Form Nj 1040-Es - New Jersey Gross Income Tax Declaration Of Estimated Tax-Voucher

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GIT/REP-1
State of New Jersey
(2-07)
NONRESIDENT SELLER’S TAX DECLARATION
(C.55, P.L. 2004)
(Please Print or Type)
SELLER(S) INFORMATION
Name(s)
Street Address:
City, Town, Post Office
State
Zip Code
PROPERTY INFORMATION (Brief Property Description)
Block(s)
Lot(s)
Qualifier
Street Address:
City, Town, Post Office
State
Zip Code
Seller’s Percentage of Ownership
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 could 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.
__________________________________________
_____________________________________________________________________
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
(Detach on dotted line)
NJ
New Jersey Gross Income Tax
1040-ES
Declaration of Estimated Tax–VOUCHER
1 -
OFFICIAL USE ONLY
Calendar Year - Due
YOUR SOCIAL SECURITY NUMBER
SPOUSE 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
Indicate the return for which payment is being made by
checking the appropriate box:
NJ-1040NR
NJ-1041
State of NJ–Div. of Taxation
N
F
Make Checks Payable To:
16
26
AMOUNT OF
,
$
,
.
THIS PAYMENT
01209

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