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Page 2 of 2 DTF-95-I (9/22)
Identification number – Enter your identification number as it appears on You must provide all the information required. Attach additional sheets as
materials you are currently receiving, or the identification number that you necessary, using the same format.
entered when you last filed a tax return. Mark an Xin the appropriate box to indicate whether you are adding,
Legal name – Enter the legal name of your business as follows: removing, or revising information, and provide all the information requested
• for a corporation or LLC, enter the exact legal name of the business as it for each one. If removing an affiliated person, you must enter an ownership
appears on the Certificate of Incorporation or Certificate of Registration; percentage of 5% or less. You may select a current date for a change
of affiliated person to take effect, but you may not select a date prior to
• for an unincorporated business, use the name in which the business September 1, 2020. If this form is received with an effective date prior to
owns property or acquires debt; September 1, 2020, or if the effective date is left blank, the change will be
• for a partnership, use the registered partnership name; or effective as of the date the form is received.
• for a sole proprietor, use the name of the individual owner. Step 5 – Report sale of business or change of business activity
Trade name (DBA) – Enter the trade name, doing business as (DBA) name, • If you sold or transferred your business (or your entire inventory), mark
or assumed name if different from the legal name. For an unincorporated an X in the box and enter the name, address, and employer identification
business, use the DBA name filed with the county clerk’s office. number (EIN) of the buyer and the date of sale. If you plan to sell or
Business telephone number – Enter the general number that we have on transfer the assets of your business, give each prospective buyer
file, or if more than one, enter the one that you want replaced. a copy of Form TP-153, Notice to Prospective Purchasers of a
Business or Business Assets.
Business fax number – Enter your fax number if you previously provided
one. • If your primary business activity has changed, describe your new
type of business activity and enter the new six-digit NAICS business
Email address – Enter your business email address. activity code(s). To find the best NAICS code for your new activity,
Physical address – Enter the complete address where your business is see Publication 910, NAICS Codes for Principal Business Activity for
physically located. (See Foreign addresses if you are not in the U.S.) New York State Tax Purposes on the Tax Department’s website (see
Need help?).
Step 3 – Enter updated information
Legal name reminder: See Legal name change for restrictions. Step 6 – Sign and mail your update
The authorized person must sign and date the report, enter his or her title,
Updating address information - Mark an Xin the box and enter the and print the name of a contact and the contact’s daytime telephone number
updated address information in Section A. See Address changes. (including area code and extension, if any) and email address. The person
Step 4a – Owner, officer, responsible person, and similar who signs the form must be authorized to report updates for this business.
information Mail your completed form to:
Complete this step if there have been any changes to the information NYS TAX DEPARTMENT
about the persons required to be listed on your application forms as RASB/ST REGISTRATION UNIT
owner, officer, partner, member, director, controlling person, or responsible W A HARRIMAN CAMPUS
person. If there are changes for more than two individuals, attach an ALBANY NY 12227-0865
additional list to this form, using the same format. See Legal restrictions Private delivery services – If you are not submitting your form by U.S.
if you are updating records for petroleum business, alcoholic beverages, Mail, see Publication 55, Designated Private Delivery Services, for the
adult-use cannabis, medical cannabis, or cigarette tax types. address and other information.
A controlling person, for purposes of a license of a cigarette agent,
wholesale dealer of cigarettes, distributor of tobacco products, or wholesale Address changes
dealer of tobacco products, means any person who is an officer, director, If you are not reporting an address change online, you may report address
or partner (or, in the case of a limited liability company, an officer, member changes on this form or on Form DTF-96. Mark an Xin the box in the
or a person having, with respect to such limited liability company, authority Updated information section and enter your updated address information
analogous to that of an officer or director with respect to a corporation) of on the back of Form DTF-95. See Legal restrictions for special reporting
a licensee under Tax Law Article 20, or if the licensee is a corporation, a requirements. Enter your addresses in a format that will be recognized by
shareholder, directly or indirectly, owning more than 10% of the number of the post office. It is important that you enter your addresses correctly. If you
shares of voting stock of such corporation. This includes persons who do need to enter an address outside the U.S., see Foreign addresses.
or will exercise authority within the business comparable to the authority Section A – List your updated address(es)
normally exercised by corporate officers, regardless of the form of business
organization or lack of actual title. Enter address information only if it is different from current information.
If you are registered, licensed, or granted a permit as a cigarette agent, If applicable, enter your new physical location, the effective date of the
wholesale dealer of cigarettes, distributor of tobacco products, or wholesale address change, and your new business telephone number.
dealer of tobacco products, each newly added owner, partner, member, If applicable, enter your new mailing address or the mailing address
director, officer, or any other person who would be defined as a controlling of the person and firm that you wish to receive mailings sent by the Tax
person of such a licensee, must complete Form CG-100-P, Personal Department. Also enter the effective date of the change and the new
Questionnaire. telephone number for a person who can be contacted about any tax
Note: Removing a person as an owner, officer, or responsible person of information.
your business does not determine whether that person is legally responsible Privacy notification
for the tax liabilities of the business. That determination is made based on
all the information available to the department. See our website or Publication 54, Privacy Notification.
Mark an Xin the appropriate box to indicate whether you are adding,
removing, or revising officer information, and provide all the information
requested for each one. You may select a current or future date for a Need help?
change of owner, officer, or responsible person to take effect, but you may
not select a date in the past. If this form is received with a past effective Visit our website at www.tax.ny.gov
date, or if the effective date is left blank, the change will be effective as of
the date the form is received. • get information and manage your taxes online
• check for new online services and features
Step 4b – Affiliated person information
Enter the applicable information for all affiliated persons that you wish to Telephone assistance
add, remove, or revise. For purposes of the cigarette and tobacco tax,
persons are affiliated persons (AP) with respect to each other where: Business Tax Information Center: 518-457-5342
• one of such persons has a direct or indirect ownership interest of more To order forms and publications: 518-457-5431
than 5% in the other;
Text Telephone (TTY) or TDD Dial 7-1-1 for the
• a direct or indirect ownership interest of more than 5% is held in each of equipment users New York Relay Service
such persons by another person, or by a group of other persons that are
affiliated persons with respect to each other.
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