Report of Address Change for Business Tax Accounts
Tax type Account number
DTF-96
(2/11)
New York State Department of Taxation and Finance
Report of Address Change
for Business Tax Accounts
Identification number (with suffix, if any) Legal name (see instructions)
Trade name (DBA)
Step 2
Select tax
type(s) to
change in
Step 3.
Step 1
Identify
your
business as
currently
on file with
the NYS Tax
Department.
All business tax types Withholding/ Petroleum Limited Liability Company (LLC) or
on file with NYS Tax Dept. MCTMT business (all fuels) Limited Liability Partnership (LLP)
Corporation IFTA
Alcoholic
Other (list below):
beverages
Sales and use Highway use Cigarette/Tobacco
products
Note: To change the physical address for petroleum business, alcoholic beverages, and Effective date of this address change
cigarette tax types, see Legal restrictions for petroleum-, alcohol-, and cigarette-related businesses.
For office use only
Previous doc loc number
Step 4
Sign and mail
your report.
For where
to file see
instructions.
Sign
here
I certify to the best of my knowledge and belief that this report is true, correct, and
complete, and that I am authorized to report address changes.
Signature
Title Date
Print contact name
Contact’s daytime telephone number
( )
E-mail address of contact person
Step 3
List your new
address(es);
enter only if
different from
current
information.
Note:
The
address(es)
you list in
Step 3 will be
used for the
tax types you
marked in
Step 2.
Physical location of business (number and street) - Do not enter a PO box here. New telephone number
( )
City County State ZIP code Country if not U.S. (see instructions)
Physical address (number and street)
City County State ZIP code Country if not U.S. (see instructions)
New
physical
address
For corporations - Year of incorp.:
State of incorporation:
For office use only
The fastest and easiest way to report an address change is online (not available for all tax types). Visit our Web site
(see Need help?) and select the option to change your address. See the instructions on page 2.
New
mailing
address
Business or firm name to which NYS Tax Department mailings are to be sent Effective date of this address change
Name of person to whom NYS Tax Department mailings are to be sent (optional)
New number and street or PO box New contact telephone number
( )
City County State ZIP code Country if not U.S. (see instructions)
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