Fillable Form Citt-1 - Controlling Interest Transfer Tax printable pdf download

CITT-1

State of New Jersey

(1-07)

DIVISION OF TAXATION

CONTROLLING INTEREST TRANSFER TAX

READ INSTRUCTIONS BEFORE COMPLETING THIS RETURN

Part 1

Transferor Information (Seller)

1. Name and Address of Transferor

2. Social Security Number or Federal Employer ID Number of Transferor

3. NJ Registration Number (if any) of Transferor

Check here if more than one transferor and attach a schedule providing the same information for all transferors.

Part 2

Transferee Information (Purchaser)

1. Name and Address of Transferee

2. Social Security Number or Federal Employer ID Number of Transferee

3. NJ Registration Number (if any) of Transferee

Check here if more than one transferee and attach a schedule providing the same information for all transferees.

Part 3

Transfer Information

1. Name and Address of Entity in which controlling interest was transferred.

2. Federal Identification Number of Entity

3. New Jersey Registration Number (if any) of Entity

4. This entity is a:

Corporation

Limited Liability Company

Trust

Partnership

Other (specify)_______________________________

5. Enter name of state under whose

6. Date of transfer of controlling

7. Interest transferred on

8. Was the controlling interest transfer made in a

laws entity is organized

interest in entity

date indicated in 6.

series of transfers (If “yes” attach schedule

describing earlier transfers.

Yes

Part 4

Property Identification and Location

Block Number

Lot

County/Muni Code

Municipality

Part 5

Computation of Amount due and Payable

1. Enter amount from Part 6, Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

2. Enter amount from Part 7, Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.

3. Subtotal (add Line 1 and Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

4. Interest due, if any, on amount on Line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.

5. Penalty due, if any on amount on Line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.

6. Total amount due (add Lines 3, 4, and 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.

I declare under penalty of law that I have examined this return (including any accompanying schedules and statements), and to the best of my knowledge and

belief, it is true, complete and correct. I understand the penalty for willfully delivering a false return is a fine of not more than $5,000, or imprisonment for not

more than five years, or both. The declaration of a paid preparer other than the taxpayer is based on all information of which the prepare has any knowledge.

SIGN HERE

__________________________________________________________________________________________________________________________

Signature of Principal Officer

Title

Date

Keep a copy

_______________________________________________________________________________(_________)_________________________________

of this return

Print Name of Principal Officer

Telephone Number

for your

I authorize the Division of Taxation to discuss my return and enclosures with my preparer (below)