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 qualied 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 prots 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
conrmation number
5-N
Check box if this is an amended return