Worksheet For Form Dsf-100 Quarterly Return New Jersey Domestic Security Fee File By Phone System

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DO NOT MAIL
THIS WORKSHEET
Worksheet
New Jersey Domestic Security Fee File By Phone System
(Form DSF-100 Quarterly Return)
To File by Phone:
Step 1 — Fill in the Worksheet
Step 2 — Call the Domestic Security Fee File By Phone System 24 hours a day at 1-877-829-2866
Step 3 — Keep the Worksheet for your Business Records
Phone System Calculates
Information Business Provides
Total Amount Due
A Your New Jersey Taxpayer Identification Number
–
–
⁄
B Your PIN
C Period covered by this return
1 – J
, F
, M
3 – J
, A
, S
AN
EB
AR
ULY
UG
EPT
Quarter
Year
2 – A
, M
, J
4 – O
, N
, D
PR
AY
UNE
CT
OV
EC
1 Number of Vehicle Rental Agreements of 28 days or less
1
completed during the quarter ..................................................
2 Number of Rental Fee Days represented in the agreements
2
from Line 1...............................................................................
3 Number of Vehicle Rental Agreements greater than 28 days
3
completed during the quarter ..................................................
4 Total Amount Due ......................................................................................................
4
00
To pay by electronic check (e-check) enter:
1 – C
HECKING
Bank Routing Number
Type of Account
2 – S
AVINGS
Account Number
To pay by credit card (Visa, American Express, MasterCard, or Discover/Novus) call: 1-800-2PAYTAX (toll-free), or
go to: A fee of 2.5% of your liability is paid directly to Official Payments Corporation.
D Signature: You will be required to make the following declaration: “I verify and affirm that all information submitted
during this call is correct. I am aware that if any of the information provided by me is knowingly false, I am subject to
punishment.”
E Confirmation: DO NOT HANG UP. Stay on the line until the DSF File By Phone System assigns you a
Confirmation Number. Enter this number and your DSF-100 filing date in the boxes below. This number will serve as
proof that your return was successfully filed.
Confirmation Number
Date
⁄
⁄
Do not mail this worksheet – Keep it for your records
WORKSHEET MAY BE REPRODUCED
(Also available for download at: )
DSF-100W (6/04)

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