Veteran Income Tax Exemption Submission Form 

          You Must Send a Copy of Your Official Discharge Document With This Form. 
We only need a copy of  your records the  first time you claim the exemption.  Once  you receive 
confirmation we have accepted your discharge paperwork, you claim the exemption on your return 
annually. 
                 You do not need to provide documentation each year.

                                    Personal Information 

Name: _____________________________________________________________________________________________________________ 
                 Last                                                        First 

Social Security Number:                           ___ Date of Birth__________________________________ 

Spouse Name: ____________________________________________________________________________________________________ 
                 Last                                                        First 

Spouse Social Security Number:                    ___ Date of Birth__________________________________ 

Address: __________________________________________________________________________________________________________ 
            Street Address                                  Apartment/Unit # 

    ________________________________________________________________________________________________________ 
            City                                  State                            ZIP Code 

Home Phone: _____________________________________ Daytime Phone: _________________________________ 

E-mail Address:                                                                    _______________________________ 

                                        Signature 

Signature:  _________________________________________________________________Date: _____________________________ 

Spouse Signature: __________________________________________________________ Date: _____________________________ 

                           Where to Send the Completed Form

Online, use our secure document upload feature.  
Enter the notice code VET and select PO Box 440; 

Mail, with a copy of your discharge document to: 
                New Jersey Division of Taxation 
                Veteran Exemption 
                PO Box 440  
                Trenton, NJ 08646-0440; or 

Fax with a copy of your discharge document to: 609-633-8427.