Specifications

Page 8 of 14
ST-220-TD
(6/06)
New York State Department of Taxation and Finance
Contractor Certification
(Pursuant to Section 5-a of the Tax Law, as amended, effective April 26, 2006)
For information, consult Publication 223, Question and Answers Concerning Tax Law Section 5-a (see Need help? below).
Contractor name
Contractor’s principal place of business City State ZIP code
Contractor’s mailing address (if different than above)
Contractor's federal employer identification number (EIN)
Contractor's sales tax ID number (if different from contractor's EIN)
Contractor's telephone number
( )
Covered agency name
Contract number or description
Estimated contract value over the full term of
the contract
(but not including renewals) $
Covered agency address
Covered agency telephone number
General information
Section 5-a of the Tax Law, as amended, effective April 26, 2006,
requires certain contractors awarded certain state contracts
valued at more than $100,000 to certify to the Tax Department
that they are registered to collect New York State and local sales
and compensating use taxes, if they made sales delivered by any
means to locations within New York State of tangible personal
property or taxable services having a cumulative value in excess
of $300,000, measured over a specified period. In addition,
contractors must certify to the Tax Department that each affiliate
and subcontractor exceeding such sales threshold during a
specified period is registered to collect New York State and local
sales and compensating use taxes. Contractors must also file a
Form ST-220-CA, certifying to the procuring state entity that they
filed Form ST-220-TD with the Tax Department and that the
information contained on Form ST-220-TD is correct and
complete as of the date they file Form ST-220-CA.
For more detailed information regarding this form and section 5-a
of the Tax Law, see Publication 223, Questions and Answers
Concerning Tax Law Section 5-a, (as amended, effective April 26,
2006), available at www.nystax.gov. Information is also available
by calling the Tax Department’s Contractor Information Center at
1 800 698-2931.
Privacy notification
The Commissioner of Taxation and Finance may collect and maintain
personal information pursuant to the New York State Tax Law, including
but not limited to, sections 5-a, 171, 171-a, 287, 308, 429, 475, 505, 697,
1096, 1142, and 1415 of that Law; and may require disclosure of social
security numbers pursuant to 42 USC 405(c)(2)(C)(i).
This information will be used to determine and administer tax liabilities
and, when authorized by law, for certain tax offset and exchange of tax
information programs as well as for any other lawful purpose.
Information concerning quarterly wages paid to employees is provided to
certain state agencies for purposes of fraud prevention, support
enforcement, evaluation of the effectiveness of certain employment and
training programs and other purposes authorized by law.
Failure to provide the required information may subject you to civil or
criminal penalties, or both, under the Tax Law.
This information is maintained by the Director of Records Management
and Data Entry, NYS Tax Department, W A Harriman Campus, Albany
NY 12227; telephone [phone]. From areas outside the United
States and outside Canada, call [phone].
Note: Form ST-220-TD must be signed by a person authorized to
make the certification on behalf of the contractor, and the
acknowledgement on page 4 of this form must be completed
before a notary public.
Mail completed form to:
NYS TAX DEPARTMENT
DATA ENTRY SECTION
W A HARRIMAN CAMPUS
ALBANY NY 12227
Need Help?
Internet access: www.nystax.gov
(for information, forms, and publications)
Fax-on-demand forms: 1 800 748-3676
Telephone assistance is available from
8:00 A.M. to 5:00 P.M. (eastern time),
Monday through Friday. 1 800 698-2931
To order forms and publications: 1 800 462-8100
Sales Tax Information Center: 1 800 462-8100
From areas outside the U.S. and outside Canada: [phone]
Hearing and speech impaired (telecommunications device for the
deaf (TDD) callers only): 1 800 634-2110
Persons with disabilities: In compliance with the Americans
with Disabilities Act, we will ensure that our lobbies, offices,
meeting rooms, and other facilities are accessible to persons
with disabilities. If you have questions about special
accommodations for persons with disabilities, please call 1 800
972-1233.