STATE OF NEW JERSEY
CORPORATION BUSINESS TAX RETURN
BFC-150
FOR BANKING AND FINANCIAL CORPORATIONS
STATEMENT OF ESTIMATED TAX
For Tax Year ________________
For accounting period beginning _________________________, _________, and ending ____________________________, _________
FEDERAL EMPLOYER ID NUMBER
NJ CORPORATION NUMBER
STATE AND DATE OF INC.
FISCAL YEAR
CORPORATION NAME
FOR OFFICIAL USE ONLY
12
D
F
MAILING ADDRESS
CITY
STATE
ZIP CODE
CHECK ONE:
BANKING CORPORATION
FINANCIAL CORPORATION
COMPUTATION OF ESTIMATED TAX
Any taxpayer required to file a return which has an accounting year that begins in 2012 and has a tax liability of $500 or more
for the prior year must file a Statement of Estimated Tax.
Computation of the Estimated Tax should be made on the basis of a full accounting period. Taxpayers should determine their
expected liabilities on the basis of the circumstances existing at the time prescribed for filing this statement.
WARNING: Interest is assessed for underestimation of tax. See instruction 7.
1. AMOUNT OF THIS INSTALLMENT PAYMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
2. AMOUNT OF OVERPAYMENT CREDIT (See Instruction 5) . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. AMOUNT OF THIS INSTALLMENT PAYMENT
(line 1 minus line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PAY THIS AMOUNT . . . . . . . 3.
Remittance to cover the full amount of payment due on Line 3 must accompany this statement.
Make check or money order payable to:
STATE OF NEW JERSEY - BFC
Mail to:
STATE OF NEW JERSEY
DIVISION OF TAXATION-BFC
REVENUE PROCESSING CENTER,
PO BOX 247
TRENTON, NJ 08646-0247
SIGNATURE AND VERIFICATION
I declare under the penalties provided by law, that this statement has been examined by me and to the best of my knowledge and belief is
a true, correct and complete return. If the return is prepared by a person other than the taxpayer, his declaration is based on all the
information relating to the matters required to be reported in the return of which he has knowledge.
___________________________________________________________________________________________________
Date
Signature of Duly Authorized Officer of Taxpayer
Title
___________________________________________________________________________________________________
Date
Signature of Individual or Firm Preparing Return
Address
Preparer’s ID Number