Form Nj Reg - Business Registration Application - 2010 Page 2

Download a blank fillable Form Nj Reg - Business Registration Application - 2010 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form Nj Reg - Business Registration Application - 2010 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

FEIN#: _________________________________

NAME: _________________________________

NJ-REG

Each Question Must Be Answered Completely

a. Have you or will you be paying wages, salaries or commissions to employees working in New Jersey within the next 6 months? . . . . . . .

Y es

Give date of first wage or salary payment:

________ / ________ / ________

Month

Day

Year

If you answered “No” to question 1.a., please be aware that if you begin paying wages you are required to notify the Client Registration Bureau

at PO Box 252, Trenton NJ 06646-0252, or phone (609) 292-1730.

b. Give date of hiring first NJ employee:

________ / ________ / ________

Month

Day

Year

c. Date cumulative gross payroll exceeds $1000

________ / ________ / ________

Month

Day

Year

Y es

d. Will you be paying wages, salaries or commissions to New Jersey residents working outside New Jersey? . . . . . . . . . . . . . . . . . . . . . . . .

Y es

e. Will you be the payer of pension or annuity income to New Jersey residents? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f. Will you be holding legalized games of chance in New Jersey (as defined in Chapter 47 Rules of Legalized Games of Chance) where

Y es

proceeds from any one prize exceed $1,000? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Y es

g. Is this business a PEO (Employee Leasing Company)?(If yes, see page 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Y es

Did you acquire

Substantially all the assets;

Trade or business;

Employees; of any previous employing units? . . . . . . . . . . . . .

If answer is “No”, go to question 4.

If answer is “Yes”, indicate by a check whether

in whole or

n part, and list business name, address and registration number of predecessor

or acquired unit and the date business was acquired by you. (If more than one, list separately. Continue on separate sheet if necessary.)

PERCENTAGE

Name of Acquired Unit _________________________________

_________________________________

ACQUIRED

NJ Employee ID

_____________%

Assets

____________________________________________________

_____________%

Trade or Business

Address _____________________________________________

_________________________________

_____________%

Date Acquired

Employ ees

____________________________________________________

Subject to certain regulations, the law provides for the transfer of the predecessor’s employment experience to a successor where the whole of a business is acquired

from a subject predecessor employer. The transfer of the employment experience is required by law.

Y es

Are the predecessor and successor units owned or controlled by the same interests? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Y es

Is your employment agricultural? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Y es

Is your employment household? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . .

a. If yes, please indicate the date in the calendar quarter in which gross cash wages totaled $1,000 or more ________ / ________ / ________

Month

Day

Year

Y es

Are you a 501(c)(3) organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If “Yes,” to apply for sales tax exemption, obtain form REG-1E at

Y es

Were you subject to the Federal Unemployment Tax Act (FUTA) in the current or preceding calendar year? . . . . . . . . . . . . . . . . . . . . . . . . . .

(See instruction sheet for explanation of FUTA) If “Yes”, indicate year:_______________________________________________

a. Does this employing unit claim exemption from liability for contributions under the Unemployment Compensation Law of New Jersey? . .

Y es

If “Yes,” please state reason. (Use additional sheets if necessary.) _____________________________________________________________________________

b. If exemption from the mandatory provisions of the Unemployment Compensation Law of New Jersey is claimed, does this employing unit

Y es

wish to voluntarily elect to become subject to its provisions for a period of not less than two complete calendar years? . . . . . . . . . . . . . . . . .

1. Manuf acturer

2. Serv ice

3. Wholesale

Types of Business

4. Construction

5. Retail

6. Gov ernment

Principal product or service in New Jersey only______________________________________________________________________________________________

Type of Activity in New Jersey only________________________________________________________________________________________________________

10.

List below each place of business and each class of industry in New Jersey, even though you may have only one place of business or

engage in only one class of industry.

Y es

a. Do you have more than one employing facility in New Jersey . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

NJ WORK LOCATIONS

NATURE OF BUSINESS

No. of Workers at

(Physical location, not mailing address)

(See Instructions)

NAICS

Each Location

Principal Product or Service

Street Address, City, Zip Code

County

and/in Each Class

Code