Nys Dtf 17 – Fill Out and Use

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

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)

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) .

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

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

Section B — Type of entity or organization (continued)

Franchisor’s name

Franchisor’s address (number and street)

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.

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).

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

Section D — Business activity (continued)

Sales of goods and services

New York City only:

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

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.

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).

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.

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