1 DTF-95 New york State Department of Taxation and finance Business Tax Account Update (10/04). For office use only Use this form to update your business name, identification number, telephone number, addresses, owner/officer/responsible person information and business activity. See Legal restrictions in the instructions (Form DTF-95 -I) before completing this form. Step 1 All business tax types Withholding Petroleum Limited Liability Company (LLC) or on file with NYS Tax Dept. business (all fuels) Limited Liability Partnership (LLP). Select tax type(s) Alcohol Corporation IFTA Other (list below): to be updated. beverages Tax type Account number Sales and use Highway use Cigarette Step 2 Current information on file (complete all items) Step 3 Updated information (enter only changed items). Identify your Identification number (with suffix, if any) Enter updated *New identification number (with suffix, if any).
2 Business. information. Legal name (see instructions) *New legal name (see instructions for special requirements). Trade name (DBA) New trade name (DBA). Business telephone number Business fax number New business telephone number New business fax number Physical address (number and street) Check here if updating address information on the back page City State ZIP code Your reason(s) for update(s): Country if not (see instr.) For corporations - Year of incorp.: * The new information you report here will be effective for all tax types on file. State of incorporation: All other changes will be made to the tax types you checked in Step 1. Name of owner/officer/responsible person % Ownership Social security number Step 4 Add Enter owner/officer/ Title Telephone number Effective date Delete responsible person information and Revise Home address (number and street) City, village, or post office State ZIP code check the appropriate box(es); see Name of owner/officer/responsible person % Ownership Social security number instructions for legal Add restrictions.
3 Title Telephone number Effective date Delete Attach additional Home address (number and street) City, village, or post office State ZIP code Revise sheets if necessary. Describe your new business activity (if changed). Step 5 Check here if you sold your business, and enter the: and enter your new NAICS business activity code Name of buyer: if known (see instructions): Report sale of business or change Address of buyer: of business activity. Date of sale: NAICS code: Important: You may not use this form to close your account. In most cases you must file a final return;. corporations must complete a dissolution process. See Closing a business in the instructions. I certify to the best of my knowledge and belief that this report is true, For office use only Step 6 correct, and complete, and that I am authorized to report account updates.
4 Previous doc loc number Sign and mail Signature your update. Sign Title Date here Print contact name Daytime telephone number Mail to: NYS TAX Department , TCC/ACCOUNT SERVICES SECTION. BUILDING 8, W A HARRIMAN CAMPUS, ALBANY NY 12227-0155. WK4 T NY0720-001 27. 1246. DTF-95 (10/04) (back). Address changes for business tax accounts You may report address changes for businesses on Form DTF-96, Report of Address Change for Business Tax Accounts. To prevent you from having to complete two forms when you need to change your address and other business information at the same time, we have included the address change information on this form. You should be able to report all your changes on Form DTF-95 . Note: If you wish to change the address for more than one tax type, and the address is different for each tax type, you must either attach another Form DTF-95 or Form DTF-96 for each additional tax type or, using the same format, create and attach a separate listing that contains all the address information, indicates the tax type(s) for that address, and your identification number.
5 Important: Complete steps 1, 2, and 6 on the front of this form before continuing below. Send the completed form (front and back) to the address listed in Step 6 on the front of this form. Section A Note: To change the physical address for petroleum business, alcohol beverages, Effective date of this address change Updated and cigarette tax types, see Legal restrictions in the instructions. List your new physical Physical location of business (number and street) - Do not enter a PO box here. New telephone number address(es); address enter only if different from City State ZIP code Country if not (see instr.). current information. New Business or firm name to which NYS Tax Department mailings are to be sent Effective date of this address change Reminder: The mailing addresses you address Name of person to whom NYS Tax Department mailings are to be sent (optional).
6 List in Section A for returns, will be used for notices, and New number and street or PO box New contact telephone number the tax types bills you checked in City State ZIP code Country if not (see instr.). Step 1. Section B New Add new or change Delete old preparer Effective date of this address change This address is for List your new preparer or (check one or both): preparer address information preparer or payroll Sales tax New name of firm to which returns are to be sent New preparer telephone number payroll service service Withholding tax address mailing address for New number and street or PO box (for sales or withholding tax withholding returns only; for or sales tax City State ZIP code Country if not (see instr.). other tax types returns only see instr.). Need help? Hotline for the hearing and speech impaired: Internet access: If you have access to a telecommunications device for the (for information, forms, and publications).
7 Deaf (TDD), contact us at 1 800 634-2110. If you do not own a TDD, check with independent living centers or Fax-on-demand forms: Forms are community action programs to find out where machines available 24 hours a day, are available for public use. 7 days a week. 1 800 748-3676. Persons with disabilities: In compliance with the Telephone assistance is available from 8:00 to Americans with Disabilities Act, we will ensure that our 5:00 (eastern time), Monday through Friday. lobbies, offices, meeting rooms, and other facilities are accessible to persons with disabilities. If you have To order forms and publications: 1 800 462-8100. questions about special accommodations for persons Business Tax Information Center: 1 800 972-1233 with disabilities, please call 1 800 972-1233. From areas outside the and outside Canada: (518) 485-6800.
8 1246. WK4 T NY0720-002 27.