Form Car-100 - Corporation Business Tax Payment And Annual Report

NOTE: The original version of the Form CAR-100 is available in the New Jersey corporation business tax

returns, Form CBT-100 and Form CBT-100S. To order either of these forms, dial 1-800-323-4400 from touch-

tone phones within New Jersey, or 609-826-4400 from touch-tone phones anywhere. If you wish to speak to a

Division representative, contact the Division of Taxation’s Call Center at 609-292-6400.

CAR-100

2000

CORPORATION BUSINESS TAX PAYMENT AND ANNUAL REPORT

For the period beginning ______________________ and ending _______________________

IMPORTANT NOTICE - The CAR-100 serves as the corporation’s combined annual report and voucher

for CBT and annual report fee payments. Please read all instructions carefully before submitting.

Federal Employer I.D. Number

N.J. Corporation Number

Enter amount of payment here:

_______________________________________________________________________

Corporation Name

•

_______________________________________________________________________

Mailing Address

_______________________________________________________________________

City

State

Zip Code

Corporation Tax/Annual Report

Mail To:

Return this voucher with your payment.

PO Box 666

Make checks payable to: State of New Jersey - CBT

Trenton, NJ 08646-0666

Write the Federal ID number and tax year on the check.

Name: ___________________________________________________________________ID: ___________________________________

Main Business Address (Street/City/State/Zip):

_____________________________________________________________________________________________________________________________

Principal Business Address (Street/City/State/Zip):

_____________________________________________________________________________________________________________________________

Officer Name

Title

Street

City

State

Zip

______________________________ __________________________ _____________________________ ________________ _______ ________

Registered Agent Information:

Name:_________________________________________ Street: ___________________________________________ City:_________________ State: ____ Zip:_________

Signature: _____________________________________________________ Title: ______________________________________________________ Date: _______________

Form Car-100 - Corporation Business Tax Payment And Annual Report - 2000