DS9 Document EFTA01219707

• NJ-W-3 For Division Use Only State of New Jersey Division of Taxation Gross Income Tax Reconciliation of Tax Withheld From Salaries & Wages, Pension & Annuity Income and Gambling Income Use For Taxable Years 1998 and After File No Later than February 28th. Paper Attach to Form NJ-W-3 K E-File Electronic Filing NJ-W-3-UNC and related MISC 1099 Attached Forms 1926 I. Total Employees 2. Total Gross Wages $ 3, Total Withheld Mail NJ-W-3 and W-2•s to: State of New Jersey--•GIT Division of Taxation sing Center renton, •0333 I HEREBY CERTIFY THATTIIIS RETURN. TO THE BEST OP MY KNOWLEDGE & BELIES IS A TRUER CORRECT RETURN TAXPAYER SIGNATURE DATE FIRMS IDENTIFICATION NUMBER PREPARERS SIGNATURE DATE PREPARERS IDENTIFICATION NUMBER • • • EFTA01219707