club dues, and/or cabaret charges located in Niagara County	20m.	Yes

New York City only:

20n	Parking or garaging services	20n.	Yes
20o	Interior decorating or design services	20o.	Yes
20p	Beauty, barbering, or miscellaneous personal services	20p.	Yes
20q	Interior cleaning or maintenance services	20q.	Yes
20r	Protective or detective services	20r.	Yes
20s	Credit rating or reporting services	20s.	Yes
20t	Hotel, motel, or other accommodations	20t.	Yes
	Other:
20u	Are you a manufacturer or a wholesaler that does not make retail sales?	20u.	Yes
20v	Will you participate solely in lea markets, antique shows, or other shows?	20v.	Yes
20w	Will you conduct business solely as a sidewalk vendor?	20w.	Yes

Section E — Account and reporting information

21Enter the information for the bank account where sales tax money will be deposited. You must provide this information even if the account you list will not be used exclusively for sales tax purposes.

Manufacturers and wholesalers: enter the primary bank account information for your business.

Bank name

Routing number

Account number

22 Do you intend to accept credit cards?

22. Yes

23If this is not the entity that will be reporting the income from the operations of this business on an income tax return or corporation tax return, enter the name and EIN of the legal entity or social security number (SSN) for the individual that will be reporting the income from the operations of the business iling sales and use tax returns.

Name of legal entity or individual

EIN or SSN

PAGE 4 of 6 DTF-17 (12/10)

Section F — Business description (see instructions)

24a In the space below, briely describe your business activities. Describe the products or services that you will sell in NYS from the business location(s) that you are registering. Please be speciic. See the instructions for examples.

Enter the NAICS code that best describes the principal (and secondary, if appropriate) activity of the business location(s) that you are registering. You can ind a list of NAICS codes in Publication 910, Principal Business Activity for New York State Purposes, or by using the online NAICS Code Lookup on our Web site (see Need help? in Form DTF-17-I).

24b Principal NAICS code (required)

24c Secondary NAICS code

Section G — Responsible person(s) (see instructions)

Enter the applicable information for all responsible persons (see instructions). This includes, but is not limited to, owners, partners, members, oficers, and any other person responsible for the business’s day-to-day operations. You must provide all the information that we ask for, including SSN. Attach a separate sheet if necessary.

25	Name (ﬁrst, middle initial, last, sufﬁx)					Business title

	Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

	SSN	Home phone number				Effective date of assuming responsibility
		(	)

	Primary duties

	E-mail address

	All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
	C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

	Name (ﬁrst, middle initial, last, sufﬁx)					Business title

	Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

	SSN	Home phone number				Effective date of assuming responsibility
		(	)

	Primary duties

	E-mail address

	All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
	C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

	Name (ﬁrst, middle initial, last, sufﬁx)					Business title

	Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

	SSN	Home phone number				Effective date of assuming responsibility
		(	)

	Primary duties

	E-mail address

	All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
	C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

	Name (ﬁrst, middle initial, last, sufﬁx)					Business title

	Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

	SSN	Home phone number				Effective date of assuming responsibility
		(	)

	Primary duties

	E-mail address

	All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
	C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

DTF-17 (12/10) PAGE 5 of 6

Section G — Responsible person(s) (continued)

Name (ﬁrst, middle initial, last, sufﬁx)					Business title

Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

SSN	Home phone number				Effective date of assuming responsibility
	(	)

Primary duties

E-mail address

All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

Name (ﬁrst, middle initial, last, sufﬁx)					Business title

Home address (number and street; not a PO Box)			City			U.S. state /Canadian province		ZIP/ Postal code	Country

SSN	Home phone number				Effective date of assuming responsibility
	(	)
Primary duties

E-mail address

All responsible persons must complete the following — except those in				Ownership			Proit distribution percentage, if different than
C corporations, government entities, trusts, and estates				percentage if over 5%:			ownership percentage and if over 5%:

Section H — Tax preparer information —If you have no preparer leave this section blank and continue with section I.

Tax preparer’s or irm’s name			Preparer’s or irm’s EIN (if known)				Preparer’s NYTPRIN (if known)

Preparer’s or irm’s address (number and street)	City	U.S. state/Canadian province				ZIP/Postal code			Country

Preparer’s E-mail address				Preparer’s telephone number				Preparer’s PTIN (if known)
				(	)

If you want sales tax information mailed to this preparer, mark an X in the box .............................................................................................

Section I — Signature of responsible person – Complete all ields (see instructions)

I certify that the above statements are true, complete, and correct, and that no material information has been omitted. I make these statements with the knowledge that willfully providing false or fraudulent information with this document may constitute a felony or other crime under New York State Law, punishable by a substantial ine and possible jail sentence. I also understand that the Tax Department is authorized to investigate the validity of any information entered on this document.

Name

Signature

	SSN			Date

Title		Daytime telephone number
		(	)

If your application is missing information or is not signed, we will return it to you.

Mail your application to: NYS TAX DEPARTMENT

SALES TAX REGISTRATION UNIT

W A HARRIMAN CAMPUS

ALBANY NY 12227

PAGE 6 of 6 DTF-17 (12/10)

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