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

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

Business Phone

Business 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

Primary Contact Phone

Primary Contact Type

Representative Firm

Authorized Contract Signer

Authorized contract signer is the primary contact

Section 3 - Registration Information

Provide the seller's registration and filing information for the voluntary disclosure application.

Filing Preference

Registration Month

Registration Effective Date

Standard Lookback Period

The applicable lookback period will be determined according to the participating states' requirements.

Standard Lookback Start Date

Standard Lookback End Date

Section 4 - State Selection

Indicate whether the seller is applying for voluntary disclosure in each participating state.

If you are not applying in a state, you must select a reason for not applying.

Arkansas

Applying for voluntary disclosure?

Georgia

Applying for voluntary disclosure?

Indiana

Applying for voluntary disclosure?

Iowa

Applying for voluntary disclosure?

Kansas

Applying for voluntary disclosure?

Kentucky

Applying for voluntary disclosure?

Michigan

Applying for voluntary disclosure?

Minnesota

Applying for voluntary disclosure?

Nebraska

Applying for voluntary disclosure?

Nevada

Applying for voluntary disclosure?

New Jersey

Applying for voluntary disclosure?

North Carolina

Applying for voluntary disclosure?

North Dakota

Applying for voluntary disclosure?

Ohio

Applying for voluntary disclosure?

Oklahoma

Applying for voluntary disclosure?

Rhode Island

Applying for voluntary disclosure?

South Dakota

Applying for voluntary disclosure?

Tennessee

Applying for voluntary disclosure?

Utah

Applying for voluntary disclosure?

Vermont

Applying for voluntary disclosure?

Washington

Applying for voluntary disclosure?

West Virginia

Applying for voluntary disclosure?

Wisconsin

Applying for voluntary disclosure?

Wyoming

Applying for voluntary disclosure?

Section 5 - Review Your Application

Please review your application information before proceeding to submission.

You may return to any previous section to make corrections. Your information will remain available during this session.

Seller Information

Contact Information

Registration Information

State Selection

Section 6 - Final Submission

You have reached the final step of your Voluntary Disclosure Agreement application.

Please ensure that all information provided in your application is complete and accurate before submitting.

Application Submission

When you submit your application, your information will be securely transmitted to the Streamlined Sales Tax Governing Board for review.

Once your application has been successfully submitted, you will receive an application confirmation number.

Applications must be completed and submitted during the same session. You will not be able to save an incomplete application and return later.

Submission will become available after the final validation and secure database processing are implemented.

Applications must be completed and submitted during the same session.