Form Nj-1040nr-V - Nj Gross Income Tax Nonresident Payment Voucher - 2012
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1N J Gross Income Tax
NJ-1040NR-V
SOCIAL
-
-
SECURITY
Nonresident Payment Voucher
NUMBER
2012
LAST NAME, FIRST NAME AND INITIAL
STREET ADDRESS
MAKE YOUR CHECK PAYABLE TO ‘STATE OF NEW JERSEY - TGI’.
WRITE YOUR SOCIAL SECURITY # AND TAX YEAR ON YOUR CHECK.
CITY, STATE, ZIP CODE
RETURN THIS VOUCHER WITH YOUR PAYMENT
Enter amount of payment here:
$
, ,
, ,
. .
01309000000000000000001212160000000000
Please cut on dotted lines
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