Instructions for Completing
Certification of Compliance with Federal and State Law
Respecting the Reporting of Compensation for Certain Employees
P.L. 2007, c. 53 (N.J.S.A. 18A:17-14.4), which was signed into law by Governor
Corzine on March 15, 2007, requires that a school business administrator, or any
other person designated by the board of education, shall certify to the
Department of the Treasury that all documentation prepared for income tax
related
purposes,
in
regard
to
superintendents
of
schools,
assistant
superintendents of schools, and school business administrators, complies fully
with the requirements of Federal and State laws and regulations regarding the
types of compensation which are required to be reported.
This form is being provided for that purpose and should be completed on your
district’s stationery.
The first line requires the preparer (the District Business Administrator, or
authorized designee) to clearly identify him or herself. It is strongly suggested
that the form is co-signed to certify that the Business Administrator’s tax
information has been properly submitted. Include, in sections A – C, all district
superintendents, assistant superintendents and school business administrators
employed by the district during the calendar year for which the certification is
being submitted.
Insert additional lines such as B-1, B-2, B-3 if necessary.
Attach additional sheets if necessary.
These forms must be signed and copies maintained on file in the district business
administrator’s office.
th
Please mail the forms on or before March 15
of the year following the
certification year to:
New Jersey Division of Taxation
Audit Activity
P.O. Box 240
Trenton, NJ 08695
ATTN: Assistant Director Michele Bartolomei
Fax copies will be accepted.
Please fax to 609-633-6201.
Questions on
document submission only should be directed to 609-292-0978.