Follow the steps to successfully complete the NYS DOH-4469 online.

1. Click the ‘Get Form’ button to obtain the NYS DOH-4469 form and open it in your chosen editor.
2. Begin with the applicant's name section. Input the first name, middle initial, and last name as required.
3. Next, fill in your address details. Ensure accuracy in your street address, city, state, and zip code.
4. Enter the business details in the next section. Fill in the business name, followed by the corresponding business address.
5. Provide your contact information, including your telephone number and the business telephone number.
6. Proceed to the 'Business Income' section. For the last three months, record the gross sales and inventory purchases, and calculate the gross income by subtracting inventory purchases from gross sales.
7. In the 'Business Expenses' section, list all relevant deductions by filling in the expense categories such as telephone, supplies, heat/utilities, and others as applicable.
8. Calculate and record the total business expenses by summing up all the deductions entered previously.
9. Determine the net income by subtracting the total business expenses from gross income.
10. Complete the income summary section by entering the amounts calculated for the first three months.
11. Ensure to read the certification statement carefully, indicating that all information has been accurately provided, and sign and date where indicated.
12. After completing all sections, review the form for any errors or omissions. Save your changes, then download, print, or share the completed form as required.

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