St-101.4 - Annual Schedule Nj
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1
2
3ST-101.4
New York State Department of Taxation and Finance
Annual Schedule NJ
(5/96)
NJ
05
For use by vendors located in New York State
Sales tax vendor identification number
Business telephone number
A96
(
)
Name
If you have checked the final
return box on your New York
DBA
State tax return, check here
also
and attach your
Street
New Jersey State Certificate
of Authority. If there have
been any changes in
City, state, ZIP code
business information, see
instructions.
Use labeled form. Read the instructions carefully before completing this schedule.
Use this form to report transactions for the period June 1, 1995, through May 31, 1996, only.
Gross sales and services
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
(from Form ST-101, page 1, box A)
Yes
This schedule must be filed whether or not there is any New Jersey tax due for this period. Did
you deliver any goods or services in New Jersey or make any purchases subject to use tax in New
No
Jersey? If No, sign this schedule and attach it to Form ST-101. If Yes, complete lines 1 - 13.
Summary of New Jersey Taxes Due
1
$
1 New Jersey gross sales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2 New Jersey deductions
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(see instructions)
3
3 New Jersey taxable sales
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(subtract line 2 from line 1)
4
.06
4 New Jersey sales tax rate. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5 New Jersey sales tax computed
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(multiply line 3 by line 4)
6
6 New Jersey sales tax collected. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7 New Jersey sales tax due
. . . . . . . . . . . . . . . . . . . . . . . . . . .
(amount from line 5 or line 6, whichever is larger)
8
8 New Jersey use tax due
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(see instructions)
9
9 Total New Jersey tax due
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(add lines 7 and 8)
10 Advance payments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
11 Net New Jersey tax due
(subtract line 10 from line 9; see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
12 New Jersey late filing charge
(see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
13 Total New Jersey amount due
(add lines 11 and 12)
(Do not transfer the amount shown on this line to any other form. Submit only one check
or money order to include both this amount and the amount shown on Form ST-101, line 5.)
For office use only
Attach this schedule to Form ST-101, New York State and Local Annual Sales and Use Tax Return.
See Form ST-101 for due date and mailing address.
Amt. applied N.Y. $
I verify and/or affirm that all tax information on this statement is correct. I am aware that
ST-101, line 5
$
if any of the foregoing information provided by me is willfully false, I am subject to punishment.
Signature
Title
Telephone number (include area code)
Date
(
)
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