Form Git/rep-1 - Nonresident Sellers Tax Declaration
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1
2GIT/REP-1
State of New Jersey
(12-15)
NONRESIDENT SELLER’S TAX DECLARATION
(Please Print or Type)
SELLER’S INFORMATION
Name(s)
Current Street Address:
City, Town, Post Office Box
State
Zip Code
PROPERTY INFORMATION
Block(s)
Lot(s)
Qualifier
Street Address:
City, Town, Post Office Box
State
Zip Code
Seller’s Percentage of Ownership
Total Consideration
Owner’s Share of Consideration
Closing Date
SELLER’S DECLARATION
The undersigned understands that this declaration and its contents may be disclosed or provided to the New Jersey Division of Taxation and that any
false statement contained herein may be punished by fine, imprisonment, or both. I furthermore declare that I have examined this declaration and,
to the best of my knowledge and belief, it is true, correct and complete. By checking this box o I certify that the Power of Attorney to represent the
seller(s) has been previously recorded or is being recorded simultaneously with the deed to which this form is attached.
__________________________________________
_____________________________________________________________________
Date
Signature (Seller) Please indicate if Power of Attorney or Attorney in Fact
__________________________________________
_____________________________________________________________________
Date
Signature (Seller)
Please indicate if Power of Attorney or Attorney in Fact
(Please cut along dotted line)
NJ
New Jersey Gross Income Tax
1040-ES
Declaration of Estimated Tax–VOUCHER
GIT/REP-1
1 -
OFFICIAL USE ONLY
YOUR SOCIAL SECURITY NUMBER
SPOUSE/CIVIL UNION PARTNER
Calendar Year
SOCIAL SECURITY NUMBER
/ /
/ /
LAST NAME, FIRST NAME AND INITIAL
Be sure to include your social security number on your check or
money order to ensure proper credit for this payment
STREET ADDRESS
CITY, STATE ZIP CODE
This payment is being made to:
Make Check Payable To: State of NJ - Division of Taxation
GIT/REP-1
Mail to:
Revenue Processing Center
PO Box 222
Trenton, NJ 08646-0222
AMOUNT OF
,
,
.
THIS PAYMENT
01209
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