STATE OF NEW JERSEY
NJ-1040-O
Division of Taxation
2015
E-File Opt-Out Request Form
An Important Message to Taxpayers
New Jersey law requires most tax preparers to electronically file (E-file) New Jersey income tax resident returns
(Form NJ-1040 and Form NJ-1041). Filing your return electronically has the following benefits:
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Direct deposit option for your refund
Reduced chance of errors
The Division of Taxation strongly urges you to allow your tax preparer to electronically file your New Jersey income tax return.
However, if you do NOT want your return filed electronically, you can complete this form (NJ-1040-O) and enclose it with your
return. This form authorizes your tax preparer to file your 2015 New Jersey income tax return on paper.
Part I:
Taxpayer Information (to be completed by Taxpayer)
Last Name
First Name
SSN
Spouse’s/Civil Union Partner’s Last Name (if filing jointly)
First Name
SSN
Street Address
Apt. no.
Telephone Number
City
State
Zip Code
¨
I (We) elect not to E-file my (our) NJ Resident Return
Reason _____________________________________________________________________________________________
____________________________________________________________________________________________________
Taxpayer’s signature
Date
Spouse’s/Civil Union Partner’s signature
Date
Part II:
Tax Preparer Information (to be completed by Tax Preparer)
Paid Preparer’s Last Name
First Name
SSN/PTIN
Paid Preparer’s Signature
Date
Telephone Number
Street Address
Apt. no.
Email Address
City
State
Zip Code
Firm’s Name (if applicable)
FEIN
An Important Message to Tax Preparers
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FORM NJ-1040-O MUST BE ENCLOSED WITH A TAXPAYER’S PAPER FORM NJ-1040 OR
FORM NJ-1041 WHEN FILED.
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Fill in the oval next to your signature on the income tax return.
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Keep a copy of this form for your records.