VDA Application - SST.VDA.Web

Voluntary Disclosure Agreement Application

Streamlined Sales Tax Governing Board

Step 1 of 6 — Seller Information 17%

Section 1 - Seller Information

Please provide the legal business information for the seller requesting voluntary disclosure.

Legal Business Name

Doing Business As (DBA)

Entity Type

Tax Identification Type

Federal Tax Identification Number

Enter the Tax ID corresponding to the identification type selected. EIN format: XX-XXXXXXX. SSN format: XXX-XX-XXXX.

Physical Business Address

Physical Address

Address Line 2

City

State

Postal Code

Country

Mailing Address

Mailing address is the same as physical address

Business Contact Information

Business Email

Enter a valid business email address (for example, contact@example.com).

Business Phone

Enter a business telephone number, including the area code. Example: (555) 123-4567.

Business Website

Enter the complete website address, including https:// (for example, https://www.example.com). Leave blank if your business does not have a website.

Description of Business Activities

Section 2 - Contact Information

Identify the primary contact for this application. The authorized contract signer may be a different person.

Primary Contact

Primary Contact Name

Primary Contact Title

Primary Contact Email

Enter the primary contact's business email address. Example: name@example.com.

Primary Contact Phone

Include the area code. Example: (555) 123-4567.

Primary Contact Type

Representative Firm

Authorized Contract Signer

Authorized contract signer is the primary contact

Section 3 – Registration Information

Provide the effective date of registration in the Streamlined Sales Tax Registration System (SSTRS).

Registration Effective Date

All SST Registrations must begin on the first day of the month indicated here.

Registration Month

Filing Preference

Standard Lookback Period

The standard 24-month lookback period will be the 24 months immediately preceding the month and year you register with SST. The SST Registration date and the lookback period are the same for all states you apply to participate with on this application unless a state has a statutory lookback period greater than 24 months.

Standard Lookback Start Date

Standard Lookback End Date