New Jersey Division of Taxation
REG-1E 
(4-24)                         Application for ST-5 Exempt Organization Certificate
                                           for Nonprofit Exemption from Sales Tax

                                                Read Before Completing This Form
Refer to the submission and documentation requirements before starting the application. Organizations seeking exemption from Sales 
and Use Tax must complete all steps of this application. Carefully follow the instructions to ensure all pertinent information and support-
ing documentation are provided to avoid a delay or denial of your exemption certificate request. 
                 Click in a shaded area to type your answers, OR print form and neatly print your information.
A. Organization’s Legal Name                                                                     Organization’s Web Address (if any)

B. FEIN (required)           - 

C. Registered Corporate Alternative (D/B/A) Name, if applicable (must be registered by home state and IRS)

D. Physical Location 
                     Street                                City                                  State                  ZIP Code

   Mailing Address 
                     c/o Name                      Street                      City              State                     ZIP Code

E. County/Municipality (NJ) or Out-of-State Code            

F. Will you collect New Jersey Sales Tax?   Yes        No               If yes, give date of first sale         /           /
                                                                                                         Month    Day        Year
   (Collection not required if you have an ST-5 and only make occasional sales)

G. Will you begin paying wages or salaries to employees working in NJ or to NJ residents?
   (Answer “No” if you already withhold NJ income tax)       Yes      No
   If yes, date of first wage or salary payment     /       /      and date that gross payroll will exceed $1,000        /    /

H. Type of Organization
    Corporation     State of incorporation       Incorporation date      /      /          (Attach Certificate/Articles of Incorporation).
    Association         Trust   Foundation              Other Unincorporated         Partnership        LLC        Sole Proprietorship

I. Contact Person
 
   Name                                                                        Title

   Email Address                                                               Daytime Phone

J. Provide the following information for responsible officers.
                    Name (Last Name, First, MI)           SSN/Title               Home Address (Street, City, State, ZIP Code)
Print:                                              SSN*:
Sign:                                               Title:
Print:                                              SSN*:
Sign:                                               Title:
Print:                                              SSN*:
Sign:                                               Title:
Print:                                              SSN*:
Sign:                                               Title:
Print:                                              SSN*:
Sign:                                               Title:
*Required
 Provide a summary of the organization’s primary organizational purpose and main activities. 

K. Identify your organization by purpose for which you are claiming exempt status:
                    501(c)(3) formed and organized exclusively for charitable, scientific, literary, educational purposes and the prevention of cruelty to 
                    children and animals
                    Volunteer fire company, rescue, ambulance, first aid, or emergency company/squad
                    Veterans organization, National Guard, Marine Corps post, association, or organization, or affiliated auxiliaries/ societies
                    Parent-Teacher Association (PTA) or Parent Teacher Organization (PTO) or Booster Club
                    Church or religious organization
                    Federal or New Jersey governmental (including its instrumentalities and political subdivisions)
                    New Jersey private school
                    Public or private school – states other than New Jersey
                    Other: 
L. If a branch or chapter, has the parent/central organization received an exemption from the IRS under IRC 501(c)(3) that applies to 
 subordinate branches or chapters?                   Yes   No
 If yes, submit a copy of the group determination letter from the IRS.
M. Did you make the election under Section 501(h) of the Internal Revenue Code to make expenditures to influence legislation? 
                   Yes      No    If yes, you confirm you are only engaging in insubstantial activities. Include a copy of IRS Form 5768.
 The Division reserves the right to revoke an ST-5 if the entity exceeds the 501(h) election thresholds. You are required to 
 certify annually that you are in compliance and the organization’s tax-exempt, 501(c) status has not been revoked by the IRS for 
 substantial activity over the federal expenditure test. If your organization exceeds the thresholds, your ST-5 may be revoked for 
 one year and you will have to reapply.
                  Certification: I certify that the information given in this application is complete and correct to the best of my knowledge and belief 
                  and any accompanying documents submitted are true copies, and that I am authorized to sign this application..

                  Your Signature  
         Sign Here
                  Name and Title (please print)                                                                      Date       /                /

                                                                           OFFICIAL USE ONLY
                                                                           DLN  
Upload this application and supporting documents to 
www.nj.gov/treasury/taxation/njonrs.shtml and use PO Box 269.              Determination  

                                                                           Effective Date  

                                    New Jersey Division of Taxation
                 Application for Exempt Organization Certificate (Form ST-5)

Submission Requirements
Organizations That Should File the REG-1E
File this form only if the requirements are met. 
•  Organization that has 501(c)(3) exempt status as determined by the IRS that has been formed and is organized exclu-
   sively for charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children and animals;
•  Volunteer fire company, rescue, ambulance, first aid, or emergency company or squad;
•  Veterans, National Guard or Marine Corps post, association, or organization, or affiliated auxiliaries/societies;
•  Local chapter of the Red Cross;
•  PTA, PTO, or booster club;
•  Church or religious organization;
•  New Jersey private school; and
•  Private or public school from states other than New Jersey.

Organizations That Should NOT File the REG-1E
•  Business associations and leagues, including chambers of commerce;
•  Social or recreational clubs, including senior citizens’ clubs;
•  Civic, community, homeowners’ or tenants’ associations;
•  Fraternal organizations (except veterans’ organizations) including, but not limited to, Elks Lodges, Hibernian Orders, 
   Kiwanis Clubs, Knights of Columbus Councils, Lions Clubs, Masonic Lodges, Moose Lodges, Odd Fellows Lodges, and 
   Rotary Clubs;
•  Labor unions; 
•  Political organizations; and
•  IRS 501(c)(4), 501(c)(5), 501(c)(6), 501(c)(7), etc., organizations (except volunteer firefighting, rescue or emergency, vet-
   erans’, or parent teacher organizations).

Note: You cannot use an exemption certificate issued by another state to claim exemption for goods and services purchased 
in New Jersey.

How to File
Organizations seeking exemption from New Jersey Sales and Use Tax must complete all steps of the REG-1E application. 
You must also provide all pertinent information and supporting documentation to avoid a delay or denial of your exemption 
certificate request. The Division may require additional documentation. There is no fee to file the REG-1E application.

To submit the application, upload the documents and all correspondence and requests to www.nj.gov/treasury/taxation/
njonrs.shtml and use PO Box 269. This will help avoid any delays and improve the process.

If you are unable to submit the application and supporting documents online, call (609) 984-5739 for further instructions.

Required Documentation 
Most organizations are required to submit the following to demonstrate eligibility for exemption:
1. A completed application (Form REG-1E) signed and dated by an officer, trustee, or responsible party;

2. Determination of Exempt Status. Submit the most recent copy of an IRS determination letter establishing exemption from 
   certain federal taxes under an IRC 501(c) code. Most organizations applying that are formed and organized exclusively for 
   charitable, scientific, literary, or educational purposes or for the prevention of cruelty to children and animals should have 
   IRC 501(c)(3) exemption status;

   a. As referenced in “Section L” of the line-by-line instructions, if your organization is a branch or chapter of a parent or 
   central organization that has a group exemption that includes your organization, you must submit a copy of the par-
   ent or central organization’s group exemption determination letter issued by the IRS. In addition, you must provide a 
   letter issued by the parent or central organization stating that your organization is covered under its group exemption 
   and is in good standing; or the listing issued to the IRS substantiating that your organization is one of the subordinate 
   branches or chapters of the parent or central organization that the group exemption covers.

   b. Exceptions to the IRS 501(c)(3) determination letter requirement are for veterans’ organizations; volunteer fire, rescue, 
   first aid, and emergency companies; PTAs/PTOs and booster clubs (when associated with national organizations); 
   public schools outside of New Jersey; and organizations organized and operated exclusively for religious purposes. 
   Veterans’ organizations and their auxiliaries may submit IRS 501(c)(19) determination letters, fire and emergency com-
   panies/squads may submit whatever 501(c) letter the IRS has issued.

3. Confirmation of Incorporation or Registration. Submit a copy of the Certificate of Incorporation or Public Filing Registration 
   issued by your organization’s home state showing the date they were filed and the date they were approved by an appro-
   priate state authority. Include any amendments to formation documents;

4. If your organization is unincorporated, submit a copy of any official confirmed registration filed with your home state. For-
   mation or other governing documents such as Articles of Association, Constitution, Charter, Trust Agreement, or Bylaws 
   should be dated and signed by your organization’s governing body or a responsible person;

5. A copy of your organization’s formation/governing documents that show the organization is eligible for exempt status in 
   New Jersey as referenced in the “Purpose of Documentation” section above. The required language may be included in 
   the following types of documents;
   Certificate of Incorporation                       Trust Agreement 
   Articles of Incorporation                          Charter
   Articles of Association                            Constitution
   Operating Agreement                                Bylaws*

   * While an organization may contain several documents that contain the same required provisions, you do not have to 
   send multiple documents if a single document contains all the required language demonstrating the requisite eligibility for 
   exemption. For example, if your organization’s Articles of Incorporation has all the necessary provisions, (including busi-
   ness purpose), you do not have to send a copy of the Bylaws. Bylaws are generally the internal rules and regulations of 
   an organization. If including bylaws, send current copies, including any amendments.

   Formation and governing documents must be presented as formal legal documents that are signed and dated by the ap-
   propriate officers or trustees of the governing body. The documents should not be in “draft” form and must be complete. 
   Single pages copied from a larger document are not acceptable unless the entire document is exceptionally long (over 30 
   pages).

   If possible, the requisite language should be identified in the document(s) by highlighting, underlining, placing asterisks, or 
   other acceptable markings on the appropriate pages.

   There are required provisions that must be included in your organizing document to be exempt in New Jersey. It must 
   show the purpose as charitable, religious, educational, scientific, literary, etc., or a specific charitable purpose within the 
   meaning of Section 501(c)(3) or the documents will need to be amended. It must include a dissolution clause providing 
   the dedication of your assets to a Section 501(c)(3) purpose. If your dissolution clause names a specific organization to 
   receive the organization’s assets upon dissolution, that organization must be exempt under Section 501(c)(3) or a quali-
   fied alternate recipient if the named organization is not exempt under Section 501(c)(3) at that time.
   Example of an acceptable dissolution clause
   Upon dissolution of the corporation and after paying or making provision for the payment of all the liabilities of the corpo-
   ration, the board of trustees shall dispose of the remaining assets of the corporation exclusively for one or more exempt 
   purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1954 (or the corresponding provision 
   of any future federal tax code), or shall distribute the same to the federal government or to a state or local government for 
   a public purpose. Any such assets not so disposed of shall be disposed of by order of the Superior Court of the State of 
   New Jersey in the judicial district where the principal office of the corporation is then located, exclusively for such purpose 
   or to such organization organized and operated exclusively for such purposes as said court shall determine.
   Your documents must also include exemption requirements for 501(c)(3) organizations.
   Example of Provision 1
   No part of the net earnings of the organization shall inure to the benefit of any private shareholder or individual.

   Example of Provision 2
   No substantial part of the activities of the organization is carrying on (political) propaganda, or otherwise attempting to 
   influence legislation. Additionally, the organization does not participate or intervene in (including the publishing or distribut-
   ing of statements) any political campaign on behalf of any candidate for public office.

   If your documents do not contain this required language, please amend them before submitting your application.

6. Public schools from states other than New Jersey do not generally have IRS 501(c) letters. A public school from a state 
   other than New Jersey should submit a copy of its letterhead, and in lieu of formation documents, may also submit a copy 
   of a state charter or a sales tax exemption certificate/letter issued by its home state.

Line-By-Line Instructions
Section A
Organization’s Legal Name. Enter the legal name exactly as it appears in your organizing document, which should be the 
same name as on formation documents and the IRS determination letter (if applicable).

Organization’s Web Address (if any). Enter your organization’s URL or other web address where general information about 
the organization can be found.

Section B
FEIN. Enter the federal employer identification number (FEIN) assigned to your organization by the IRS. The application can-
not be processed without a valid FEIN.

Section C
Registered Corporate Alternative (D/B/A) Name. Enter the alternate or trade name your organization may be known by 
(doing business as) if it is a name other than the legal name. The alternative or trade name must be registered with the or-
ganization’s home state (appropriate documentation must be provided). If there is no alternative or trade name, leave this 
section blank.

Section D
Physical Location. Enter the street address, city, state, and ZIP Code of your organization. 

Mailing address. Enter a contact name and a valid mailing address for registration purposes if this address is different than 
the physical location.

Section E
County/Municipality (NJ) or Out-of-State Code. Enter the appropriate code.

Section F
Sales Tax Collection. Check the appropriate box to indicate whether your organization will collect New Jersey Sales Tax. If 
you check “Yes,” provide the date of the first sale in New Jersey.

Section G
Employee Wages/Salaries. Check the appropriate box to indicate whether your organization will begin paying wages or sal-
aries to employees working in New Jersey or to New Jersey residents. If you check “Yes,” provide the date of the first wage 
or salary payment and the date that gross payroll will exceed $1,000. Check “No” if you already withhold NJ Income Tax.

Section H
Type of Organization. Check the box next to the organization’s formation classification. 
•  An incorporated organization must enter the state of incorporation and the date of the incorporation. Use the date that re-
   flects when the incorporation was filed with the state of incorporation (submit Filing Certificate/Articles of Incorporation). 
•  An unincorporated organization may provide other types of formation or governing documentation such as Articles of As-
   sociation, Constitution, Charter, Trust Agreement, or Bylaws.

Section I
Contact Person. Enter the name, title, email address, and phone number of a person affiliated with your organization who 
has the requisite knowledge to answer questions related to the application.

Section J
Responsible Officers. Enter the names and contact information, including Social Security number, title, and home address, 
of your organization’s officers.

Purpose and Primary Activities. In one brief statement, summarize the primary purpose of your organization and its main 
activities.

Section K
Organization’s Exempt Purpose. Check the box next to the category that best describes your organization’s exempt pur-
pose. If your organization’s exempt purpose is not specifically listed, check “Other” and write a brief description of what you 
consider the exemption type to be.

Section L
Group Exemptions. If your organization is a branch or chapter of a parent or central organization that has a group ex-
emption that includes your organization, check “Yes.” You must submit a copy of the parent or central organization’s group 
exemption determination letter issued by the IRS and other supporting documentation. (See subsection 2a under “Required 
Documentation.”)

Section M
Internal Revenue Service 501(h) Election. Check the appropriate box to indicate whether you made the election to make 
expenditures to influence legislation. If yes, include a copy of IRS Form 5768.

Certification and Authorized Signature
Signature of Officer or Responsible Person. The application must be signed by a corporate officer or trustee who is re-
sponsible for the information provided. Enter the title of the person who signed the form. If not incorporated, a responsible 
person should sign the application.

Documentation Checklist
Check the boxes of the documents included with your application:

  Complete signed and dated application;

  Organizing document (signed and dated, including any amendments). Articles/Certificates of Incorporation, Con-
stitution, Charter, Articles of Association, Trust Agreement, or any other formally adopted instrument by which your 
organization was created. You can also send your organization’s Bylaws, if available; and

  The most recent copy of your Internal Revenue Service Determination Letter stating that your organization is ex-
empt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. If your organization is a sub-
ordinate of a central organization, send a copy of a group 501(c)(3) exemption letter and a letter or listing from the 
central organization indicating that your organization is in “good standing” and included under the group 501(c)(3) 
exemption letter.

Organizations that are organized and operated exclusively for religious purposes will be provided a Religious Certification, 
which will require a signature from an officer of the organization, after the application is received and reviewed.

Failure to provide all the documents may result in a delay or denial of your application. Applications are kept on file for six 
months. If we do not receive all required documents within that time, your application will be closed and you will need to re-
apply and resubmit all documents.

                                      New Jersey County/Municipality Codes
                             Enter the Appropriate Four-Digit Number in the Boxes Provided in Item E.
Location                     Location                     Location                                   Location
Code Municipality            Code Municipality            Code Municipality                          Code Municipality
ATLANTIC COUNTY              0260 Teaneck Twp.            0431 Somerdale Bor.                        0818 Washington Twp.
0101 Absecon City            0261 Tenafly Bor.            0432 Stratford Bor.                        0819 Wenonah Bor.
0102 Atlantic City           0262 Teterboro Bor.          0433 Tavistock Bor.                        0820 West Deptford Twp.
0103 Brigantine City         0263 Upper Saddle River Bor. 0434 Voorhees Twp.                         0821 Westville Bor.
0104 Buena Bor.              0264 Waldwick Bor.           0435 Waterford Twp.                        0822 Woodbury City
0105 Buena Vista Twp.        0265 Wallington Bor.         0436 Winslow Twp.                          0823 Woodbury Heights Bor.
0106 Corbin City             0266 Washington Twp.         0437 Woodlynne Bor.                        0824 Woolwich Twp.
0107 Egg Harbor City         0267 Westwood Bor.
0108 Egg Harbor Twp.         0268 Woodcliff Lake Bor.     CAPE MAY COUNTY                            HUDSON COUNTY
0109 Estell Manor City       0269 Wood-Ridge Bor.         0501 Avalon Bor.                           0901 Bayonne City
0110 Folsom Bor.             0270 Wyckoff Twp.            0502 Cape May City                         0902 East Newark Bor.
0111 Galloway Twp.                                        0503 Cape May Point Bor.                   0903 Guttenberg Town
0112 Hamilton Twp.           BURLINGTON COUNTY            0504 Dennis Twp.                           0904 Harrison Town
0113 Hammonton Town          0301 Bass River Twp.         0505 Lower Twp.                            0905 Hoboken City
0114 Linwood City            0302 Beverly City            0506 Middle Twp.                           0906 Jersey City
0115 Longport Bor.           0303 Bordentown City         0507 North Wildwood City                   0907 Kearny Town
0116 Margate City            0304 Bordentown Twp.         0508 Ocean City                            0908 North Bergen Twp.
0117 Mullica Twp.            0305 Burlington City         0509 Sea Isle City                         0909 Secaucus Town
0118 Northfield City         0306 Burlington Twp.         0510 Stone Harbor Bor.                     0910 Union City
0119 Pleasantville City      0307 Chesterfield Twp.       0511 Upper Twp.                            0911 Weehawken Twp.
0120 Port Republic City      0308 Cinnaminson Twp.        0512 West Cape May Bor.                    0912 West New York Town
0121 Somers Point City       0309 Delanco Twp.            0513 West Wildwood Bor.
0122 Ventnor City            0310 Delran Twp.             0514 Wildwood City                         HUNTERDON COUNTY
0123 Weymouth Twp.           0311 Eastampton Twp.         0515 Wildwood Crest Bor.                   1001 Alexandria Twp.
                             0312 Edgewater Park Twp.     0516 Woodbine Bor.                         1002 Bethlehem Twp.
BERGEN COUNTY                0313 Evesham Twp.                                                       1003 Bloomsbury Bor.
0201 Allendale Bor.          0314 Fieldsboro Bor.         CUMBERLAND COUNTY                          1004 Califon Bor.
0202 Alpine Bor.             0315 Florence Twp.           0601 Bridgeton City                        1005 Clinton Town
0203 Bergenfield Bor.        0316 Hainesport Twp.         0602 Commercial Twp.                       1006 Clinton Twp.
0204 Bogota Bor.             0317 Lumberton Twp.          0603 Deerfield Twp.                        1007 Delaware Twp.
0205 Carlstadt Bor.          0318 Mansfield Twp.          0604 Downe Twp.                            1008 East Amwell Twp.
0206 Cliffside Park Bor.     0319 Maple Shade Twp.        0605 Fairfield Twp.                        1009 Flemington Bor.
0207 Closter Bor.            0320 Medford Twp.            0606 Greenwich Twp.                        1010 Franklin Twp.
0208 Cresskill Bor.          0321 Medford Lakes Bor.      0607 Hopewell Twp.                         1011 Frenchtown Bor.
0209 Demarest Bor.           0322 Moorestown Twp.         0608 Lawrence Twp.                         1012 Glen Gardner Bor.
0210 Dumont Bor.             0323 Mount Holly Twp.        0609 Maurice River Twp.                    1013 Hampton Bor.
0212 East Rutherford Bor.    0324 Mount Laurel Twp.       0610 Millville City                        1014 High Bridge Bor.
0213 Edgewater Bor.          0325 New Hanover Twp.        0611 Shiloh Bor.                           1015 Holland Twp.
0211 Elmwood Park Bor.       0326 No. Hanover Twp.        0612 Stow Creek Twp.                       1016 Kingwood Twp.
0214 Emerson Bor.            0327 Palmyra Bor.            0613 Upper Deerfield Twp.                  1017 Lambertville City
0215 Englewood City          0328 Pemberton Bor.          0614 Vineland City                         1018 Lebanon Bor.
0216 Englewood Cliffs Bor.   0329 Pemberton Twp.                                                     1019 Lebanon Twp.
0217 Fair Lawn Bor.          0330 Riverside Twp.          ESSEX COUNTY                               1020 Milford Bor.
0218 Fariview Bor.           0331 Riverton Bor.           0701 Belleville Twp.                       1021 Raritan Twp.
0219 Fort Lee Bor.           0332 Shamong Twp.            0702 Bloomfield Twp.                       1022 Readington Twp.
0220 Franklin Lakes Bor.     0333 Southampton Twp.        0703 Caldwell Borough Twp.                 1023 Stockton Bor.
0221 Garfield City           0334 Springfield Twp.        0704 Cedar Grove Twp.                      1024 Tewksbury Twp.
0222 Glen Rock Bor.          0335 Tabernacle Twp.         0705 East Orange City                      1025 Union Twp.
0223 Hackensack City         0336 Washington Twp.         0706 Essex Fells Twp.                      1026 West Amwell Twp.
0224 Harrington Park Bor.    0337 Westampton Twp.         0707 Fairfield Twp.
0225 Hasbrouck Heights Bor.  0338 Willingboro Twp.        0708 Glen Ridge Bor.                       MERCER COUNTY
0226 Haworth Bor.            0339 Woodland Twp.           0709 Irvington Twp.                        1101 East Windsor Twp.
0227 Hillsdale Bor.          0340 Wrightstown Bor.        0710 Livingston Twp.                       1102 Ewing Twp.
0228 Ho-Ho-Kus Bor.                                       0711 Maplewood Twp.                        1103 Hamilton Twp.
0229 Leonia Bor.             CAMDEN COUNTY                0712 Millburn Twp.                         1104 Hightstown Bor.
0230 Little Ferry Bor.       0401 Audubon Bor.            0713 Montclair Twp.                        1105 Hopewell Bor.
0231 Lodi Bor.               0402 Audubon Park Bor.       0714 Newark City                           1106 Hopewell Twp.
0232 Lyndhurst Twp.          0403 Barrington Bor.         0715 North Caldwell Bor.                   1107 Lawrence Twp.
0233 Mahwah Twp.             0404 Bellmawr Bor.           0716 Nutley Twp.                           1108 Pennington Bor.
0234 Maywood Bor.            0405 Berlin Bor.             0717 Orange City                           1114 Princeton
0235 Midland Park Bor.       0406 Berlin Twp.             0718 Roseland Bor.                         1112 Robbinsville Twp.
0236 Montvale Bor.           0407 Brooklawn Bor.          0719 South Orange Village Twp.             1111 Trenton City
0237 Moonachie Bor.          0408 Camden City             0720 Verona Twp.                           1113 West Windsor Twp.
0238 New Milford Bor.        0409 Cherry Hill Twp.        0721 West Caldwell Twp.
0239 North Arlington Bor.    0410 Chesilhurst Bor.        0722 West Orange Twp.                      MIDDLESEX COUNTY
0240 Northvale Bor.          0411 Clementon Bor.                                                     1201 Carteret Bor.
0241 Norwood Bor.            0412 Collingswood Bor.       GLOUCESTER COUNTY                          1202 Cranbury Twp.
0242 Oakland Bor.            0413 Gibbsboro Bor.          0801 Clayton Bor.                          1203 Dunellen Bor.
0243 Old Tappan Bor.         0414 Gloucester City         0802 Deptford Twp.                         1204 East Brunswick Twp.
0244 Oradell Bor.            0415 Gloucester Twp.         0803 East Greenwich Twp.                   1205 Edison Twp.
0245 Palisades Park Bor.     0416 Haddon Twp.             0804 Elk Twp.                              1206 Helmetta Bor.
0246 Paramus Bor.            0417 Haddonfield Bor.        0805 Franklin Twp.                         1207 Highland Park Bor.
0247 Park Ridge Bor.         0418 Haddon Heights Bor.     0806 Glassboro Bor.                        1208 Jamesburg Bor.
0248 Ramsey Bor.             0419 Hi-Nella Bor.           0807 Greenwich Twp.                        1209 Metuchen Bor.
0249 Ridgefield Bor.         0420 Laurel Springs Bor.     0808 Harrison Twp.                         1210 Middlesex Bor.
0250 Ridgefield Park Village 0421 Lawnside Bor.           0809 Logan Twp.                            1211 Milltown Bor.
0251 Ridgewood Village       0422 Lindenwold Bor.         0810 Mantua Twp.                           1212 Monroe Twp.
0252 River Edge Bor.         0423 Magnolia Bor.           0811 Monroe Twp.                           1213 New Brunswick City
0253 River Vale Twp.         0424 Merchantville Bor.      0812 National Park Bor.                    1214 North Brunswick Twp.
0254 Rochelle Park Twp.      0425 Mt. Ephraim Bor.        0813 Newfield Bor.                         1215 Old Bridge Twp.
0255 Rockleigh Bor.          0426 Oaklyn Bor.             0814 Paulsboro Bor.                        1216 Perth Amboy City
0256 Rutherford Bor.         0427 Pennsauken Twp.         0815 Pitman Bor.                           1217 Piscataway Twp.
0257 Saddle Brook Twp.       0428 Pine Hill Bor.          0816 South Harrison Twp.                   1218 Plainsboro Twp.
0258 Saddle River Bor.       0430 Runnemede Bor.          0817 Swedesboro Bor.                       1219 Sayreville Bor.
0259 South Hackensack Twp.

                                       New Jersey County/Municipality Codes
                              Enter the Appropriate Four-Digit Number in the Boxes Provided in Item E.
Location                      Location                        Location                                Location
Code Municipality             Code Municipality               Code Municipality                       Code Municipality
1220 South Amboy City         1421 Montville Twp.             1712 Quinton Twp.                       2107 Greenwich Twp.
1221 South Brunswick Twp.     1423 Morris Plains Bor.         1713 Salem City                         2108 Hackettstown Town
1222 South Plainfield Bor.    1422 Morris Twp.                1714 Upper Pittsgrove Twp.              2109 Hardwick Twp.
1223 South River Bor.         1424 Morristown Town            1715 Woodstown Bor                      2110 Harmony Twp.
1224 Spotswood Bor.           1425 Mountain Lakes Bor.                                                2111 Hope Twp.
1225 Woodbridge Twp.          1426 Mount Arlington Bor.       SOMERSET COUNTY                         2112 Independence Twp.
                              1427 Mount Olive Twp.           1801 Bedminster Twp.                    2113 Knowlton Twp.
MONMOUTH COUNTY               1428 Netcong Bor.               1802 Bernards Twp.                      2114 Liberty Twp.
1301 Aberdeen Twp.            1429 Parsippany-Troy Hills Twp. 1803 Bernardsville Bor.                 2115 Lopatcong Twp.
1302 Allenhurst Bor.          1431 Pequannock Twp.            1804 Bound Brook Bor.                   2116 Mansfield Twp.
1303 Allentown Bor.           1432 Randolph Twp.              1805 Branchburg Twp.                    2117 Oxford Twp.
1304 Asbury Park City         1433 Riverdale Bor.             1806 Bridgewater Twp.                   2119 Phillipsburg Town
1305 Atlantic Highlands Bor.  1434 Rockaway Bor.              1807 Far Hills Bor.                     2120 Pohatcong Twp.
1306 Avon-by-the-Sea Bor.     1435 Rockaway Twp.              1808 Franklin Twp.                      2121 Washington Bor.
1307 Belmar Bor.              1436 Roxbury Twp.               1809 Green Brook Twp.                   2122 Washington Twp.
1308 Bradley Beach Bor.       1437 Victory Gardens Bor.       1810 Hillsborough Twp.                  2123 White Twp.
1309 Brielle Bor.             1438 Washington Twp.            1811 Manville Bor.
1310 Colts Neck Twp.          1439 Wharton Bor.               1812 Millstone Bor.                     2200 ALABAMA
1311 Deal Bor.                                                1813 Montgomery Twp.                    2300 ALASKA
1312 Eatontown Bor.           OCEAN COUNTY                    1814 North Plainfield Bor.              2400 ARIZONA
1313 Englishtown Bor.         1501 Barnegat Twp.              1815 Peapack & Gladstone Bor.           2500 ARKANSAS
1314 Fair Haven Bor.          1502 Barnegat Light Bor.        1816 Raritan Bor.                       2600 CALIFORNIA
1315 Farmingdale Bor.         1503 Bay Head Bor.              1817 Rocky Hill Bor.                    2700 COLORADO
1316 Freehold Bor.            1504 Beach Haven Bor.           1818 Somerville Bor.                    2800 CONNECTICUT
1317 Freehold Twp.            1505 Beachwood Bor.             1819 South Bound Brook Bor.             2900 DELAWARE
1318 Hazlet Twp.              1506 Berkeley Twp.              1820 Warren Twp.                        3000 DISTRICT OF COLUMBIA
1319 Highlands Bor.           1507 Brick Twp.                 1821 Watchung Bor.                      3100 FLORIDA
1320 Holmdel Twp.             1509 Eagleswood Twp.                                                    3200 GEORGIA
1321 Howell Twp.              1510 Harvey Cedars Bor.         SUSSEX COUNTY                           3300 HAWAII
1322 Interlaken Bor.          1511 Island Heights Bor.        1901 Andover Bor.                       3400 IDAHO
1323 Keansburg Bor.           1512 Jackson Twp.               1902 Andover Twp.                       3500 ILLINOIS
1324 Keyport Bor.             1513 Lacey Twp.                 1903 Branchville Bor.                   3600 INDIANA
1346 Lake Como Bor.           1514 Lakehurst Bor.             1904 Byram Twp.                         3700 IOWA
1325 Little Silver Bor.       1515 Lakewood Twp.              1905 Frankford Twp.                     3800 KANSAS
1326 Loch Arbour Village      1516 Lavallette Bor.            1906 Franklin Bor.                      3900 KENTUCKY
1327 Long Branch City         1517 Little Egg Harbor Twp.     1907 Fredon Twp.                        4000 LOUISIANA
1328 Manalapan Twp.           1518 Long Beach Twp.            1908 Green Twp.                         4100 MAINE
1329 Manasquan Bor.           1519 Manchester Twp.            1909 Hamburg Bor.                       4200 MARYLAND
1330 Marlboro Twp.            1520 Mantoloking Bor.           1910 Hampton Twp.                       4300 MASSACHUSETTS
1331 Matawan Bor.             1522 Ocean Gate Bor.            1911 Hardystown Twp.                    4400 MICHIGAN
1332 Middletown Twp.          1521 Ocean Twp.                 1912 Hopatcong Bor.                     4500 MINNESOTA
1333 Millstone Twp.           1523 Pine Beach Bor.            1913 Lafayette Twp.                     4600 MISSISSIPPI
1334 Monmouth Beach Bor.      1524 Plumsted Twp.              1914 Montague Twp.                      4700 MISSOURI
1336 Neptune City Bor.        1525 Pt. Pleasant Bor.          1915 Newton Town                        4800 MONTANA
1335 Neptune Twp.             1526 Pt. Pleasant Beach Bor.    1916 Ogdensburg Bor.                    4900 NEBRASKA
1337 Ocean Twp.               1527 Seaside Heights Bor.       1917 Sandyston Twp.                     5000 NEVADA
1338 Oceanport Bor.           1528 Seaside Park Bor.          1918 Sparta Twp.                        5100 NEW HAMPSHIRE
1339 Red Bank Bor.            1529 Ship Bottom Bor.           1919 Stanhope Bor.                      5300 NEW MEXICO
1340 Roosevelt Bor.           1530 South Toms River Bor.      1920 Stillwater Twp.                    5400 NEW YORK
1341 Rumson Bor.              1531 Stafford Twp.              1921 Sussex Bor.                        5500 NORTH CAROLINA
1342 Sea Bright Bor.          1532 Surf City Bor.             1922 Vernon Twp.                        5600 NORTH DAKOTA
1343 Sea Girt Bor.            1508 Toms River Twp.            1923 Walpack Twp.                       5700 OHIO
1344 Shrewsbury Bor.          1533 Tuckerton Bor.             1924 Wantage Twp.                       5800 OKLAHOMA
1345 Shrewsbury Twp.                                                                                  5900 OREGON
1347 Spring Lake Bor.         PASSAIC COUNTY                  UNION COUNTY                            6000 PENNSYLVANIA
1348 Spring Lake Heights Bor. 1601 Bloomingdale Bor.          2001 Berkley Heights Twp.               6100 RHODE ISLAND
1349 Tinton Falls Bor.        1602 Clifton City               2002 Clark Twp.                         6200 SOUTH CAROLINA
1350 Union Beach Bor.         1603 Haledon Bor.               2003 Cranford Twp.                      6300 SOUTH DAKOTA
1351 Upper Freehold Twp.      1604 Hawthorne Bor.             2004 Elizabeth City                     6400 TENNESSEE
1352 Wall Twp.                1605 Little Falls Twp.          2005 Fanwood Bor.                       6500 TEXAS
1353 West Long Branch Bor.    1606 North Haledon Bor.         2006 Garwood Bor.                       6600 UTAH
                              1607 Passaic City               2007 Hillside Twp.                      6700 VERMONT
MORRIS COUNTY                 1608 Paterson City              2008 Kenilworth Bor.                    6800 VIRGINIA
1401 Boonton Town             1609 Pompton Lakes Bor.         2009 Linden City                        6900 WASHINGTON
1402 Boonton Twp.             1610 Prospect Park Bor.         2010 Mountainside Bor.                  7000 WEST VIRGINIA
1403 Butler Bor.              1611 Ringwood Bor.              2011 New Providence Bor.                7100 WISCONSIN
1404 Chatham Bor.             1612 Totowa Bor.                2012 Plainfield City                    7200 WYOMING
1405 Chatham Twp.             1613 Wanaque Bor.               2013 Rahway City                        7300 PUERTO RICO
1406 Chester Bor.             1614 Wayne Twp.                 2014 Roselle Bor.                       7400 NETHERLANDS
1407 Chester Twp.             1615 West Milford Twp.          2015 Roselle Park Bor.                  7500 BELGIUM
1408 Denville Twp.            1616 Woodland Park Bor.         2016 Scotch Plains Twp.                 7600 ARGENTINA
1409 Dover Town                                               2017 Springfield Twp.                   7700 CANADA
1410 East Hanover Twp.        SALEM COUNTY                    2018 Summit City                        7800 MEXICO
1411 Florham Park Bor.        1701 Alloway Twp.               2019 Union Twp.                         7900 VIRGIN ISLANDS
1312 Hanover Twp.             1702 Carneys Point Twp.         2020 Westfield Town                     8000 ENGLAND
1413 Harding Twp.             1703 Elmer Bor.                 2021 Winfield Twp.                      8100 CHINA
1414 Jefferson Twp.           1704 Elsinboro Twp.                                                     8200 GERMANY
                                                                                                      8300 IRELAND
1415 Kinnelon Bor.            1705 Lower Alloways Creek Twp.  WARREN COUNTY                           8400 GREECE
1416 Lincoln Park Bor.        1706 Mannington Twp.            2101 Allamuchy Twp.                     8500 ISRAEL
1430 Long Hill Twp.           1707 Oldmans Twp.               2102 Alpha Bor.
1417 Madison Bor.             1708 Penns Grove Bor.           2103 Belvidere Town
1418 Mendham Bor.             1709 Pennsville Twp.            2104 Blairstown Twp.
1419 Mendham Twp.             1710 Pilesgrove Twp.            2105 Franklin Twp.
1420 Mine Hill Twp.           1711 Pittsgrove Twp.            2106 Frelinghuysen Twp.