This document is a reconciliation form for New Jersey gross income tax withheld. It requires the employer to provide: 1. The number of employees and total gross wages, pension/annuity income, and gambling winnings. 2. The total amount withheld in gross income tax. 3. A certification that the return is true and correct, along with signatures of the taxpayer and preparer if applicable. The completed form and W-2s must be filed by February 28.

1. STATE OF NEW JERSEY - DIVISION OF TAXATION
FOR FOR DIVISION USE ONLY
TAXABLE GROSS INCOME TAX FILE NO LATER THAN
YEAR
RECONCILIATION OF TAX WITHHELD FEBRUARY 28
Use For Taxable Years 1998 and After
- - /
Identification Number
1 INDICATE NUMBER OF EMPLOYEES . . . . . . . . . . . . .
TOTAL GROSS WAGES,
2
___________________________________________________________________ PENSION AND ANNUITY INCOME
•
NAME AND GAMBLING WINNINGS . . . . . .
3
___________________________________________________________________
•
TOTAL AMOUNT WITHHELD . . . . . . . . . . .
TRADE NAME (IF APPLICABLE)
Mail NJ-W-3M and W-2’s to: State of New Jersey - GIT
___________________________________________________________________
ADDRESS Division of Taxation
Revenue Processing Center
___________________________________________________________________
PO Box 333
CITY, STATE, ZIP CODE
Trenton, NJ 08646-0333
NJ-W-3M Both Sides of Return Must Be Completed
(10-07)
GROSS INCOME TAX - RECONCILIATION OF TAX WITHHELD
W-2 Filing Method: Paper (Attach to Form NJ-W-3) E-File (Electronic Filing)
Copy of Gross Income Tax Withheld From Unregistered Unincorporated Contractors (Schedule NJ-W-3-UNC and related
Misc 1099 forms attached).
I hereby certify that this return, to the best of my knowledge and belief, is a true and correct return.
_________________________________________________________________________________
Taxpayer Signature Date
_________________________________________________________________________________ ___________________________________________________________________
Preparer Signature Date Preparer/Firm Identification Number
__________________________________________________________________________________ ___________________________________________________________________
Firm Name (or yours if self-employed) Address