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    CAUTION

These forms are for reference only. 

DO NOT mail to the Division of Taxation.

Form CBT-100S and all related forms and 

schedules must be filed electronically. See 

our website for more information.  



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                                                                                                                                                                                                  2021 – CBT-100S – Page 1
                                                            2021                          DO NOT MAIL THIS FORM
                                                                                                                          New Jersey Corporation Business Tax Return
CBT-100S                                                                                  For Tax Years Ending On or After July 31, 2021 Through June 30, 2022
                                                                                                                          Tax year beginning _________, ____, and ending __________, ____
                                                                                          The surtax enacted under P.L. 2018, c.48 does not apply to New Jersey S corporations.
FEDERAL EMPLOYER I.D. NUMBER                                                                                          N.J. CORPORATION NUM-
                                                                                                                      BER                       Date of NJ S Corporation election 
CORPORATION NAME                                                                                                                                State and date of incorporation 
                                                                                                                                                Date authorized to do business in New Jersey 
MAILING ADDRESS                                                                                                                                 Federal business activity code 
                                                                                                                                                Corporation books are in the care of 
CITY                                                                                      STATE                                 ZIP CODE        at 
                                                                                                                                                Phone Number   (                            ) 
                                                                                                                                                Check if applicable (see instructions): 
Check applicable return type:                                                              Initial                     Amended                                     Professional Corporation        Qualified Subchapter S Subsidiary
Enter Amended code:                                                                           If code 10, enter reason:                                            Claiming P.L. 86-272           Parent ID#:

1. Taxable net income subject to federal corporate income taxation from Schedule A, Part II, line 5 (if a
                                net loss, enter zero). .................................................................................................................................      1.  XXXXXXXXXXXXXXXXXXXXX
2. AMOUNT OF TAX – Multiply line 1 by the applicable tax rate (see instructions) .....................................                                                                        2.  XXXXXXXXXXXXXXXXXXXXX
3. Tax Credits (from Schedule A-3, Part I, line 28) (see instructions)  ...........................................................                                                           3.  XXXXXXXXXXXXXXXXXXXXX
4.                              TAX LIABILITY – Subtract line 3 from line 2 or enter the minimum tax from Schedule A-GR, whichever is
                                greater (see instructions) ............................................................................................................................       4.  XXXXXXXXXXXXXXXXXXXXX
5. Installment Payment (only applies if line 4 is $375 or less – see instructions) .........................................                                                                  5.  XXXXXXXXXXXXXXXXXXXXX
6. Professional Corporation Fees (Schedule PC, Part II, line 7) ..................................................................                                                            6.  XXXXXXXXXXXXXXXXXXXXX
7. TOTAL TAX AND PROFESSIONAL CORPORATION FEES (add lines 4, 5, and 6) ................................                                                                                       7.  XXXXXXXXXXXXXXXXXXXXX
8. a. Payments and Credits (see instructions) ..............................................................................................                                                  8a. XXXXXXXXXXXXXXXXXXXXX
                                b. Payments made by Partnerships on behalf of taxpayer (include copies of all NJK-1s) .......................                                                 8b. XXXXXXXXXXXXXXXXXXXXX
                                c. Refundable Tax Credits (from Schedule A-3, Part II, line 5) (see instructions) .....................................                                       8c. XXXXXXXXXXXXXXXXXXXXX
                                d. Total Payments and Credits – Add lines 8a, 8b, and 8c .......................................................................                              8d. XXXXXXXXXXXXXXXXXXXXX
9. Balance of Tax Due – If line 8d is less than line 7, subtract line 8d from line 7 ........................................                                                                 9.  XXXXXXXXXXXXXXXXXXXXX
10. Pro Rata Share of S Corp Income for nonconsenting shareholders (from Schedule K, Part VII, line 6,
                                column C or Schedule K Liquidated, Part VII, line 6 columns C plus E) ..................................................                                      10. XXXXXXXXXXXXXXXXXXXXX
11. Gross Income Tax paid on behalf of nonconsenting shareholders (see instructions) ..............................                                                                           11. XXXXXXXXXXXXXXXXXXXXX
12. Penalty and Interest Due (see instructions)..............................................................................................                                                 12. XXXXXXXXXXXXXXXXXXXXX
13. Total Balance Due – Add lines 9, 11, and 12 ............................................................................................                                                  13. XXXXXXXXXXXXXXXXXXXXX
14. Amount Overpaid – If line 8d is greater than the sum of lines 7, 11, and 12, subtract lines 7, 11, and 12
                                from line 8d  ............................................................................................................................................... 14. XXXXXXXXXXXXXXXXXXXXX
15. Amount of line 14 to be Refunded ............................................................................................................                                             15. XXXXXXXXXXXXXXXXXXXXX
16. Amount of line 14 to be Credited to 2022 Tax Return ...............................................................................                                                       16. XXXXXXXXXXXXXXXXXXXXX
17. Amount of line 14 to be Credited to a Combined Group and tax year to                                                                                          Unitary ID Number
                                which it is to be applied                                  2021     or                     2022 ................................. NU                          17. XXXXXXXXXXXXXXXXXXXXX
                                                                               If the corporation is inactive, page 1, the Annual General Questionnaire, and Schedules A (parts I and II), A-2, A-3, A-4, and A-GR must 
                                                                               be completed. A corporate officer must sign and certify below: 
                                                                                By marking the check box to the left, I certify that the corporation did not conduct any business, did not have any income, receipts, or 
                                                                                expenses, and did not own any assets during the entire period covered by the tax return.

                CERTIFICATION                 OF INACTIVITY (See instructions)     (Date)       (Signature of Corporate Officer)                                                                             (Title)  
                                                                               Under penalties of perjury, I declare that I have examined this return, including accompanying schedules, forms, and statements, and to the 
                                                                               best of my knowledge and belief, it is true, correct, and complete. I understand that pursuant to N.J.S.A. 54:10A-14(a), I must include copies 
                                                                               of the federal return(s), forms, and schedules with my New Jersey return. If prepared by a person other than the taxpayer, this declaration is 
                                                                               based on all information of which the preparer has any knowledge.

                                                                                   (Date)       (Signature of Duly Authorized Officer of Taxpayer)                                                           (Title)
                                VERIFICATION                (See instructions)     (Date)                      (Signature of Individual Preparing Return)                          (Address)                 (Preparer’s ID Number)
SIGNATURE AND                                                                      (Name of Tax Preparer’s Employer)                                                               (Address)                 (Employer’s ID Number)



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                                                                                                                       2021 – CBT-100S – Page 2
 NAME AS SHOWN ON RETURN                                                     FEDERAL ID NUMBER

 ANNUAL GENERAL QUESTIONNAIRE  (See instructions)
 All taxpayers must answer the following questions. Riders must be provided where necessary.

1.  Type of business
 Principal products handled
2.  State the location of the actual seat of management or control of the corporation 
 
3.  Did one or more other corporations own beneficially, or control, a majority of the stock of taxpayer corporation or did the same interests own 
 beneficially, or control, a majority of the stock of taxpayer corporation and of one or more other corporations?   
  Yes             No 
 If yes, provide a rider indicating the name and FEIN of the controlled corporation, the name and FEIN of the controlling/parent corporation, and the 
 percentage of stock owned or controlled.
4.  These questions must be answered by corporations with a controlling interest in certain commercial property.
 a.  During the period covered by the return, did the taxpayer acquire or dispose of directly or indirectly a controlling interest in certain commercial 
     property?
      Yes –Answer question 4b below.                No
 b.  Was the CITT-1, Controlling Interest Transfer Tax, filed with the Division of Taxation? 
      Yes. Provide a rider indicating the information and include a copy of the CITT-1.
      No. Provide a rider indicating the name and FEIN of the transferee, the name and FEIN of the transferor, and the assessed value of the 
      property.
5.  Does this corporation own any Qualified Subchapter S Subsidiaries (QSSS)? 
  Yes             No 
 If yes, provide a rider indicating the name, address, and FEIN of the subsidiary, whether the subsidiary made a New Jersey QSSS election, and 
 whether the activities of the subsidiary are included in this return.
6.  Did the taxpayer receive any deemed repatriation dividends reported under IRC §965 from a subsidiary in the taxpayer’s federal tax year 2017 or 2018 
 for which the taxpayer files a New Jersey 2017, 2018, or 2019 tax return?  
  Yes             No 
 If yes, provide a rider indicating the name and FEIN of the subsidiary, the amount of deemed repatriation dividends, and indicate on which New Jersey 
 return the income was included.
7.  If the taxpayer is a unitary subsidiary of a combined group filing a New Jersey combined return from which the taxpayer is excluded, did the taxpayer 
 distribute dividends or deemed dividends in the current tax year?  
  Yes             No
 If yes, provide a rider indicating the name and FEIN of the entity to which the dividends were paid (deemed), the amount of dividends, and unitary ID 
 number of the combined group.
8.  Is the taxpayer an intangible holding company or is the taxpayer’s income, directly or indirectly, from intangible property or related service activities 
 that are deductible against the income of members of a combined group?  
  Yes             No 
 If yes, provide a rider indicating the names and ID numbers of the combined group or the related members and detail the taxpayer’s income that is 
 deductible against their income.
9.  Is income from sources outside the United States included in taxable net income on Schedule A? 
  Yes             No       NA 
 If yes, provide a rider indicating such items of gross income, the source, the deductions, and the amount of foreign taxes paid. Enter on Schedule A, 
 Part I, line 37b, the difference between the net of such income and the amount of foreign taxes paid not previously deducted (include a rider).
10.  Does the taxpayer have related parties or affiliates that file combined returns in New Jersey? 
  Yes             No 
11.  Is the taxpayer part of a group that files a New Jersey combined return but is excluded from the combined return? 
  Yes             No 
 If yes, name of the managerial member of the combined group: 
12.  Has the taxpayer or the preparer completing this return on the taxpayer’s behalf taken any uncertain tax positions when filing this return or their 
 federal tax return? For more information see Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) 740-10, 
 formerly FASB Interpretation No. 48 (FIN 48).
  Yes – Include a rider detailing the information.       No 
13.  Does the taxpayer own or lease real or tangible property in New Jersey? 
  Yes             No 
14.  Does the taxpayer have payroll in New Jersey? 
  Yes             No



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                                                                                                                                                        2021 – CBT-100S – Page 3
NAME AS SHOWN ON RETURN                                                                               FEDERAL ID NUMBER

                                         ALL TAXPAYERS MUST COMPLETE THIS SCHEDULE
Schedule A                    COMPUTATION OF NEW JERSEY TAXABLE NET INCOME (SEE INSTRUCTIONS)
PART I – COMPUTATION OF ENTIRE NET INCOME
1.   Gross receipts or sales                    Less returns and allowances                                 ....                                   1.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
2.   Less: Cost of goods sold (from Schedule A-2, line 8).............................................................                             2.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
3.   Gross profit – Subtract line 2 from line 1 ................................................................................                   3.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
4.   Net gain (loss) from Form 4797 (include Form 4797) (see instructions) ................................                                        4.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
5.   Other income (loss) (include schedule) ..................................................................................                     5.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
6.   Total Income (loss). Add lines 3 through 5..............................................................................                      6.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
7.   Compensation of officers (from Schedule F) ...........................................................................                        7.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
8.   Salaries and wages                         Less jobs credit                                            .....................                  8.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
9.   Repairs ....................................................................................................................................  9.   XXXXXXXXXXXXXXXXXXXXXXXXXXX
10.  Bad debts ................................................................................................................................    10.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
11. Rents  ......................................................................................................................................  11.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
12.  Taxes ....................................................................................................................................... 12.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
13.  Interest..................................................................................................................................... 13.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
14a. Depreciation ................................................................................... 14a. XXXXXXXXXX
14b. Depreciation claimed on Schedule A-2 and elsewhere on return ......                              14b. XXXXXXXXXX
14c. Subtract line 14b from line 14a ................................................................................................              14c. XXXXXXXXXXXXXXXXXXXXXXXXXXX
15.  Depletion (do not deduct oil and gas depletion) ......................................................................                        15.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
16.  Advertising ...............................................................................................................................   16.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
17.  Pension, profit-sharing, etc., plans ..........................................................................................               17.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
18.  Employee benefit programs.....................................................................................................                18.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
19.  Other deductions (include schedule) .......................................................................................                   19.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
20.  Total deductions (add lines 7 through 19)................................................................................                     20.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
21.  Ordinary income (loss) from trade or business activities. Subtract line 20 from line 6 (see 
     instructions) .............................................................................................................................   21.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
22.  a. Gross income from all rental activities ............................................          22a. XXXXXXXXXX
     b. Expenses related to the above rental activities (include schedule)  22b.                           XXXXXXXXXX                                   XXXXXXXXXXXXXXXXXXXXXXXXXXX
     c. Net income (loss) from all rental activities. Subtract line 22b from 22a ...............................                                   22c. XXXXXXXXXXXXXXXXXXXXXXXXXXX
23.  Portfolio income (loss):
     a. Interest income ....................................................................................................................       23a. XXXXXXXXXXXXXXXXXXXXXXXXXXX
     b. Dividend income ..................................................................................................................         23b. XXXXXXXXXXXXXXXXXXXXXXXXXXX
     c. Royalty income ....................................................................................................................        23c. XXXXXXXXXXXXXXXXXXXXXXXXXXX
     d. Capital gain net income (include Schedule D (Form 1120-S)) ............................................                                    23d. XXXXXXXXXXXXXXXXXXXXXXXXXXX
     e. Other portfolio income (loss) (include schedule) .................................................................                         23e. XXXXXXXXXXXXXXXXXXXXXXXXXXX
24.  Net gain (loss) under section 1231 (include federal Form 4797).............................................                                   24.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
25.  Other income (loss) (include schedule) ...................................................................................                    25.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
26.  Section 179 expense deduction (include federal Form 4562) (see instructions) .....................                                            26.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
27.  Deductions related to portfolio income (loss) ..........................................................................                      27.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
28.  Other deductions (include schedule) .......................................................................................                   28.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
29.  Add lines 21 through 28...........................................................................................................            29.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
30.  Charitable contributions (limited to 10% of line 29) .................................................................                        30.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
31.  Taxable income before net operating loss and special deductions. Subtract line 30 from 
     line 29. (see instructions).........................................................................................................          31.  XXXXXXXXXXXXXXXXXXXXXXXXXXX



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                                                                                                                                                    2021 – CBT-100S – Page 4
NAME AS SHOWN ON RETURN                                   FEDERAL ID NUMBER

Schedule A                      COMPUTATION OF NEW JERSEY TAXABLE NET INCOME (SEE INSTRUCTIONS)
32. Taxable income before net operating loss and special deductions from page 3, line 31 .......                                               32.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
33. Interest on federal, state, municipal, and other obligations not included above (see 
    instructions) ............................................................................................................................ 33.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
34. New Jersey State and other states’ income taxes deducted above (see instructions) ...........                                              34.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
35. Taxes paid by the corporation on behalf of the shareholder (see instructions) ......................                                       35.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
36. a. Depreciation modification being added to income (from Schedule S) ................................                                      36a. XXXXXXXXXXXXXXXXXXXXXXXXXXX
    b. Depreciation modification being subtracted from income (from Schedule S) .....................                                          36b. XXXXXXXXXXXXXXXXXXXXXXXXXXX
37. a. Deduction for IRC Section 78 Gross-up not deducted at line 43 below .............................                                       37a. XXXXXXXXXXXXXXXXXXXXXXXXXXX
    b. Other deductions and additions. Explain on separate rider (see instructions) ...................                                        37b. XXXXXXXXXXXXXXXXXXXXXXXXXXX
    c. Related party interest addback (Schedule G, Part I) ..........................................................                          37c. XXXXXXXXXXXXXXXXXXXXXXXXXXX
    d. Related party intangibles expenses and costs addback (Schedule G, Part II) ...................                                          37d. XXXXXXXXXXXXXXXXXXXXXXXXXXX
    e. Add back any other federally exempt income not reported elsewhere on Schedule A 
    (see instructions) ................................................................................................................        37e. XXXXXXXXXXXXXXXXXXXXXXXXXXX
38. Entire net income before net operating loss deduction and dividend exclusion (net lines 32 
    through 37(e)) .........................................................................................................................   38.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
39. Allocation factor from Schedule J (if all receipts were derived from only New Jersey 
    sources, enter 1.000000)........................................................................................................           39.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
40. Allocated Entire Net Income before net operating loss deductions and dividend exclusion – 
    Multiply line 38 by line 39 and enter the result here (if zero or less, enter zero on line 45)  .....                                      40.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
41. Deduction for Current Converted Net Operation Losses (from Form 500S) (Amount en-
    tered cannot be more than amount on line 40.)......................................................................                        41.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
42. Allocated Entire Net Income before allocated dividend exclusion – Subtract line 41 from 
    line 40 (if zero or less, enter zero here and on line 45) .........................................................                        42.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
43. Allocated Dividend Exclusion (from Schedule R, line 13)......................................................                              43.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
44. Reserved for future use. ........................................................................................................          44.
45. Allocated Entire Net Income – Subtract line 43 from line 42 .................................................                              45.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
PART II (See instructions)
1. Entire net income that is subject to federal corporate income taxation (see instructions) .....                                              1.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Allocation factor from Schedule J (if all receipts were derived from only New Jersey 
    sources, enter 1.000000).......................................................................................................             2.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Allocated Entire Net Income before net operating loss deductions multiply line 1 by line 2 ..                                                3.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Deduction for Available Converted Net Operation Losses (from Form 500S) (Amount 
    entered cannot be more than amount on line 3.)...................................................................                           4.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Taxable Net Income subject to federal corporate income taxation (carry to page1, line 1, 
    ONLY if amount is more than zero) – Subtract line 4 from line 3 ..........................................                                  5.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
                                COST OF GOODS SOLD (See instructions) All data must match amounts reported on federal  
Schedule A-2                    Form 1125-A of the federal pro forma or federal return, whichever is applicable.
1. Inventory at beginning of year ................................................................................................              1.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Purchases...............................................................................................................................     2.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Cost of labor ...........................................................................................................................    3.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Additional section 263A costs .................................................................................................              4.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Other costs (include schedule) ...............................................................................................               5.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
6. Total – Add lines 1 through 5 ..................................................................................................             6.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
7. Inventory at end of year ..........................................................................................................          7.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
8.  Cost of goods sold – Subtract line 7 from line 6. Enter here and on Schedule A, Part I, line 2                                              8.  XXXXXXXXXXXXXXXXXXXXXXXXXXX



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                                                                                                                                           2021 – CBT-100S – Page 5
NAME AS SHOWN ON RETURN                       FEDERAL ID NUMBER

Schedule A-3            SUMMARY OF TAX CREDITS (See instructions)
PART I – Tax Credits Used Against Liability 
1. New Jobs Investment Tax Credit from Form 304 ...................................................................                    1.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Angel Investor Tax Credit from Form 321 ...............................................................................             2.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Business Employment Incentive Program Tax Credit from Form 324 ....................................                                 3.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
4. EITHER: a. Urban Enterprise Zone Employee Tax Credit from Form 300 .........................
   OR      b. Urban Enterprise Zone Investment Tax Credit from Form 301 ........................                                       4.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Redevelopment Authority Project Tax Credit from Form 302 .................................................                          5.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
6. Manufacturing Equipment and Employment Investment Tax Credit from Form 305 ..............                                           6.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
7. Research and Development Tax Credit from Form 306 .........................................................                         7.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
8. Neighborhood Revitalization State Tax Credit from Form 311 ................................................                         8.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
9. Effluent Equipment Tax Credit from Form 312 .......................................................................                 9.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
10. Economic Recovery Tax Credit from Form 313 ......................................................................                  10. XXXXXXXXXXXXXXXXXXXXXXXXXXX
11. AMA Tax Credit from Form 315 ..............................................................................................        11. XXXXXXXXXXXXXXXXXXXXXXXXXXX
12. Business Retention and Relocation Tax Credit from Form 316 ..............................................                          12. XXXXXXXXXXXXXXXXXXXXXXXXXXX
13. Sheltered Workshop Tax Credit from Form 317 .....................................................................                  13. XXXXXXXXXXXXXXXXXXXXXXXXXXX
14. Film Production Tax Credit from Form 318 .............................................................................             14. XXXXXXXXXXXXXXXXXXXXXXXXXXX
15. Urban Transit Hub Tax Credit from Form 319 .........................................................................               15. XXXXXXXXXXXXXXXXXXXXXXXXXXX
16. Grow NJ Tax Credit from Form 320 ........................................................................................          16. XXXXXXXXXXXXXXXXXXXXXXXXXXX
17. Wind Energy Facility Tax Credit from Form 322 .....................................................................                17. XXXXXXXXXXXXXXXXXXXXXXXXXXX
18. Residential Economic Redevelopment and Growth Tax Credit from Form 323 .....................                                       18. XXXXXXXXXXXXXXXXXXXXXXXXXXX
19. Public Infrastructure Tax Credit from Form 325 ......................................................................              19. XXXXXXXXXXXXXXXXXXXXXXXXXXX
20. Reserved for future use .......................................................................................................... 20.
21. Film and Digital Media Tax Credit from Form 327 ..................................................................                 21. XXXXXXXXXXXXXXXXXXXXXXXXXXX
22. Tax Credit for Employers of Employees With Impairments from Form 328 ............................                                  22. XXXXXXXXXXXXXXXXXXXXXXXXXXX
23. Pass-Through Business Alternative Income Tax Credit from Form 329 .................................                                23. XXXXXXXXXXXXXXXXXXXXXXXXXXX
24. Apprenticeship Program Tax Credit from Form 330 ...............................................................                    24. XXXXXXXXXXXXXXXXXXXXXXXXXXX
25. Tax Credit for Employer of Organ/Bone Marrow Donor from Form 331 .................................                                 25. XXXXXXXXXXXXXXXXXXXXXXXXXXX
26. Tiered Subsidiary Dividend Pyramid Tax Credit from Form 332 .............................................                          26. XXXXXXXXXXXXXXXXXXXXXXXXXXX
27. Other Tax Credit (see instructions) .........................................................................................      27. XXXXXXXXXXXXXXXXXXXXXXXXXXX
28. Total tax credits  – Add lines 1 through 27. Enter here and on page 1, line 3 ........................                             28. XXXXXXXXXXXXXXXXXXXXXXXXXXX
PART II – Refundable Tax Credits
1. Refundable portion of New Jobs Investment Tax Credit from Form 304 ................................                                 1.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Refundable portion of Angel Investor Tax Credit from Form 321 ............................................                          2.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Refundable portion of Business Employment Incentive Program Tax Credit from Form 324 ....                                           3.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Other Tax Credit to be refunded .............................................................................................       4.  XXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Total amount of tax credits to be refunded. Enter here and on page 1, line 8c ......................                                5.  XXXXXXXXXXXXXXXXXXXXXXXXXXX



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                                                                                                                                    2021 – CBT-100S – Page 6
NAME AS SHOWN ON RETURN                                                     FEDERAL ID NUMBER

      ALL CORPORATIONS MUST COMPLETE THIS SCHEDULE AND SUBMIT IT  
                                                          WITH THEIR CBT-100S TAX RETURN
Schedule A-4                      SUMMARY SCHEDULE (See instructions)
Interest and Intangible Costs and Expenses                                  Dividend Exclusion Information
1. Schedule G, Part I, line b........................     1. XXXXXXXXXXXXXX 7. Schedule R, line 7 ................................. 7.  XXXXXXXXXXXXXX

2. Schedule G, Part II, line b.......................     2. XXXXXXXXXXXXXX 8. Schedule R, line 9 ................................. 8.  XXXXXXXXXXXXXX
Schedule J Information                                                      Schedule A-GR Information
3. Schedule J, line 1f .................................. 3. XXXXXXXXXXXXXX 9. Schedule A-GR, line 6 ...........................    9.  XXXXXXXXXXXXXX
                                                                            Schedule P Information
4. Schedule J, line 1g .................................  4. XXXXXXXXXXXXXX 10. Schedule P, Part III, line 1 ...................    10. XXXXXXXXXXXXXX

5. Schedule J, line 1h ................................   5. XXXXXXXXXXXXXX 11. Schedule P, Part III, line 2 ....................   11. XXXXXXXXXXXXXX
Net Operational Income Information
6. Schedule O, Part III, line 31...................       6. XXXXXXXXXXXXXX
                                  COMPUTATION OF NEW JERSEY GROSS RECEIPTS AND MINIMUM TAX (See instr.)
Schedule A-GR                     Complete this schedule only if the amount reported on page 1, line 2 is less than $1,500. Members of an 
                                  affiliated or controlled group, see note below.
1. Enter sales of tangible personal property shipped to points within New Jersey ....................                        1. XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Enter services if the benefit of the service is received in New Jersey ...................................                2. XXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Enter rentals of property situated in New Jersey ...................................................................      3. XXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Enter royalties for the use in New Jersey of patents, copyrights, and trademarks ................                         4. XXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Enter all other business receipts earned in New Jersey........................................................            5. XXXXXXXXXXXXXXXXXXXXXXXXXXX
6. Total New Jersey Gross Receipts.......................................................................................... 6. XXXXXXXXXXXXXXXXXXXXXXXXXXX
7. Enter minimum tax per instructions. Enter here and on page 1, line 4 ..................................                   7. XXXXXXXXXXXXXXXXXXXXXXXXXXX
NOTE: If a taxpayer is filing a separate return and is a member of an affiliated or controlled group (as per sections 1504 or 1563 of the Internal Reve-
      nue Code of 1986) that has a total payroll of $5 million or more for the tax year, the minimum tax is $2,000. 



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                                                                                                                                                                         2021 – CBT-100S – Page 7
NAME AS SHOWN ON RETURN                                                FEDERAL ID NUMBER

                        CORPORATE OFFICERS – GENERAL INFORMATION AND COMPENSATION (See instr.)
Schedule F              Data must match amounts reported on federal Form 1125-E of the federal pro forma or federal return, whichever is applicable.
                                                                                   (4)               (5)
       (1)                                      (2)              (3)   Dates Employed  Percentage of Corpora-                                                            (6)
Name and Current Address of Officer      Social Security Number  Title in this position     tion Stock Owned                                                             Amount of Compensation
                                                                       From            To   Common      Preferred
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXX        XXXXX  XXXXX           XXXX XXXXXX      XXXXXX                                                           XXXXXXXXXXXXXXXXXX
a. Total compensation of officers ...................................................................................................................................... XXXXXXXXXXXXXXXXXX
b. Less: Compensation of officers claimed elsewhere on the return................................................................................                        XXXXXXXXXXXXXXXXXX
c. Balance of compensation of officers (include here and on Schedule A, Part I, line 7) .................................................                                XXXXXXXXXXXXXXXXXX

Schedule G  – Part I    INTEREST (See Instructions)

1.   Was interest paid, accrued, or incurred to a related member(s) deducted from entire net income? 
       Yes. Fill out the following schedule.    No.

Name of Related Member                    Federal ID Number            Relationship to Taxpayer                                                                          Amounts 
XXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXXXXXXX                                                                    XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXXXXXXX                                                                    XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXXXXXXX                                                                    XXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXXXXXXX                                                                    XXXXXXXXXXXXXXXXXXXXXX
a. Total amount of interest deducted .................................................................................................................           XXXXXXXXXXXXXXXXXXXXXX
b. Subtract: Exceptions (see instructions) .........................................................................................................             (XXXXXXXXXXXXXXXXXXXXXX)
c. Related party interest expenses disallowed for New Jersey purposes (include here and on Schedule A, 
Part I, line 37c) .............................................................................................................................................. XXXXXXXXXXXXXXXXXXXXXX

Schedule G  – Part II    INTEREST EXPENSES AND COSTS AND INTANGIBLE EXPENSES AND COSTS (See instr.)
1.  Were intangible expenses and costs, including intangible interest expenses and costs, paid, accrued, or incurred to related members, 
      deducted from entire net income?     Yes. Fill out the following schedule.    No.
Name of Related Member  Federal ID Number           Relationship to Taxpayer                Type of Intangible                                                           Exception Amounts
                                                                                          Expense Deducted
XXXXXXXXXXXXXXXXX       XXXXXXXXXXXXXXXXX           XXXXXXXXXXXXXXXXX                  XXXXXXXXXXXXXXXXX                                                                 XXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX       XXXXXXXXXXXXXXXXX           XXXXXXXXXXXXXXXXX                  XXXXXXXXXXXXXXXXX                                                                 XXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX       XXXXXXXXXXXXXXXXX           XXXXXXXXXXXXXXXXX                  XXXXXXXXXXXXXXXXX                                                                 XXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXX       XXXXXXXXXXXXXXXXX           XXXXXXXXXXXXXXXXX                  XXXXXXXXXXXXXXXXX                                                                 XXXXXXXXXXXXXXXXX
a. Total amount of intangible expenses and costs deducted ..........................................................................................                     XXXXXXXXXXXXXXXXX
b. Subtract: Exceptions (see instructions) ......................................................................................................................        XXXXXXXXXXXXXXXXX
c. Related party intangible expenses and costs addback (include here and on Schedule A, Part I, line 37d) ...............                                                XXXXXXXXXXXXXXXXX
NOTE: For tax years beginning on or after January 1, 2018, the treaty exceptions have been limited pursuant to P.L. 2018, c. 48. See Schedule G-2 
      instructions for more information. 



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                                                                                                                                                       2021 – CBT-100S – Page 8
NAME AS SHOWN ON RETURN                                                     FEDERAL ID NUMBER

                           TAXES (See instructions)
Schedule H                 Include all taxes paid or accrued during the accounting period wherever deducted on Schedule A.
                           (A)                         (B)                         (C)       (D)                                                       (E)            (F)
                           Corporation                 Corporation
                           Franchise                   Business/            Property         U.C.C. or                                              Other Taxes/      Total
                           Business Taxes* Occupancy Taxes*                 Taxes      Payroll Taxes                                                   Licenses
                                                                                                                                                    (include schedule)
1. New Jersey Taxes        XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX

2. Other States & U.S.     XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX
   Possessions
3. City and Local Taxes    XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX

4. Taxes Paid to Foreign   XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX
   Countries
5. Total                   XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX

6. Combine lines 5(a)                      XXXXXXXXXXX
   and 5(b)
7. Sales & Use Taxes Paid                  XXXXXXXXXXX
   by a Utility Vendor
8. Add lines 6 and 7                       XXXXXXXXXXX

9. Federal Taxes                                                                       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX

10. Total (Combine line 5  XXXXXXXXXXX     XXXXXXXXXXX               XXXXXXXXXXX       XXXXXXXXXXX                                                  XXXXXXXXXXX       XXXXXXXXXXX
   and line 9)
* Include on line 4 taxes paid or accrued to any foreign country, state, province, territory, or subdivision thereof.
Schedule J                 COMPUTATION OF ALLOCATION FACTOR (See instructions)
All taxpayers, regardless of entire net income reported on Schedule A, Part I, line 38, Form CBT-100S, must complete Schedule J. This schedule can 
be omitted if the taxpayer does not have receipts outside New Jersey, in which case the allocation factor will be 100% (1.000000).
For tax years ending on and after July 31, 2019, services are sourced based on market sourcing, not cost of performance. 
1. Receipts:                                                                                                                                           AMOUNTS (omit cents)
   a.  From sales of tangible personal property shipped to points within New Jersey.....................................                            a. XXXXXXXXXXXXXXXXXXX
   b.  From services if the benefit of the service is received in New Jersey ..................................................                     b. XXXXXXXXXXXXXXXXXXX
   c.  From rentals of property situated in New Jersey ..............................................................................               c. XXXXXXXXXXXXXXXXXXX
   d.  From royalties for the use in New Jersey of patents, copyrights, and trademarks .................................                            d. XXXXXXXXXXXXXXXXXXX
   e.  All other business receipts earned in New Jersey ............................................................................                e. XXXXXXXXXXXXXXXXXXX
   f.  Total New Jersey receipts (Total of lines 1a to 1e, inclusive) ..............................................................                f. XXXXXXXXXXXXXXXXXXX
   g.  Total receipts from all sales, services, rentals, royalties, and other business transactions everywhere .....                                g. XXXXXXXXXXXXXXXXXXX
   h.  Allocation Factor (Percentage in New Jersey (line 1f) divided by line 1g). Carry the fraction 6 decimal 
   places. Do not express as a percent. Include here and on Schedule A, Part I, line 39, and Schedule A, 
   Part II, line 2 ................................................................................................................................ h. XXXXXXXXXXXXXXXXXXX



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                                                                                                                                            2021 – CBT-100S – Page 9
NAME AS SHOWN ON RETURN                                                                  FEDERAL ID NUMBER

Schedule K                          SHAREHOLDERS’ SHARES OF INCOME, DEDUCTIONS, ETC. (See instructions)
PART I 
1.  Total number of shareholders....................................
2.  Total number of nonresident shareholders ................
3.  a.  Total number of nonconsenting shareholders ......
   b.  Percentage of stock owned .................................                        %
PART II         NEW JERSEY S CORPORATION INCOME (LOSS)
1. Amount from Schedule A, Part I, line 21...............................................................................              1.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Add the following amounts from federal 1120-S, Schedule K
   a.  Net income (loss) from rental real estate activities .......a. 
   b.  Net income (loss) from other rental activities ...............b. 
   c.  Interest income ............................................................. c. 
   d.  Dividend income ...........................................................d. 
   e.  Royalty income .............................................................e. 
   f.  Net short-term capital gain (loss) ...................................f. 
   g.  Net long-term capital gain (loss) ...................................g. 
   h.  Other portfolio income (loss).........................................h. 
   i.  Net gain (loss) under sections 1231 and/or 179 ............ i. 
   j.  Other income ................................................................. j. 
   k.  Tax-exempt interest income .......................................... k. 
   l.  Other tax-exempt income .............................................. l. 
   Total of 2a through 2l ............................................................................................................ 2.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Add line 1 plus line 2 ............................................................................................................ 3.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Additions:
   a.  Interest income on state and municipal bonds 
         other than New Jersey ..................................................a. 
   b.    New Jersey State and other states’ income taxes 
         deducted in arriving at line 3 including taxes paid 
         on behalf of the shareholder .........................................b. 
   c.  All expenses included in line 3 to generate 
         tax-exempt income ....................................................... c. 
   d.    Losses included in line 3 from U.S. Treasury and other 
         obligations pursuant to N.J.S.A. 54A:6-14 and 6-14.1 ...d. 
   e.  Other additions .............................................................e. 
   Total of 4a through 4e ...........................................................................................................  4.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Add line 3 plus line 4 ............................................................................................................ 5.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
6. Subtractions:
   a.  U.S. Treasury and other interest income included in 
         line 3 from investments exempt under 
         N.J.S.A. 54A:6-14 and 6-14.1 .......................................a. 
   b.  Gains included in line 3 from U.S. Treasury and other 
         obligations pursuant to N.J.S.A. 54A:6-14 and 6-14.1 ...b. 
   c.  IRC Section 179 expense from federal Schedule K ....... c. 
   d.  Federal 50% of business meal expenses and  
         100% of entertainment expenses .................................d. 
   e.  Charitable contributions from federal Schedule K ........e. 
   f.  Other subtractions .........................................................f. 
   Total of 6a through 6f ............................................................................................................ 6.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
7. New Jersey depreciation adjustment from Gross Income Tax Depreciation Adjustment 
   Worksheet GIT-DEP .............................................................................................................     7.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
8. New Jersey S Corporation Income (Loss) – Line 5 minus line 6 plus or minus line 7 ..........                                        8.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PART III        ALLOCATION OF S CORPORATION INCOME (LOSS)
1. New Jersey S Corporation Income (Loss) (Part II, line 8) ....................................................                       1.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
   a. Current period nonoperational activity (Schedule O, Part I, line 34) ................................                            1 .a XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
   b. Nonunitary partnership income/loss (from Schedule P-1, Part II, line 4) ...................................                      1b.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Total operational income (loss) (line 1 minus lines 1a and 1b) .............................................                        2.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Allocation factor (Schedule J, line 1h) ..................................................................................          3.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Allocated operational income (loss) (line 3 x line 2) .............................................................                 4.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
5. Nonoperational income (loss) (Schedule O, Part III, line 31) ...............................................                        5.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
   a. Nonunitary partnership income (from Schedule P-1, Part II, line 5) ..........................................                    5a.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
6. Total allocated income (loss) (line 4 plus lines 5 and 5a) .....................................................                    6.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
7. New Jersey CBT reported on CBT-100S (Page 1, line 2 minus line 3) ................................                                  7.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
8. New Jersey allocated income (loss) (line 6 minus line 7) .....................................................                      8.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
9. Income (loss) not allocated to New Jersey (line 1 minus line 6)...........................................                          9.   XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX



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                                                                                                                                                                  2021 – CBT-100S – Page 10
NAME AS SHOWN ON RETURN                                                                                         FEDERAL ID NUMBER

PART IV – A ANALYSIS OF NEW JERSEY ACCUMULATED ADJUSTMENTS ACCOUNT
                                                                                                            (A)                             (B)                            (C) 
                                                                                      New Jersey AAA                                     Non New Jersey AAA       Total of Columns (A) & (B)
1.  Beginning balance......................................................       XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
2.  Net pro rata share of S corporation income ...............                    XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
3.  Other income/loss ......................................................      XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
4.  Other reductions (include schedule) ..........................                XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
5.  Total lines 1-4 ............................................................. XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
6.  Distributions ............................................................... XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX
7.  Ending balance (line 5 minus line 6) ..........................               XXXXXXXXXXXXXXXXX                                    XXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXX

PART IV – B NEW JERSEY EARNINGS AND PROFITS
1. Beginning balance ................................................................................................................    1. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Additions/Adjustments ..........................................................................................................      2. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Dividends paid ...................................................................................................................... 3. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Ending balance (line 1 plus line 2 minus line 3) ...................................................................                  4. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

PART V      SUMMARY OF RESIDENT SHAREHOLDERS’ PRO RATA SHARES
                 (A)                                                                                        (B)                             (C)                            (D)
                 Name                                                             Social Security Number                               Pro Rata Share Income/Loss     Distributions
1.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX
2.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX
3.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX
4.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX
5.  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                            XXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX
6.  Total............................................................................................................................. XXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXX

PART VI     SUMMARY OF CONSENTING NONRESIDENT SHAREHOLDERS’ PRO RATA SHARES
                                                                                                                      Pro Rata Share Income/Loss
            (A)                                                                   (B)                                     (C)                   (D)                        (E)
            Name               Social Security Number                                                                 Allocated to NJ       Not Allocated to NJ       Distributions
1.  XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX                                                                       XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX
2.  XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX                                                                       XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX
3.  XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX                                                                       XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX
4.  XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX                                                                       XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX
5.  XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXX                                                                       XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX
6.  Total............................................................................................................ XXXXXXXXXXX           XXXXXXXXXXX           XXXXXXXXXXXXXXXXX

PART VII    SUMMARY OF NONCONSENTING SHAREHOLDERS’ PRO RATA SHARES
            (A)                        (B)                                                                            Pro Rata Share Income/Loss                  (E)          (F)
            Name               Social Security Number                                                                 (C)                   (D)              Distributions Gross Income 
                                                                                                                Allocated to NJ          Not Allocated to NJ                   Tax Paid
1.  XXXXXXXXXXXXXXXXXXXXXXX    XXXXXXXXXXXXXXXXX                                                            XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX
2.  XXXXXXXXXXXXXXXXXXXXXXX    XXXXXXXXXXXXXXXXX                                                            XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX
3.  XXXXXXXXXXXXXXXXXXXXXXX    XXXXXXXXXXXXXXXXX                                                            XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX
4.  XXXXXXXXXXXXXXXXXXXXXXX    XXXXXXXXXXXXXXXXX                                                            XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX
5.  XXXXXXXXXXXXXXXXXXXXXXX    XXXXXXXXXXXXXXXXX                                                            XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX
6.  Total.................................................................................................. XXXXXXXXXXX                  XXXXXXXXXXX         XXXXXXXXX     XXXXXXXXX



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                                                                                                                                                                  2021 – CBT-100S – Page 11
NAME AS SHOWN ON RETURN                                                      FEDERAL ID NUMBER

Schedule K Liquidated               S CORPORATIONS SHAREHOLDERS’ SHARES OF INCOME, DEDUCTIONS, ETC. (See instructions)
PART I 
1.  Total number of shareholders..........................................
2.  Total number of nonresident shareholders ......................
3.  a.  Total number of nonconsenting shareholders ............
   b.  Percentage of stock owned .......................................               %
4.  Enter date the assets were fully disposed.......................       /  /
5.  Enter date the shareholders’ stock was fully disposed ...              /  /
PART II         NJ S CORPORATION INCOME(LOSS) WORKSHEET UPON COMPLETE LIQUIDATION
                                                                                                                                            Column A               Column B  
                                                                                                                                            S Corp Income Prior to Income, Gains/Losses from 
                                                                                                                                            Disposition of Assets  Disposition of Assets in 
                                                                                                                                                                   Complete Liquidation
 1.Amount from Schedule A, Part I, line 21...............................................................................               1.  XXXXXXXXXXXXXX
 2.Add the following amounts from federal 1120-S, Schedule K
   a.  Net income (loss) from rental real estate activities .........................................................                   2a. XXXXXXXXXXXXXX
   b.  Net income (loss) from other rental activities  .................................................................                2b. XXXXXXXXXXXXXX
   c.  Interest income................................................................................................................  2c. XXXXXXXXXXXXXX
   d.  Dividend income..............................................................................................................    2d. XXXXXXXXXXXXXX
   e.  Royalty income................................................................................................................   2e. XXXXXXXXXXXXXX
   f.  Net short-term capital gain (loss) ....................................................................................          2f. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   g.  Net long-term capital gain (loss) .....................................................................................          2g. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   h.  Other portfolio income (loss) ...........................................................................................        2h. XXXXXXXXXXXXXX
   i.  Net gain (loss) under sections 1231 and/or 179 .............................................................                     2i. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   j.  Other income...................................................................................................................  2j. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   k.  Tax-exempt interest income ............................................................................................          2k. XXXXXXXXXXXXXX
   l.  Other tax-exempt income ................................................................................................         2l. XXXXXXXXXXXXXX
 3.Add line 1 plus lines 2a through 2l........................................................................................          3.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
 4.Additions:
   a.  Interest income on state and municipal bonds other than New Jersey ...........................                                   4a. XXXXXXXXXXXXXX
   b. New Jersey State and other states’ income taxes deducted in arriving at line 3  
      including taxes paid on behalf of the shareholder ...........................................................                     4b. XXXXXXXXXXXXXX
   c.  All expenses included in line 3 to generate tax-exempt income .....................................                              4c. XXXXXXXXXXXXXX
   d. Losses included in line 3 from U.S. Treasury and other obligations pursuant to  
      N.J.S.A. 54A:6-14 and 6-14.1 ............................................................................................         4d. XXXXXXXXXXXXXX
   e.  Other additions ................................................................................................................ 4e. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
 5.Add line 3 plus lines 4a through 4e ......................................................................................           5.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
 6.Subtractions:
   a.  U.S. Treasury and other interest income included in line 3 from investments exempt 
      under N.J.S.A. 54A:6-14 and 6-14.1 ...............................................................................                6a. XXXXXXXXXXXXXX
   b.  Gains included in line 3 from U.S. Treasury and other obligations pursuant to 
      N.J.S.A. 54A:6-14 and 6-14.1 ..........................................................................................           6b. XXXXXXXXXXXXXX
   c.  IRC Section 179 expense from federal Schedule K ...........................................................                      6c. XXXXXXXXXXXXXX
   d.  Federal 50% of business meal expenses and 100% of entertainment expenses ...........                                             6d. XXXXXXXXXXXXXX
   e.  Charitable contributions from federal Schedule K ...........................................................                     6e. XXXXXXXXXXXXXX
   f.  Other subtractions ...........................................................................................................   6f. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   Total of 6a through 6f ............................................................................................................  6.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
 7.New Jersey depreciation adjustment from Gross Income Tax Depreciation Adjustment 
   Worksheet GIT-DEP .............................................................................................................      7.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
 8.Total Income (Loss) – Line 5 minus line 6 plus or minus line 7 ............................................                          8.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
PART III        ALLOCATION OF INCOME (LOSS)
1. Income from Line 8, Part II column A and column B ............................................................                       1.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   a. Current period nonoperational activity (Schedule O, Part I, line 34) ................................                             1a. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   b. Nonunitary partnership income/loss (from Schedule P-1, Part II, line 4) ...................................                       1b. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
2. Total operational income (loss) (line 1 minus lines 1a and 1b) .............................................                         2.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
3. Allocation factor (Schedule J, line 1h) ..................................................................................           3.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
4. Allocated operational income (loss) (line 3 x line 2) .............................................................                  4.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
5. Nonoperational income (loss) (Schedule O, Part III, line 31) ...............................................                         5.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
   a. Nonunitary partnership income (from Schedule P-1, Part II, line 5) ..........................................                     5a. XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
6. Total allocated income (loss) (line 4 plus lines 5 and 5a) .....................................................                     6.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
7. New Jersey CBT reported on CBT-100S (Page 1, line 2 minus line 3) ................................                                   7.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
8. New Jersey allocated income (loss) (line 6 minus line 7) .....................................................                       8.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX
9. Income (loss) not allocated to New Jersey (line 1 minus line 6)...........................................                           9.  XXXXXXXXXXXXXX         XXXXXXXXXXXXXX



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                                                                                                                                                            2021 – CBT-100S – Page 12
NAME AS SHOWN ON RETURN                                                               FEDERAL ID NUMBER

Schedule K Liquidated   S CORPORATIONS SHAREHOLDERS’ SHARES OF INCOME, DEDUCTIONS, ETC. (See instructions)

PART IV – A ANALYSIS OF NEW JERSEY ACCUMULATED ADJUSTMENTS ACCOUNT
                                                                                  (A)                                                       (B)             (C) 
                                                                                  New Jersey AAA                                         Non New Jersey AAA Total of Columns (A) & (B)
1.  Beginning balance......................................................       XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
2.  Net pro rata share of S corporation income ...............                    XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
3.  Other income/loss ......................................................      XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
4.  Other reductions (include schedule) ..........................                XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
5.  Total lines 1-4 ............................................................. XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
6.  Distributions ............................................................... XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX
7.  Ending balance (line 5 minus line 6) ..........................               XXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXX                                       XXXXXXXXXXXXXXXXX

PART IV – B NEW JERSEY EARNINGS AND PROFITS
1. Beginning balance ................................................................................................................    1. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Additions/Adjustments ..........................................................................................................      2. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
3. Dividends paid ...................................................................................................................... 3. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4. Ending balance (line 1 plus line 2 minus line 3) ...................................................................                  4. XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX



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NAME AS SHOWN ON RETURN                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             FEDERAL ID NUMBER

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   (H)                                                                                     Paid

                                                                                                                                                                                                                                                    (E)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  (G)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Gross Income Tax                                                       XXXXXXXXXXXX               XXXXXXXXXXXX               XXXXXXXXXXXX               XXXXXXXXXXXX                   XXXXXXXXXXXX                                                                                                                      XXXXXXXXXXXX
                                                                                                                                                                                                                                                        Distributions                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Distributions

                                                                                                                                                                                                                                                                                           XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXX                                                                                                                                  XXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                                                   XXXXXXXXXXXXXXXXXXXXX        XXXXXXXXXXXXXXXXXXXXX        XXXXXXXXXXXXXXXXXXXXX        XXXXXXXXXXXXXXXXXXXXX            XXXXXXXXXXXXXXXXXXXXX                      XXXXXXXXXXXXXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   (G)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Distributions
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   XXXXXXXXXXXX               XXXXXXXXXXXX               XXXXXXXXXXXX               XXXXXXXXXXXX                   XXXXXXXXXXXX                                                                                                                      XXXXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               (F)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Not Allocated to NJ XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                       XXXXXXXXXX                                 XXXXXXXXXX
                                                                                                                                                                                                                                                    (D)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                (F)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Not Allocated to NJ XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                     XXXXXXXXXX                                                                                                                        XXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               (E)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Gain/Loss of Disposition of Assets
                                                                                                                                                                                                                                                        Gain/Loss of Disposition of Assets XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXX                                                                                                                                  XXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                               Allocated to NJ     XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                       XXXXXXXXXX                                 XXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       (E)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Gain/Loss of Disposition of Assets                                                    Allocated to NJ     XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                     XXXXXXXXXX                                                                                                                        XXXXXXXXXX

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            (D)

                                                                                                                                                                                                                                                    (C)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            Not Allocated to NJ XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                       XXXXXXXXXX                                 XXXXXXXXXX                                                                                                                                                                                                                                                (D)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Not Allocated to NJ XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                     XXXXXXXXXX                                                                                                                        XXXXXXXXXX

                                                                                                                                                                                                                                                        Pro Rata Share Income/Loss         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX         XXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXX                                                                                                                                  XXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                        (C)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              Pro Rata Share Income/Loss
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   Allocated to NJ     XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                   XXXXXXXXXX                       XXXXXXXXXX                                 XXXXXXXXXX                                                                                                                                                                                                                                                (C)

                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Pro Rata Share Income/Loss                                                            Allocated to NJ     XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                 XXXXXXXXXX                     XXXXXXXXXX                                                                                                                        XXXXXXXXXX

                                                                                                                                                                                                                                                    (B)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         (B)
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      (B)
                                                                                                                                                                                                                                                        Social Security Number             XXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXXX                  XXXXXXXXXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     Social Security Number                            XXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXX             XXXXXXXXXXXXXXXX                 XXXXXXXXXXXXXXXX
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             Social Security Number                                XXXXXXXXXXXXXXX            XXXXXXXXXXXXXXX            XXXXXXXXXXXXXXX            XXXXXXXXXXXXXXX                XXXXXXXXXXXXXXX

                                                                                  S CORPORATIONS SHAREHOLDERS’ SHARES OF INCOME, DEDUCTIONS, ETC. (See instructions)

                                                                                                                                                                                                                                                    (A)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        (A) 
                                                                                                                                                                                                                                                        Name
                                                                                                                                                                                                  SUMMARY OF RESIDENT SHAREHOLDERS’ PRO RATA SHARES                                                                                                                                                                                                                                                                                                                                                                                                                                                     SUMMARY OF CONSENTING NON-RESIDENT SHAREHOLDERS’ PRO RATA SHARES                                                                                                           Name                                                                                                                                                                                                                                                                                                     SUMMARY OF NONCONSENTING SHAREHOLDERS’ PRO RATA SHARES                                                                                     (A) 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               Name

                                                                                                                                                                                                                                                                                           XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXXXXXXXXX               Total............................................................................................................                                                                                                                                                                        XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                        Total..................................................................................................
                                                                                                                                                                                                                                                                                                                         XXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXX      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                          Total....................................................................................................................
                                                                                                                                                                    Schedule K Liquidated         PART V                                                                                   1.                            2.                            3.                            4.                                 5.                                                                                                                                                     6.                                                                                                                       PART VI                                                                                                                                                                                        1.                           2.                           3.                           4.                               5.                                         6.                                                                                                                PART VII                                                                                                                                                               1.                         2.                         3.                         4.                             5.                                                                                                                                6. 



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                                                                                                                                                                     2021 – CBT-100S – Page 14
NAME AS SHOWN ON RETURN                                                    FEDERAL ID NUMBER

Schedule PC                                          PER CAPITA LICENSED PROFESSIONAL FEE (See instructions)
1. Is the corporation a Professional Corporation (PC) formed pursuant to N.J.S.A. 14A:17-1 et seq. or any similar law from a possession or territory 
   of the United States, a state, or political subdivision thereof?     Yes. This schedule must be included with the return.                                          No.
2. How many licensed professionals are owners, shareholders, and/or employees from this Professional Corporation (PC) as of the first day of the 
   privilege period?   2 or less, complete Part I.     More than 2, complete Part I and Part II (if additional space is needed, include a rider).  
PART I – Provide the following information for each of the licensed professionals in the PC. Include a rider if additional space is needed.
                      Name                                                 Address                                                                                 FID/SSN
1. XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
2. XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
3. XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
4. XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
5. XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   XXXXXXXXXXXXXXXXXXXXXXXXXXXXX
PART II – Complete only if there are more than 2 licensed professionals listed above. 
1. Enter number of resident and nonresident professionals with physical nexus with 
   New Jersey                       x $150  .............................................................................................            1. XXXXXXXXXXXXXXXXXXXXXXXXXXX
2. Enter number of nonresident professionals without physical nexus with  
   New Jersey                       x $150 x allocation factor of the PC .................................................                           2. XXXXXXXXXXXXXXXXXXXXXXXXXX
3. Total Fee Due – Add line 1 and line 2 .........................................................................................                   3. XXXXXXXXXXXXXXXXXXXXXXXXXX
4. Installment Payment – 50% of line 3 ..........................................................................................                    4. XXXXXXXXXXXXXXXXXXXXXXXXXX
5. Total Fee Due (line 3 plus line 4) ................................................................................................               5. XXXXXXXXXXXXXXXXXXXXXXXXXX
6. Less prior year 50% installment payment and credit (if applicable) ...........................................                                    6. (XXXXXXXXXXXXXXXXXXXXXXXXX)
7. Balance of Fee Due (line 5 minus line 6). If the result is zero or above, include the amount 
   here and on page 1, line 6 ..........................................................................................................             7. XXXXXXXXXXXXXXXXXXXXXXXXXX
8. Credit to next year’s Professional Corporation Fee (if line 7 is below zero, enter the amount 
   here) ........................................................................................................................................... 8. XXXXXXXXXXXXXXXXXXXXXXXXXX

Schedule P-1                       PARTNERSHIP INVESTMENT ANALYSIS (See instructions)
PART I – Partnership Information
        (1)                        (2)          (3)                    (4)                 (5)                                                              (6)              (7)
Name of Partnership, LLC, or Other Date and     Percentage                         Tax Accounting Method                                                New Jersey   Tax Payments Made on Behalf
   Entity and Federal ID Number    State where  of         Limited      General                                                                         Nexus        of Taxpayer by Partnerships
                                   Organized    Ownership  Partner      Partner    Flow        Separate 
                                                                                   Through Accounting*                                                  Yes     No
XXXXXXXXXXXXXXXXXXXXXX             XXXXXXX      XXXXXXX    XXXXXX      XXXXXX   XXXXXXXX   XXXXXXXX                                                     XXXX XXXX    XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX             XXXXXXX      XXXXXXX    XXXXXX      XXXXXX   XXXXXXXX   XXXXXXXX                                                     XXXX XXXX    XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX             XXXXXXX      XXXXXXX    XXXXXX      XXXXXX   XXXXXXXX   XXXXXXXX                                                     XXXX XXXX    XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX             XXXXXXX      XXXXXXX    XXXXXX      XXXXXX   XXXXXXXX   XXXXXXXX                                                     XXXX XXXX    XXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXX             XXXXXXX      XXXXXXX    XXXXXX      XXXXXX   XXXXXXXX   XXXXXXXX                                                     XXXX XXXX    XXXXXXXXXXXXXXXXXX
Enter total of column 7 here and on page 1, line 8b ................................................................................................................ XXXXXXXXXXXXXXXXXX
*Taxpayers using a separate accounting method must complete Part II.
PART II – Separate Accounting of Nonunitary Partnership Income 
        (1)                                          (2)                                   (3)                                                                            (4)
                                                                                                                                                                Taxpayer’s Share of Income 
   Nonunitary Partnership’s        Distributive Share of Income/Loss            Partnership’s Allocation Factor                                                   Allocated to New Jersey  
       Federal ID Number               from Nonunitary Partnership                 (See instructions)                                                        (Multiply column 2 by column 3)
1. XXXXXXXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXXXXXX                                                        XXXXXXXXXXXXXXXXXXXXXXXXXX
2. XXXXXXXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXXXXXX                                                        XXXXXXXXXXXXXXXXXXXXXXXXXX
3. XXXXXXXXXXXXXXXXXXXXXX          XXXXXXXXXXXXXXXXXXXXXXXXXX              XXXXXXXXXXXXXXXXXXXXXXXXXX                                                        XXXXXXXXXXXXXXXXXXXXXXXXXX
4. Total column 2. Enter amount here and Schedule K or K liquidated, Part III, line 1b ...........................................................                   XXXXXXXXXXXXXXX
5. Total column 4. Enter amount here and Schedule K or K liquidated, Part III, line 5a ...........................................................                   XXXXXXXXXXXXXXX
If additional space is needed, include a rider. 



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                                                                                                                                                                     2021 – CBT-100S – Page 15
NAME AS SHOWN ON RETURN                                                      FEDERAL ID NUMBER

Schedule P                                                SUBSIDIARY INVESTMENT ANALYSIS (See instructions)
NOTE: Taxpayers must hold 80% of the combined voting power of all classes of stock entitled to vote and at least 80% of the total number of shares 
      of all other classes of stock, except non-voting stock which is limited and preferred as to dividends, for each subsidiary. Do not include 
      advances to subsidiaries in book value. Do not include any previously taxed dividends. Instead, report those amounts on Schedule PT.
PART I  DOMESTIC SUBSIDIARY
                                      (1)                                (2)                                           (3)                                           (4) 
                                      Name of             Percentage of Interest                                       Book Value                                    Domestic Dividend Income  
    Federal ID Number                Subsidiary           (a) Voting     (b) Non-Voting                                                                             (as reported on Schedule A)
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXXX                           XXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX            XXXXXXXX                XXXXXXXX                                      XXXXXXXXXXXXXXX                           XXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXXX                           XXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXXX                           XXXXXXXXXXXXXXXXXXXXXXX
Totals ............................................................................................................... XXXXXXXXXXXXXXX                           XXXXXXXXXXXXXXXXXXXXXXX
PART II  FOREIGN SUBSIDIARY
                                      (1)                                (2)                                           (3)                                           (4) 
                                      Name of             Percentage of Interest                                       Book Value                                    Foreign Dividend Income  
    Federal ID Number                Subsidiary           (a) Voting     (b) Non-Voting                                                                             (as reported on Schedule A)
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXX                            XXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXX                            XXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXX                            XXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXX       XXXXXXXXXXXXXXX                     XXXXXXXX       XXXXXXXX                                      XXXXXXXXXXXXXX                            XXXXXXXXXXXXXXXXXXXXXXXX
Totals ............................................................................................................... XXXXXXXXXXXXXX                            XXXXXXXXXXXXXXXXXXXXXXXX
PART III TOTAL OF 80% OR MORE OWNED SUBSIDIARY DIVIDENDS
1. Enter total from Part I, column 4 (include here and on Schedule A-4)  ........................................................................                1. XXXXXXXXXXXXXXXXXXXXXXX
2. Enter total from Part II, column 4 (include here and on Schedule A-4)  .......................................................................                2. XXXXXXXXXXXXXXXXXXXXXXX
3. Total dividends. Add lines 1 and 2 (include here and on Schedule R) ........................................................................                  3. XXXXXXXXXXXXXXXXXXXXXXX

Schedule R                           DIVIDEND EXCLUSION (See instructions)
1. Enter the total dividends and deemed dividends reported on Schedule A  ...................................................                                    1.  XXXXXXXXXXXXXXXXXXXX
2. Enter amount from Schedule PT, Section D, line 3 .......................................................................................                      2.  XXXXXXXXXXXXXXXXXXXX
3. Dividends eligible for dividend exclusion – Subtract line 2 from line 1 ..........................................................                            3.  XXXXXXXXXXXXXXXXXXXX
4. Enter amount from Schedule P, Part III, line 3 ...............................................................................................                4.  XXXXXXXXXXXXXXXXXXXX
5. Multiply line 4 by .95 ...................................................................................................................................... 5.  XXXXXXXXXXXXXXXXXXXX
6. Subtract line 4 from line 3 ..............................................................................................................................    6.  XXXXXXXXXXXXXXXXXXXX
7. Dividend income from investments where taxpayer owns less than 50% of voting  
    stock and less than 50% of all other classes of stock (do not incl. amounts subtracted on line 2) ..............................                             7. ( XXXXXXXXXXXXXXXXXXX  )
8. Subtract line 7 from line 6 ..............................................................................................................................    8.  XXXXXXXXXXXXXXXXXXXX
9. Multiply line 8 by 50% ....................................................................................................................................   9.  XXXXXXXXXXXXXXXXXXXX
10. Reserved for future use .................................................................................................................................    10.
11. DIVIDEND EXCLUSION: Add lines 5 and 9 ..................................................................................................                     11. XXXXXXXXXXXXXXXXXXXX
12. Allocation factor from current Schedule J (if all receipts are derived from only NJ sources, enter 1.000000) .................                               12. XXXXXXXXXXXXXXXXXXXX
13. ALLOCATED DIVIDEND EXCLUSION: Multiply line 11 by line 12 (include here and on Schedule A, Part I, line 43) ...                                              13. XXXXXXXXXXXXXXXXXXXX



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                                                                                                                                                                              2021 – CBT-100S – Page 16
NAME AS SHOWN ON RETURN                                                  FEDERAL ID NUMBER

Schedule S – Part I              DEPRECIATION AND SAFE HARBOR LEASING (See instructions)
1. IRC § 179 Deduction ........................................................................................................................................            1. XXXXXXXXXXXXXXXXXXXX
2.  Special Depreciation Allowance – for qualified property placed in service during the tax year ........................                                                 2. XXXXXXXXXXXXXXXXXXXX
3.  MACRS ................................................................................................................................................................ 3. XXXXXXXXXXXXXXXXXXXX
4. ACRS................................................................................................................................................................    4. XXXXXXXXXXXXXXXXXXXX
5. Other Depreciation ...........................................................................................................................................          5. XXXXXXXXXXXXXXXXXXXX
6.  Listed Property ..................................................................................................................................................     6. XXXXXXXXXXXXXXXXXXXX
7. Total depreciation claimed in arriving at Schedule A, Part I, line 28 .................................................................                                 7. XXXXXXXXXXXXXXXXXXXX
                                 Include Federal Form 4562 and Federal Depreciation Worksheet
                      Modification at Schedule A, Part I, line 32 – Depreciation and Certain Safe Harbor Lease Transactions
Additions
8. Amounts from lines 3, 4, 5, and 6 above ..........................................................................................................                      8. XXXXXXXXXXXXXXXXXXXX
9. Special Depreciation Allowance from line 2 above ...........................................................................................                            9. XXXXXXXXXXXXXXXXXXXX
10. Distributive share of the special depreciation allowance from a partnership ....................................................                                       10. XXXXXXXXXXXXXXXXXXXX
11. Distributive share of ACRS, MACRS, and other depreciation from a partnership ............................................                                              11. XXXXXXXXXXXXXXXXXXXX
12. Deductions on federal return resulting from an election made pursuant to IRC § 168(f)(8) exclusive of 
    elections made with respect to mass commuting vehicles
    a.  Interest .......................................................................................................................................................   12a. XXXXXXXXXXXXXXXXXXXX
    b.  Rent ............................................................................................................................................................ 12b. XXXXXXXXXXXXXXXXXXXX
    c.  Amortization of Transactional Costs ........................................................................................................... 12c. XXXXXXXXXXXXXXXXXXXX
    d.  Other Deductions ....................................................................................................................................... 12d. XXXXXXXXXXXXXXXXXXXX
13. IRC § 179 depreciation in excess of New Jersey allowable deduction ............................................................                                        13. XXXXXXXXXXXXXXXXXXXX
14. Other additions (include an explanation/reconciliation) .....................................................................................                          14. XXXXXXXXXXXXXXXXXXXX
15. Total lines 8 through 14 ....................................................................................................................................          15. XXXXXXXXXXXXXXXXXXXX
Deductions
16. New Jersey depreciation ..................................................................................................................................             16. XXXXXXXXXXXXXXXXXXXX
17. Recomputed depreciation attributable to distributive share of recovery property from a partnership ..............                                                      17. XXXXXXXXXXXXXXXXXXXX
18. Any income included in the return with respect to property solely as a result of an IRC § 168(f)(8) election ..                                                        18. XXXXXXXXXXXXXXXXXXXX
19. The lessee/user should enter the amount of depreciation that would have been allowable under the Internal 
    Revenue Code on December 31, 1980, had there been no safe harbor lease election ..................................                                                     19. XXXXXXXXXXXXXXXXXXXX
20. Excess of accumulated ACRS, MACRS, or bonus depreciation over accumulated New Jersey depreciation 
    on physical disposal of recovery property (include computations) ...................................................................                                   20. XXXXXXXXXXXXXXXXXXXX
21. Other deductions (include an explanation/reconciliation)..................................................................................                             21. XXXXXXXXXXXXXXXXXXXX
22. Total lines 16 through 21 ..................................................................................................................................           22. XXXXXXXXXXXXXXXXXXXX
23. ADJUSTMENT – Subtract line 22 from line 15 and enter the result. (If line 23 is positive, enter at 
    Schedule A, Part I, line 36a. If line 23 is negative, enter as a positive number at Schedule A, Part I, 
    line 36b.) ........................................................................................................................................................... 23. XXXXXXXXXXXXXXXXXXXX
                                 NEW JERSEY DEPRECIATION FOR GAS, ELECTRIC, AND GAS AND ELECTRIC PUBLIC 
Schedule S – Part II
                                 UTILITIES (See instructions)
1. Total depreciation claimed in arriving at Schedule A, Part I, line 21 .................................................................                                 1. XXXXXXXXXXXXXXXXXXXX
2. Federal depreciation for assets placed in service after January 1, 1998 .........................................................                                       2. XXXXXXXXXXXXXXXXXXXX
3. Net – Subtract line 2 from line 1 .......................................................................................................................               3. XXXXXXXXXXXXXXXXXXXX
4. New Jersey depreciation allowable on the Single Asset Account (Assets placed in service prior to  
    January 1, 1998)
    a.  Total adjusted federal depreciable basis as of December 31, 1997 ...........................................................                                       4a. XXXXXXXXXXXXXXXXXXXX
    b.  Excess book depreciable basis over federal tax basis as of December 31, 1997 .....................................                                                 4b. XXXXXXXXXXXXXXXXXXXX
    c.  Less accumulated federal basis for all Single Asset Account property sold, retired, or disposed of to date .                                                       4c. XXXXXXXXXXXXXXXXXXXX
    d.  Total (line 4a plus line 4b less line 4c) ........................................................................................................                 4d. XXXXXXXXXXXXXXXXXXXX
5. New Jersey Depreciation – Divide line 4d by 30 ..............................................................................................                              XXXXXXXXXXXXXXXXXXXX
6. New Jersey Adjustment
    a.  Depreciation adjustment for assets placed in service prior to Jan. 1, 1998 – Subtract line 5 from line 3 ..                                                        6a. XXXXXXXXXXXXXXXXXXXX
    b.  Special bonus depreciation adjustment from Schedule S, Part I, line 23 (see instructions) ......................                                                   6b. XXXXXXXXXXXXXXXXXXXX
7. Total Adjustment – Add lines 6a and 6b and enter the result. (If line 7 is positive, enter at Schedule A, Part I, 
    line 36a. If line 7 is negative, enter as a positive number at Schedule A, Part I, line 36b.) ..............................                                           7. XXXXXXXXXXXXXXXXXXXX



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                                                                                                                                   2021 – CBT-100S – Page 17
SCHEDULE
                                                         State of New Jersey
NJ-K-1
(Form CBT-100S)                                          Division of Taxation
   2021
                        Shareholder’s Share of Income/Loss
      For Calendar Year 2021, or tax year beginning                                                    ,   and ending                 , 
Shareholder’s identifying number                                                             Federal employer identification number

Shareholder’s name, address, and ZIP Code                                                    Corporation’s name, address, and ZIP Code

                                               See instructions and reverse side 

Part I
1. Shareholder’s percentage of stock ownership for tax year .....                                                     %
2. Shareholder .............................................................................   resident       nonresident
3. Shareholder .............................................................................   consenting     nonconsenting
4. Check applicable box: .............................................................         Final NJ-K-1   Amended NJ-K-1
5. Date the shareholder’s stock was fully disposed .....................  

Part II
1. S Income/Loss allocated to NJ ........................................................                                  Shareholder: Follow the 
2. S Income/Loss not allocated to NJ ..................................................                                    reporting instructions con-
3. Pro rata share of S Corporation Income/Loss (line 1 plus line 2) ....                                                   tained in your NJ Income 
                                                                                                                           Tax return packet and in 
4. Gain/Loss on disposition of assets allocated to NJ .........................                                            publication GIT-9S, Income 
5. Gain/Loss on disposition of assets not allocated to NJ ...................                                              From S Corporations. 
6. Total Gain/Loss from disposition of assets (line 4 plus line 5) .........                                               This schedule must be in-
7. Total payments made on behalf of shareholder...............................                                             cluded with your NJ Income 
8. Distributions .....................................................................................                     Tax return.

Part III        Shareholder’s NJ Accumulated Adjustments Account
                                                                                                       New Jersey AAA              Non New Jersey AAA
1. Beginning balance ................................................................        XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
2. Income/Loss .........................................................................     XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
3. Other Income/Loss ...............................................................         XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
4. Other reductions ...................................................................      XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
5. Total lines 1-4 .......................................................................   XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
6. Distributions ..........................................................................  XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX
7. Ending Balance (line 5 minus line 6) ....................................                 XXXXXXXXXXXXXXXXXXXXX     XXXXXXXXXXXXXXXXXXXXX

Part IV         Shareholder’s NJ Earnings and Profits Account
1. Beginning balance ........................................................................... 
2. Additions/Adjustments ..................................................................... 
3. Dividends received .......................................................................... 
4. Ending balance (line 1 plus line 2 minus line 3) ..............................  

Part V
1. Interest paid to shareholder (per 1099-INT) ....................................  
2. Indebtedness:
   a. From corporation to shareholder: .............................................  
   b. From shareholder to corporation: .............................................  
3. Shareholder’s HEZ deduction: ........................................................  
                                              THIS FORM MAY BE REPRODUCED



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                                                                                                                     2021 – CBT-100S – Page 18

                                          INSTRUCTIONS FOR SCHEDULE NJ-K-1

                       For additional information see publication GIT-9S, Income From S Corporations            
                                               (Available on the Division’s website)
PART  I
Line 1      Shareholder’s percentage of stock ownership as reported on federal 1120-S.
Line 2      Indicate shareholder’s residency status at year’s end.
Line 3      Indicate whether shareholder is a consenting or nonconsenting shareholder.
Line 4      If applicable, indicate if this schedule is a final or amended NJ-K-1.
Line 5      Enter date shareholder received final distribution (cash and/or property).

PART II
Line 1      Enter shareholder’s share of New Jersey allocated S corporation income/loss from Part III, line 8 of          Schedule  K or from 
            Part III, line 8, column A of Schedule K Liquidated.
            New Jersey S corporations that claim a credit for taxes paid to other jurisdictions in accordance with N.J.A.C. 18:7-8.3 will report 
            100% of the shareholder’s net pro rata share as allocated to New Jersey.
Line 2      Enter shareholder’s share of S corporation income/loss not allocated to New Jersey from Part III, line 9 of          Schedule K or 
            from Part III, line 9, column A of Schedule K Liquidated.
Line 4      Enter shareholder’s  share of  New Jersey allocated  income,  gains/losses from disposition  of  assets from Part III, line  8, 
            column B of Schedule K Liquidated.
Line 5      Enter shareholder’s share of income, gains/losses from disposition of assets not allocated to New Jersey from  Part III, line 9, 
            column B of Schedule K Liquidated.
Line 7      Enter total payments made on behalf of the shareholder as reported in Part VII, column F of Schedule K or in Part VII, column 
            (H) of Schedule K Liquidated.
Line 8      Enter  distributions  shareholder  received during  the year  as  reported in  Part  V,  VI  , or  VII,  ofSchedule  K  orSchedule K 
            Liquidated.

PART III
Lines 1 7Enter  shareholder’s share of New Jersey Accumulated Adjustments (AAA) from  Part IV-A,            Schedule K  or       Schedule K 
            Liquidated.

PART IV
Lines 14  Enter shareholder’s share of New Jersey Earnings and Profits from Part IV-B,          Schedule K or       Schedule K Liquidated.

PART V
Line 1      Enter the amount of any interest paid to the shareholder      that should be reported by the S corporation on  federal  Form 
            1099-INT. Include any other interest paid to the shareholder that was deducted by the S corporation        in arriving at income 
            reflected in Part II, line 8 of Schedule K or Schedule K Liquidated.
Line 2      a.  Enter the total amount of the corporation’s indebtedness to the shareholder at year’s end or prior to final  distribution.
            b.  Enter the total amount of the shareholder’s indebtedness to the corporation at year’s end or prior to final distribution.
Line 3      If a New Jersey electing S corporation is a qualified primary care medical or dental practice located in or within  5 miles of a 
            Health Enterprise Zone (HEZ), the corporation must determine if the shareholders are entitled to an HEZ deduction and the 
            amount. The shareholder’s deduction is entered on the shareholder’s Schedule NJ-K-1  and  deducted  on  the  shareholder’s 
            Gross  Income Tax  return.      See the  Division’s website, nj.gov/taxation, for qualification and calculation information.

NOTE:       A New Jersey electing S corporation doing business in New Jersey may file a NJ-1080-C composite return on  behalf  of  its 
            qualified  nonresident  shareholders  who  elect  to  be  included  in  the  composite  filing. Every participating shareholder must 
            make the election to be part of the composite return in writing each year by  using Form NJ-1080E, Election to Participate 
            in Composite Return, or a form substantially similar.



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                                                             New Jersey Gross Income Tax                           NJ
                                                             Payment on Behalf of                             1040-SC
                                                                                                                   (09-15)
              FOR OFFICIAL USE ONLY                         Nonconsenting Shareholders
                  Tax Year Beginning _________________________ and Ending _________________________
New Jersey S Corporation Information                        Shareholder Information
Federal Identification Number         NJ Corporation Number Social Security Number
                                                                                    ______________ / __________ / ______________
Taxpayer Name                                               Last Name                            First name

Address                                                     Street Address

City                           State  ZIP Code              City                      State                ZIP Code

              Amount of Payment from Schedule K, Part VII, Column (F) or 
              Schedule K Liquidated, Part VII, Column (H) of the CBT-100S  $      X X X   X      X    X     X X
                                                                                        ,                  .

                                      THIS FORM MAY BE REPRODUCED

                                      INSTRUCTIONS FOR NJ-1040-SC
For the S Corporation:
1.  A separate form must be completed for each nonconsenting shareholder and submitted with the CBT-100S. Include the 
      completed form(s) with the CBT-100S that is filed by the corporation.
2.  Payment Due Date:
      Payment should be remitted no later than the time for the filing of the CBT-100S for the accounting or privilege period of the S 
      corporation.
3.  The payment amount on the NJ-1040-SC should match the amount on the individual shareholder’s NJ-K-1, Part II, line 4.
4.  The remittance for the total of all NJ-1040-SC forms is to be included with any corporation business tax due as shown on page 1 
      of the CBT-100S form.
5.  A copy of the completed form must be supplied to each shareholder on whose behalf it was filed on or before the due date of 
      the CBT-100S.

For the Shareholder:
1.  Payments made by the S corporation on behalf of the shareholder do not release the shareholder of their responsibility for 
      making estimated payments or filing a New Jersey Gross Income Tax return as required under the New Jersey Gross Income 
      Tax Statutes.
2.  A copy of the NJ-1040-SC form must accompany the New Jersey Gross Income Tax return you file. The payment is to be 
      claimed on the return along with any other estimated payments you have made.
3.  Be sure to keep a copy of the form for your records.



- 21 -
                                                                                                                                         2021 – CBT-100S – Page 20
NAME AS SHOWN ON RETURN                           FEDERAL ID NUMBER

Form 500S               COMPUTATION OF THE AVAILABLE CONVERTED NET OPERATING LOSSES 

PART I   Net Operating Loss Carryovers Generated as a C Corporation prior to its New Jersey S election
1. Prior Net Operating Loss Conversion Carryover (PNOL) available (see instructions) ..............................                      1. XXXXXXXXXXXXXXXXXXXX
2. Post Allocation Net Operating Loss Carryover (NOL) available (see instructions) ...................................                   2. XXXXXXXXXXXXXXXXXXXX
3. Total Net Operating Losses Available – Total lines 1 and 2 ......................................................................     3. XXXXXXXXXXXXXXXXXXXX

PART II –  Available Net Operating Loss Deductions
1. Enter amount used on Schedule A, Part I, Line 41 ...................................................................................  1. XXXXXXXXXXXXXXXXXXXX
2. Enter amount used on Schedule A, Part II, Line 4 .................................................................................... 2. XXXXXXXXXXXXXXXXXXXX
3. Total amount of available converted NOL carryover used – Add lines 1 and 2 .........................................                  3. XXXXXXXXXXXXXXXXXXXX
NOTE: Must include last Net Operating Loss Schedule/Worksheet Prior to Conversion to S Corporation (from Form CBT-100 or CBT-100U).






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