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E-File Registration Form NJ-1065 - New Jersey

E-File Registration Form Form. This is a New Jersey form and can be used in Business Registration Secretary Of State .
 Fillable pdf Last Modified 9/22/2005
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Rev 1/1/02 NJ-1065 New Jersey Division of Revenue E-file REGISTRATION FORM For SOFTWARE DEVELOPERS +/or TRANSMITTERS Software developers and transmitters must register to participate in the e-filed NJ-1065, New Jersey Partnership Return, program. If you have any quest ions regarding completing this form, please call 609.633.1132. Please type or print COMPANY NAME - _____________________________________________ COMPANY ETIN - _____________ COMPANY FID/FEIN - ___________________ TRADE NAME (if any) - ___________________________________________ ADDRESS - ______________________________________ ________ CITY, STATE, ZIP ______________________________________________ CONTACT PERSON _______________________________________________ E-MAIL ________________________________________________ TELEPHONE ____________________ EXTENSION __________ FAX ____________________ E-mail the completed form to - TBACHMAN@REVENUE.STATE.NJ.US Or Fax the form to - (609) 292-1777 Or mail the form to NEW JERSEY DIVISION OF REVENUE E-FILE NJ-1065 P O BOX 191 TRENTON NJ 08646-0191 1 American LegalNet, Inc.
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