Last Name, First Name, and Initial (Joint filers enter first name and initial of each.
Enter spouse/CU partner last name only if different.)
Home Address (Number and Street, incl. apt. # or rural route) Change of address
Foreign address
City, Town, Post Office
State
ZIP Code
FOR PRIVACY ACT NOTIFICATION SEE INSTRUCTIONS
Your Social Security Number
Spouse’s/CU Partner’s Social Security Number
State of Residency (outside NJ)
6. Regular Yourself Spouse/ Domestic
CU Partner Partner 6.
7. Age 65 or over Yourself Spouse/CU Partner
7.
8. Blind or Disabled Yourself Spouse/CU Partner
8.
9. Veteran Exemption Yourself Spouse/CU Partner
9.
10. Number of your qualied dependent children
10.
12c
11. Number of other dependents
11.
12. Dependents attending colleges (See Instructions)
12.
13. For line 13a – Add lines 6, 7, 8, and 12. For line 13b – Add
lines 10 and 11. For line 13c – Enter amount from line 9.
13a. 13b. 13c.
EXEMPTIONS
Filing Status
(Check only ONE box)
1. Single
2. Married/CU Couple,
ling joint return
3. Married/CU Partner,
ling separate return
Name and SSN of Spouse/CU Partner
4. Head of Household
5. Qualifying Widow(er)/
Surviving CU Partner
DEPENDENT
INFORMATION
14. Dependent’s Last Name, First Name, Middle Initial Dependent’s Social Security Number Birth Year
a / /
b / /
c / /
d / /
GUBERNATORIAL
ELECTIONS FUND
Do you wish to designate $1 of your taxes for this fund? If joint
return, does your spouse/CU partner wish to designate $1?
Yes No Note: If you check the “Yes” box(es), it
will not increase your tax or reduce your
refund.
Yes No
Driver’s License #
(Column A)
AMOUNT OF GROSS INCOME
(EVERYWHERE)
(Column B)
AMOUNT FROM NEW JERSEY
SOURCES
15. Wages, salaries, tips, and other employee compensation
Check box if you completed lines 66 through 72 ..................................... 15. 15.
16. Interest.............................................................................................................. 16. 16.
17. Dividends .......................................................................................................... 17. 17.
18. Net prots from business (Schedule NJ-BUS-1, Part I, line 4) ......................... 18. 18.
19. Net gains or income from disposition of property (From line 65) ...................... 19. 19.
20. Net gains or income from rents, royalties, patents, and copyrights (Schedule
NJ-BUS-1, Part II, line 4) .................................................................................. 20. 20.
21. Net gambling winnings (See Instructions) ........................................................ 21. 21.
22. Pensions, Annuities, and IRA Withdrawals ....................................................... 22. 22
23. Distributive Share of Partnership Income (Schedule NJ-BUS-1,
Part III, line 4) ................................................................................................... 23. 23.
24. Net pro rata share of S Corporation Income (Schedule NJ-BUS-1, Part IV,
line 4) ................................................................................................................ 24. 24.
25. Alimony and separate maintenance payments received .................................. 25. 25
26. Other – State Nature and Source ..................... 26. 26.
27. TOTAL INCOME (Add lines 15 through 26) ...................................................... 27. 27.
(Voluntary)
State
For Tax Year January 1, 2020 – December 31, 2020
Or Other Tax Year Beginning , 2020
Ending , 2021
NJ RESIDENCY STATUS
If you were a New Jersey
resident for ANY part of the
tax year, give the period of
New Jersey residency.
From
MONTH DAY YEAR
To
MONTH DAY YEAR
New Jersey Nonresident
Income Tax Return
NJ-1040NR
2020
Check box if application for federal extension is attached or enter
conrmation number
5-N
Check box if this is an amended return
Name(s) as shown on Form NJ-1040NR Your Social Security Number
28a. Pension Exclusion (See Instructions) ............................................................... 28a.
28b. Other Retirement Income Exclusion (See Worksheet and
Instructions) ...................................................................................................... 28b. 28b.
28c. Total Exclusion Amount (Add line 28a and line 28b) ......................................... 28c. 28c.
29. Gross Income (Subtract line 28c from line 27) ................................................. 29. 29.
30. Total Exemption Amount (See Instructions) ...................................................... 30.
31. Medical Expenses (See Worksheet and Instructions) ...................................... 31.
32. Alimony and separate maintenance payments ................................................. 32.
33. Qualied Conservation Contribution ................................................................. 33.
34. Health Enterprise Zone Deduction ................................................................... 34.
35. Alternative Business Calculation Adjustment (Schedule NJ-BUS-2, line 11) .... 35.
36. Organ/Bone Marrow Donation Deduction (See instructions)............................ 36.
37.
Total Exemptions and Deductions (Add lines 30 through 36) .............................
37.
38. TAXABLE INCOME (Subtract line 37 from line 29, column A) ......................... 38.
39. Tax on amount on line 38 (From Tax Table)...................................................... 39.
40. Income Percentage B. (line 29)
= %
A. (line 29)
41. NEW JERSEY TAX (Multiply amount from line 39 x % from line 40) 41.
42. Sheltered Workshop Tax Credit (Enclose GIT-317. See Instructions) ................................................................ 42.
43. Gold Star Family Counseling Credit (See Instructions) ...................................................................................... 43.
44. Credit for Employer of Organ/Bone Marrow Donor (See instructions) ............................................................... 44.
45. Total Credits (Add lines 42, 43, and 44) ............................................................................................................. 45.
46. Balance of Tax After Credits (Subtract line 45 from line 41) ............................................................................... 46.
47. Penalty for Underpayment of Estimated Tax. Check box if Form NJ-2210NR is enclosed ............................ 47.
48. Total Tax and Penalty (Add line 46 and line 47) ................................................................................................. 48.
49. Total New Jersey Income Tax Withheld (From enclosed Forms W-2 and
1099) ................................................................................................................ 49.
Also enter on line 50:
Payments made in con-
nection with sale of NJ real
property
Payments by S corporation
for nonresident shareholder
50. New Jersey Estimated Tax Payments/Credit from 2019 return ........................ 50.
51. Tax paid on your behalf by Partnership(s) ........................................................ 51.
52. EXCESS NJ UI/WF/SWF Withheld (Enclose Form NJ-2450) .......................... 52.
53. EXCESS NJ Disability Insurance Withheld (Enclose Form NJ-2450) .............. 53.
54. EXCESS NJ Family Leave Insurance Withheld (Enclose Form NJ-2450) ....... 54.
55. Pass-Through Business Alternative Income Tax Credit (See instructions) ....... 55.
56. Total Payments/Credits (Add lines 49 through 55) ............................................................................................. 56.
NJ-1040NR (2020) Page 2
SIGN HERE
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my
knowledge and belief, it is true, correct, and complete. If prepared by a person other than taxpayer, this declaration is based on all information of
which the preparer has any knowledge.
Pay amount on line 57 in
full. Write Social Security
number(s) on check or money
order and make payable to:
State of New Jersey – TGI
Division of Taxation
Revenue Processing Center
PO Box 244
Trenton, NJ 08646-0244
You may also pay by e-check
or credit card.
Your Signature Date Spouse’s/CU Partner’s Signature (if ling jointly,BOTH must sign)
If enclosing copy of death certicate for deceased taxpayer, check box (See instructions)
I authorize the Division of Taxation to discuss my return and enclosures with my preparer (below)
Paid Preparer’s Signature Federal Identication Number
Firm’s name Firm’s Federal Employer Identication Number
Division
1 2 3 4 5 6 7 8
Use
Name(s) as shown on Form NJ-1040NR Your Social Security Number
57. If line 56 is LESS THAN line 48, enter AMOUNT YOU OWE ............................................................................. 57.
58. If line 56 is MORE THAN line 48, enter OVERPAYMENT .................................................................................. 58.
59. Deductions from Overpayment on line 58 that you elect to credit to:
(A) Your 2021 Tax ............................................................................................... 59A.
NOTE:
An entry on line 59A, B, C, D,
E, F, or G will reduce your tax
refund
(B) N.J. Endangered Wildlife Fund $10, $20, Other 59B.
(C) N.J. Children’s Trust Fund $10, $20, Other 59C.
(D) N.J. Vietnam Veterans’ Memorial Fund $10, $20, Other 59D.
(E) N.J. Breast Cancer Research Fund $10, $20, Other 59E.
(F) U.S.S. N.J. Educational Museum Fund $10, $20, Other 59F.
(G) Designated Contribution $10, $20, Other
59G.
60. Total Deductions From Overpayment (Add lines 59A through 59G) ................................................................... 60.
61. REFUND (Amount to be sent to you. Subtract line 60 from line 58) .................................................................. 61.
NJ-1040NR (2020) Page 3
Name(s) as shown on Form NJ-1040NR Your Social Security Number
PART I
Net Gains or Income From List the net gains or income, less net loss, derived from the sale, exchange, or other
Disposition of Property disposition of property including real or personal whether tangible or intangible.
(a) Kind of property and description
(b) Date
aquired
(Mo., day, yr.)
(c) Date sold
(Mo., day, yr.)
(d) Gross sales price
(e) Cost or other
basis as adjusted
(see instructions)
and expense of sale
(f) Gain or (loss)
(d less e)
62.
63. Capital Gains Distribution ...................................................................................................................................... 63.
64. Other Net Gains..................................................................................................................................................... 64.
65. Net Gains (Add lines 62, 63, and 64) (Enter here and on line 19) (If loss, enter zero) ......................................... 65.
PART II
Allocation of Wage and Salary
(See instructions if compensation depends entirely on volume of business
Income Earned Partly Inside and
transacted or if other basis of allocation is used.)
Outside New Jersey
66. Amount reported on line 15 in column A required to be allocated .......................................................................... 66.
67. Total days in taxable year ....................................................................................................................................... 67.
68. Deduct nonworking days (Sundays, Saturdays, holidays, sick leave, vacation, etc.) ............................................ 68.
69. Total days worked in taxable year (subtract line 68 from line 67) .......................................................................... 69.
70. Deduct days worked outside New Jersey............................................................................................................... 70.
71. Days worked in New Jersey (subtract line 70 from line 69).................................................................................... 71.
(Line 71) x =
(Include this amount on
72. ALLOCATION FORMULA
(Line 69) (Enter amount from line 66) (Salary earned inside N.J.) line 15, col. B)
PART III
Allocation of Business
(See instructions if other than Formula Basis of allocation is used.)
Income to New Jersey
Business Allocation Percentage (From Schedule NJ-NR-A)
Enter below the line number and amount of each item of business income reported in column A that is required to be allocated and multiply by
allocation percentage to determine amount of income from New Jersey sources.
From Line No. $ x % = $
From Line No. $ x % = $
From Line No. $ x % = $
NJ-1040NR (2020) Page 4