C-6205-ST                                      STATE OF NEW JERSEY                           PO Box 252 
 10-18                       DIVISION OF REVENUE AND ENTERPRISE SERVICES                      Trenton, NJ 08646-0252 
                             REQUEST TO BE PLACED ON A NON-REPORTING 
                                         BASIS     FOR SALES     AND  USE   TAX                                            
 I hereby request to be relieved of the obligation to file New Jersey Sales and Use Tax Returns (ST-50/51) for the following 
 reason (check one):       
                      ☐   The business does not make any sales of tangible personal property, specified                    
                          digital products, or services subject to sales tax, and has not had a use tax liability 
                          averaging over $2,000 during the past three years;                                               
                          (Note: Businesses  whose annual  use tax liability  exceeded $2,000 for  three                   
                          previous years must be on a reporting basis for Sales and Use Tax. Businesses 
                          with no taxable sales, who did not have a use tax liability exceeding that threshold, 
                           may report their use tax liability on an annual ST-18B.)                                        
                      ☐   The business qualifies as a remote seller and all sales are made through a                       
                            marketplace facilitator.                                                                       
                      ☐   The business is a remote seller engaged in making only exempt or otherwise                       
                          nontaxable   sales.                                                                              
 I understand that if I engage in any activity that requires the collection or remittance of Sales and Use Tax, I must notify the 
 Division of Revenue and Enterprise Services immediately. I also certify that I have read the notice on the bottom of this form 
 and I am aware that if any statement on this request is fraudulent, I may be subject to fine or imprisonment or both. 

 Complete all information below. 
                                                                                                                             
                    -             -                /                                   -              -                    
       State Taxpayer Identification Number                                 Business Telephone Number 
                                                                                                                           
                                                                                                                         
       Taxpayer’s Name                                                      Type of Business 
                                                                                                                           
                                                                                                                         
       Trade Name (if registered)                                           Principal Product/Service 
                                                                             
                                                                                                                          
       Street Address                                                                                                      
                                                                                                                           
                                                                                                       -                   
       City                                                                State       Zip Code (give 9 digit postal code) 
       ☐ Check this box if reporting new address                                                                                 
                                                                                               
         Authorized Signature                                       Title                                 Date 

 Send completed form to Division of Revenue and Enterprise Services at the address shown above. 

                                                       NOTICE 
                                                                
  The falsification of any statement on this request, the failure to file required returns, and the failure to remit taxes due, with 
  the intent to defraud the State or avoid payment of tax, are third-degree crimes, in violation of N.J.S.A. 54:52-10, 54:52-8, 
  or 54:52-9, respectively, and are subject to punishment pursuant to the provisions of Title 2C of the New Jersey statutes. 

                                          FOR OFFICIAL USE ONLY 
         ☐  APPROVED                                   ☐  DENIED                     ☐  FURTHER INQUIRY REQUIRED 

            Agent/Employee                                        Location                                Date