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New Jersey Free Printable Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165 for 2024 New Jersey Employee's Certificate of Non-Residence In New Jersey

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Employee's Certificate of Non-Residence In New Jersey
Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

NJ-165 9-19 STATE OF NEW JERSEY Department of the Treasury Division of Taxation PO Box 269 Trenton, NJ 08695-0269 Employee’s Certificate of Nonresidence In New Jersey Print or Type First Name MI Last Name Social Security Number Street Address City State ZIP Code Pennsylvania Residents I hereby declare, under penalties of perjury, that I am a resident of the State of Pennsylvania and that, pursuant to a reciprocal agreement existing between that State and the State of New Jersey, I claim exemption from withholding of New Jersey Gross Income Tax on compensation paid to me in the State of New Jersey and authorize my employer to withhold Pennsylvania personal income taxes on my behalf. Note: If you change your residence from Pennsylvania to any other state, you must notify your employer within 10 days. Date Signature Military Spouses Under the Servicemember Civil Relief Act (SCRA), as amended by the Military Spouses Residency Relief Act, you may be exempt from New Jersey Income Tax on your wages if you reside in New Jersey but have chosen a state other than New Jersey as your legal residence. If you claim exemption under the SCRA, attach a copy of your spousal military identification card to Form NJ-165. I certify that I am not subject to New Jersey withholding. I meet the conditions set forth under the Servicemember Civil Relief Act, as amended by the Military Spouses Residency Relief Act. Date Signature New Jersey Employer You are required to have a copy of this form on file for each employee receiving compensation paid in New Jersey and who is a resident of Pennsylvania and claims exemption from withholding of New Jersey Gross Income Tax under the reciprocal agreement between New Jersey and Pennsylvania or who claims exemption from withholding of New Jersey Gross Income Tax under the Servicemember Civil Relief Act, as amended by the Military Spouses Residency Relief Act. Do not forward this Form to the Division of Taxation. This Form May Be Reproduced Do Not Forward This Form To The Division of Taxation
Extracted from PDF file 2023-new-jersey-form-nj-165.pdf, last modified September 2019

More about the New Jersey Form NJ-165 Individual Income Tax TY 2023

We last updated the Employee's Certificate of Non-Residence In New Jersey in February 2024, so this is the latest version of Form NJ-165, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form NJ-165 directly from TaxFormFinder. You can print other New Jersey tax forms here.

Other New Jersey Individual Income Tax Forms:

TaxFormFinder has an additional 95 New Jersey income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form NJ-1040-ES Estimated Tax Voucher
Individual Tax Instructions Form NJ-1040 Instructions
Form NJ-1040 Individual Income Tax Return
Estimated Tax Instructions Form NJ-1040-ES Instructions
Form NJ-630 Application for Extension of Time to File NJ GIT Return

Download all NJ tax forms View all 96 New Jersey Income Tax Forms


Form Sources:

New Jersey usually releases forms for the current tax year between January and April. We last updated New Jersey Form NJ-165 from the Division of Revenue in February 2024.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of New Jersey Form NJ-165

We have a total of thirteen past-year versions of Form NJ-165 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form NJ-165

Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

2022 Form NJ-165

Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

2021 Form NJ-165

Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

2020 Form NJ-165

Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

2019 Form NJ-165

Employee’s Certificate of Nonresidence In New Jersey, Form NJ-165

2018 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

2017 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

2016 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

Employee's Certificate of Non-Residence In New Jersey 2015 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

Employee's Certificate of Non-Residence In New Jersey 2014 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

Employee's Certificate of Non-Residence In New Jersey 2013 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

Employee's Certificate of Non-Residence In New Jersey 2012 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey

Employee's Certificate of Non-Residence In New Jersey 2011 Form NJ-165

NJ-165 - Employee's Certificate of Non-Residence In New Jersey


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