STATE OF NEW JERSEY - DIVISION OF TAXATION
FOR
FOR DIVISION USE ONLY
TAXABLE
GROSS INCOME TAX
FILE NO LATER THAN
YEAR
RECONCILIATION OF TAX WITHHELD
FEBRUARY 28
Use For Taxable Years 1998 and After
-
-
/
Identification Number
1
INDICATE NUMBER OF EMPLOYEES . . . . . . . . . . . . .
TOTAL GROSS WAGES,
2
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PENSION AND ANNUITY INCOME
•
NAME
AND GAMBLING WINNINGS . . . . . .
___________________________________________________________________
3
•
TOTAL AMOUNT WITHHELD . . . . . . . . . . .
TRADE NAME (IF APPLICABLE)
Mail NJ-W-3M and W-2’s to: State of New Jersey - GIT
___________________________________________________________________
ADDRESS
Division of Taxation
Revenue Processing Center
___________________________________________________________________
PO Box 333
CITY,
STATE,
ZIP CODE
Trenton, NJ 08646-0333
NJ-W-3M
Both Sides of Return Must Be Completed
(10-07)
GROSS INCOME TAX - RECONCILIATION OF TAX WITHHELD
W-2 Filing Method:
Paper (Attach to Form NJ-W-3)
E-File (Electronic Filing)
Copy of Gross Income Tax Withheld From Unregistered Unincorporated Contractors (Schedule NJ-W-3-UNC and related
Misc 1099 forms attached).
I hereby certify that this return, to the best of my knowledge and belief, is a true and correct return.
_________________________________________________________________________________
Taxpayer Signature
Date
_________________________________________________________________________________
___________________________________________________________________
Preparer Signature
Date
Preparer/Firm Identification Number
__________________________________________________________________________________
___________________________________________________________________
Firm Name (or yours if self-employed)
Address