Form Nj-1041-V - Nj Gross Income Tax Fiduciary Payment Voucher - 2015
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1NJ-1041-V
N J Gross Income Tax
FEDERAL
-
IDENTIFICATION
Fiduciary Payment Voucher
2015
NUMBER (FEIN)
LAST NAME, FIRST NAME AND INITIAL
STREET ADDRESS
MAKE YOUR CHECK PAYABLE TO ‘STATE OF NEW JERSEY - TGI’.
WRITE YOUR FEIN# AND TAX YEAR ON YOUR CHECK.
CITY, STATE, ZIP CODE
RETURN THIS VOUCHER WITH YOUR PAYMENT
State of New Jersey
Enter amount of payment here:
Division of Taxation
Revenue Processing Center
$
,
,
.
PO Box 888
Trenton, NJ 08646-0888
01309000000000000000001512260000000000
Please cut on dotted lines
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