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FOR FOR DIVISION USE ONLYSTATE OF NEW JERSEY - DIVISION OF TAXATION
TAXABLE GROSS INCOME TAX FILE NO LATER THAN
YEAR
RECONCILIATION OF TAX WITHHELD FEBRUARY 15
Use For Taxable Years 1998 and After
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Identification Number
1INDICATE NUMBER OF EMPLOYEES . . . . . . . . . . . . .
TOTAL GROSS WAGES,
___________________________________________________________________PENSION AND ANNUITY INCOME
NAME 2AND GAMBLING WINNINGS . . . . . . •
___________________________________________________________________3TOTAL 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(10-07) Both Sides of Return Must Be Completed
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
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