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The NJ-165 form, issued by the State of New Jersey Department of the Treasury Division of Taxation, serves as an Employee’s Certificate of Nonresidence in New Jersey. This form is critical for individuals who are Pennsylvania residents working in New Jersey, allowing them to claim exemption from New Jersey Gross Income Tax withholdings under the reciprocal agreement between New Jersey and Pennsylvania. Additionally, it includes provisions for military spouses to claim exemption from New Jersey income tax under the Servicemember Civil Relief Act, as amended by the Military Spouses Residency Relief Act, provided specific conditions are met.

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Content Overview

In the bustling state of New Jersey, tax regulations and compliance form a critical backbone of its fiscal management. Among the myriad of documents and forms required by the New Jersey Department of the Treasury, Division of Taxation, the NJ-165 form stands out for specific groups of residents and workers within the state. Essentially, this form serves as an "Employee’s Certificate of Nonresidence in New Jersey," designed for individuals who earn their income in New Jersey but reside elsewhere—particularly, those living in Pennsylvania and military spouses adhering to the conditions of the Servicemember Civil Relief Act (SCRA) and the Military Spouses Residency Relief Act. By filling out and submitting this form, qualifying Pennsylvania residents can claim an exemption from the withholding of New Jersey Gross Income Tax, directing instead that their employers withhold Pennsylvania Personal Income Taxes on their earnings. This facilitation is grounded in a reciprocal agreement between New Jersey and Pennsylvania, aimed at simplifying tax obligations for cross-border employees. Similarly, certain military spouses, upon proving their eligibility under the SCRA as amended, can also secure an exemption from New Jersey income tax withholding, providing relief and acknowledgment of the unique circumstances faced by military families. Employers are tasked with maintaining a copy of the completed NJ-165 form for every employee that claims exemption under these guidelines, ensuring compliance and proper tax procedure without needing to forward these documents to the Division of Taxation—a clear nod to operational efficiency and the importance of accurately managing tax-related matters in a responsive and organized manner.

Document Sample

NJ-165 STATE OFNEWJERSEY

12-09, R-5

Department of theTreasury

 

 

Division ofTaxation

 

POBox 269

 

Trenton, NJ 08695-0269

EMPLOYEE’S CERTIFICATE OFNONRESIDENCE IN NEWJERSEY

PleasePrintorType

First Name

MI

Last Name

Social Security No.

StreetAddress

City

State

Zip Code

PENNSYLVANIARESIDENTS

I hereby declare, under penalties of perjury, that I am a resident of the State of Pennsylvania and that, pursuant to a reciprocal agreementexistingbetweenthatStateandtheStateofNewJersey,IclaimexemptionfromwithholdingofNewJerseyGrossIncome 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, youmustnotifyyour employer within 10 days.

__________________________

_____________________________________________________________________

(Date)

(Signature)

 

MILITARYSPOUSES

Under the Servicemember Civil ReliefAct (SCRA), as amended by the Military Spouses Residency ReliefAct, you may be exempt from New Jersey income tax on your wages if (i) your spouse is a member of the armed forces present in New Jersey in compliance with military orders; (ii) you are present in New Jersey solely to be with your spouse; and (iii) you maintain your domicile in another state. 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 ReliefAct, as amended by the Military Spouses Residency ReliefAct.

__________________________

_____________________________________________________________________

(Date)

(Signature)

NEWJERSEYEMPLOYER:

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 entered into between New Jersey and Pennsylvania or who claims exemption from withholding of New Jersey Gross Income Tax under the Servicemember Civil ReliefAct, as amended by the Military Spouses Residence ReliefAct. Do not forward this Form

to the Division ofTaxation.

MAYBE REPRODUCED

DO NOT FORWARD THIS FORM TO THE DIVISION OF TAXATION

Form Attributes

Fact Number Fact Detail
1 The form is designated as NJ-165, issued by the State of New Jersey.
2 This form serves as the Employee’s Certificate of Nonresidence in New Jersey.
3 It is utilized by residents of Pennsylvania who are employed in New Jersey to claim exemption from New Jersey Gross Income Tax withholding.
4 Governing law for the form includes the reciprocal agreement between New Jersey and Pennsylvania concerning income tax withholding.
5 Military spouses may also use this form to claim exemption from New Jersey income tax withholding if they satisfy specific conditions under the Servicemember Civil Relief Act and the Military Spouses Residency Relief Act.
6 Employers in New Jersey are required to retain a copy of Form NJ-165 for each qualifying employee but must not forward it to the Division of Taxation.
7 The form mandates the certification by the employee, under penalties of perjury, regarding their nonresidence status or qualifications under the SCRA, accompanied by their signature and date.

Nj 165: Usage Guide

Filling out the NJ-165 form is crucial for individuals who qualify for special withholding exemptions due to their status as nonresidents of New Jersey. Specifically, Pennsylvania residents working in New Jersey can claim exemption from withholding of New Jersey's Gross Income Tax, provided there exists a mutual agreement between the two states. Likewise, military spouses whose circumstances align with the Servicemember Civil Relief Act (SCRA), as amended by the Military Spouses Residency Relief Act, are also eligible. Accurately completing and submitting this form ensures that appropriate state income taxes are withheld, thus reflecting one’s residency and work situation accurately.

To complete the NJ-165 form, follow these steps:
  1. At the top of the form, enter your first name, middle initial, and last name in the spaces provided.
  2. Fill in your Social Security Number in the designated space.
  3. Provide your full street address, including city, state, and zip code.
  4. For Pennsylvania residents:
    • Acknowledge your status by reading the declaration statement under "PENNSYLVANIA RESIDENTS."
    • Sign and date the declaration to officially claim your exemption from withholding of New Jersey Gross Income Tax, thereby authorizing your employer to withhold Pennsylvania Personal Income Taxes on your behalf instead.
    • Remember, if you change your residence from Pennsylvania to another state, you must notify your employer within 10 days.
  5. For military spouses seeking exemption:
    • Review the criteria under "MILITARY SPOUSES" to ensure you qualify for the exemption based on the SCRA, as amended by the Military Spouses Residency Relief Act.
    • Sign and date the form to certify that you are not subject to New Jersey withholding under the conditions described.
    • Attach a copy of your spousal military identification card to the NJ-165 form as required.
  6. Note to New Jersey employers: Keep a copy of the completed form for each qualifying employee. Do not send this form to the Division of Taxation.

Upon completing the NJ-165 form, ensure you've provided all the necessary information and attached any required documentation, such as a military identification card for military spouses. It's important that your employer retains a copy of this form for their records. However, do remember that this form should not be submitted to the New Jersey Division of Taxation but instead kept on file by the employer. Proper completion and submission of this form will facilitate the correct handling of state income tax withholdings pertinent to your residency status.

Listed Questions and Answers

What is the NJ-165 form?

The NJ-165 form is a document for employees who are residents of Pennsylvania but work in New Jersey, or for military spouses qualifying under the Servicemember Civil Relief Act, to certify their exemption from New Jersey Gross Income Tax withholding. It allows these individuals to have Pennsylvania income taxes withheld instead, in alignment with the reciprocal agreement between Pennsylvania and New Jersey, or claim exemption under specific military provisions.

Who needs to fill out the NJ-165 form?

This form needs to be filled out by two groups of people:

  1. Employees who reside in Pennsylvania but earn income in New Jersey, leveraging the reciprocal tax agreement between the two states.
  2. Military spouses who are in New Jersey solely due to their spouse's military orders and maintain their domicile in another state, thus qualifying for tax exemption under the Servicemember Civil Relief Act as amended by the Military Spouses Residency Relief Act.

What documentation is required to accompany the NJ-165 form for military spouses?

Military spouses claiming exemption under the Servicemember Civil Relief Act must attach a copy of their spousal military identification card along with the NJ-165 form. This serves as evidence of their eligibility for the tax exemption provided to military spouses under federal law.

What happens if I move from Pennsylvania to another state?

Should you relocate from Pennsylvania to another state, it is imperative to inform your employer of this change within ten days. This notification ensures that tax withholding adjustments can be made accordingly to comply with the relevant state tax laws where you now reside.

Are employers required to submit the NJ-165 form to the New Jersey Division of Taxation?

No, employers should not forward the NJ-165 form to the New Jersey Division of Taxation. Instead, they must keep a copy of the form on file for each eligible employee who is claiming the tax withholding exemption. This requirement helps in maintaining proper tax records and compliance without needing to submit the form to the state tax authority.

Can the NJ-165 form be reproduced?

Yes, the NJ-165 form may be reproduced. Employers can make copies of the original document to ensure that each eligible employee who needs to claim the withholding exemption has access to the form. This flexibility aids in the efficient administration of tax withholding arrangements for employees eligible under the reciprocal agreement or the military spouses' tax exemption provisions.

Common mistakes

  1. Not providing complete information: One common mistake is not fully completing the form. Every field, including the full name, social security number, and address, must be filled out. Omitting details can lead to the rejection of the form or delays in processing.

  2. Incorrect declaration of residency: It's crucial to declare residency accurately. Claiming to be a Pennsylvania resident without actually maintaining a residence there, just to avoid New Jersey Gross Income Tax, is not only incorrect but could also lead to penalties for perjury.

  3. Failing to update employer after moving: If an individual moves out of Pennsylvania to another state, they must inform their employer within 10 days. Overlooking this requirement can result in incorrect tax withholdings and possible fines.

  4. Not attaching necessary documentation: Military spouses claiming exemption under the Servicemember Civil Relief Act must attach a copy of their spousal military identification card. Failure to attach required documents can invalidate the exemption claim.

  5. Misunderstanding the form's purpose: Some people might incorrectly believe that submitting form NJ-165 exempts them from all state taxes. In reality, it only exempts eligible Pennsylvania residents and qualifying military spouses from New Jersey Gross Income Tax, but not other taxes such as Pennsylvania Personal Income Taxes that may still apply.

  6. Incorrectly believing the form must be submitted to the Division of Taxation: The instruction explicitly states not to forward the form to the Division of Taxation. Employers must keep a copy on file instead. This misunderstanding could lead to unnecessary paperwork and confusion.

Being mindful of these common mistakes can lead to a smoother process when filling out and submitting the NJ-165 form. It's always beneficial to read instructions carefully, provide complete and accurate information, and ensure all required documentation is attached.

Documents used along the form

When handling the NJ-165 form, which is dedicated for Pennsylvania residents working in New Jersey to claim exemption from New Jersey’s gross income tax, it is crucial to be aware of other forms and documents that are often used in conjunction with it. These additional forms and documents help ensure compliance with tax laws and facilitate a smooth process for claiming tax exemptions or fulfilling other tax-related obligations.

  • W-4 Form: This form is used by employees to determine the amount of federal income tax to withhold from their wages. It’s vital for those whose residency status may affect their tax obligations.
  • W-2 Form: Issued by employers, it details the employee’s income and taxes withheld during the tax year. Essential for filing federal and state income tax returns.
  • 1040 Form: The standard Internal Revenue Service (IRS) form that individuals use to file their annual income tax returns. It’s crucial for reporting one’s income, tax deductions, and tax credits.
  • Residency Certification Form: Used by employees to certify their residence for tax purposes, particularly in states that have reciprocal tax agreements.
  • Local Earned Income Tax Residency Certification Form: Specifically for Pennsylvania residents, this form helps in certifying residency to ensure proper local income tax withholding and credits.
  • PA-40 Form: The Pennsylvania income tax return form for residents to declare their income, tax deductions, and credits to the Pennsylvania Department of Revenue.
  • Direct Deposit Authorization Form: Often used by employees to authorize the direct deposit of their paychecks into their bank accounts, including any tax refunds they may be owed.
  • Annual Summary and Transmittal of U.S. Information Returns (Form 1096): Used by businesses to transmit paper forms 1099, 1098, and others to the IRS, summarizing information returns being submitted.
  • Documentary Evidence of SCRA Eligibility: For military spouses claiming exemption under the Servicemember Civil Relief Act, besides the spouse's military identification, additional documents proving the servicemember’s duty station and the spouse’s residency might be required.

These documents are integral to the tax filing process, ensuring individuals and employers comply with both state and federal tax laws. Recognizing these forms and understanding their purpose aids in navigating the complexities of tax obligations, especially for those living or working across state lines or in special circumstances like military families. As each situation varies, consulting with a tax professional or legal advisor can provide tailored guidance based on individual circumstances.

Similar forms

The NJ-165 form serves a unique purpose for employees in certain circumstances, but there are other documents out there that share its kinship in functionality and the target audience they cater to. One such document is the W-4 form used across the United States. Specifically, the purpose of the W-4 form is to inform employers of the amount of tax to withhold from an employee's paycheck based on their marital status, number of allowances and dependents, and other income. Similar to the NJ-165 form, the W-4 is also crucial in ensuring that employees' tax situations are handled correctly according to their personal circumstances and legal entitlements.

Another document that shares similarities with the NJ-165 is the IT-2104 form used in the state of New York. This form, much like the NJ-165, is designed for residents of New York or those who earn income in New York but live in another state. It helps determine the amount of New York State income tax to withhold from employees' paychecks. Both forms are essential tools in managing state income tax obligations, especially for those with cross-state employment or residency status, highlighting the importance of regional tax laws in personal income tax compliance.

The DE 4 form in California is another counterpart to New Jersey's NJ-165 form. It functions similarly by allowing California employees to specify their income tax withholding preferences. This form is particularly relevant for individuals working in California while maintaining residency in another state, akin to the situation addressed by the NJ-165 form for Pennsylvania residents working in New Jersey. These forms collectively underscore the intricate considerations necessary for appropriately managing state-specific income tax withholdings in the context of the diverse United States tax landscape.

The VA-4 form used by residents and nonresidents working in Virginia parallels the NJ-165 form as well. It permits employees to declare their income tax withholding preferences to their employers, thus ensuring accurate withholding of state income taxes from their paychecks. The existence of both forms accentuates the necessity for individual states to offer mechanisms by which employees can navigate the complexities of state tax laws, especially those living or working across state lines.

There's also the IL-W-5-NR form for non-resident employees in Illinois, serving a similar purpose as the NJ-165 form but focusing on Illinois' tax requirements. This form allows non-residents working in Illinois to claim exemption from state income tax withholding under specific conditions, analogous to how the NJ-165 form operates for Pennsylvania residents in New Jersey. Both documents exhibit how states extend considerations to non-resident workers, ensuring fair and legal tax treatment in accordance with state reciprocity agreements or federal laws.

Lastly, the W-4P form is a document used by retirees and annuitants to determine the amount of federal income tax to be withheld from pension and annuity payments. While not directly related to state income tax withholding like the NJ-165, it echoes the broader theme of adjusting tax withholdings based on individual circumstances and legal entitlements. The W-4P and NJ-165 forms together highlight the broader spectrum of tax withholding forms catering to various income sources and personal situations.

Understanding and correctly utilizing forms like the NJ-165 and its counterparts is paramount in navigating the complexities of tax laws both at the federal and state levels. These documents ensure that both employees and retirees can manage their tax obligations efficiently and in accordance with their specific circumstances, reducing the risk of over- or under-withholding throughout the tax year.

Dos and Don'ts

When filling out the NJ-165 form, it's important to keep certain dos and don'ts in mind to ensure the process is completed correctly and efficiently. Below are four things you should do and four things you shouldn't do.

Do:

  1. Read the instructions carefully before you start filling out the form. This will help you understand the requirements and how to properly declare your nonresidence.

  2. Verify your eligibility for claiming nonresidence status under either the reciprocal agreement with Pennsylvania or the Servicemember Civil Relief Act, amended by the Military Spouses Residency Relief Act, before filling out the form.

  3. Make sure to sign and date the form as this is a declaration under the penalties of perjury. Your signature validates the form.

  4. Attach a copy of your spousal military identification card to the form if you're claiming exemption under the SCRA as a military spouse. This is a crucial step for verification purposes.

Don't:

  • Don't leave any required fields blank. Ensure all information requested on the form, including your full name, Social Security Number, and address, is completed.

  • Don't provide false information. Remember, you're declaring under penalties of perjury, so all information must be accurate and truthful.

  • Don't forget to notify your employer within 10 days if you change your residence from Pennsylvania to another state. This is important to maintain accurate tax withholding and compliance.

  • Don't send the completed NJ-165 form to the Division of Taxation as indicated on the form. Keep it on file with your employer instead.

Misconceptions

Understanding the NJ-165 form is key to avoiding common pitfalls. This form, vital for Pennsylvania residents working in New Jersey and for military spouses under specific circumstances, serves to exempt them from New Jersey Gross Income Tax withholding. Let's debunk some prevalent misconceptions about this form.

  • It's only for military personnel: A common misunderstanding is that the NJ-165 form is exclusively for members of the military. While there is a section dedicated to military spouses, the form also applies to Pennsylvania residents working in New Jersey, due to the reciprocal tax agreement between the two states.
  • Any Pennsylvania resident can claim exemption: While it may seem that any resident of Pennsylvania is eligible, only those who are working in New Jersey and declare Pennsylvania as their residence for tax purposes can utilize this form to claim an exemption from New Jersey income tax withholding.
  • You must submit the form to the New Jersey Division of Taxation: This is incorrect. Employers must keep a copy of the completed form but should not forward it to the New Jersey Division of Taxation. It is the employer's responsibility to maintain accurate records for each qualifying employee.
  • There's no need to update your employer if you move: If you change your residence from Pennsylvania to another state, notifying your employer within 10 days is required. Failure to do so could result in incorrect tax withholdings and potential penalties.
  • Submitting the form guarantees exemption: Completion and submission of the NJ-165 form does not automatically guarantee exemption. Employees must meet specific conditions outlined in the form, and it's the employer's role to verify eligibility before applying the exemption.
  • Military spouses need to renew their exemption annually: The form does not specify a requirement for military spouses to renew their exemption annually. However, it's essential to maintain updated documentation, such as a valid spousal military identification card, to support your exemption claim.
  • The form is complicated and requires legal advice to complete: While it might seem daunting, the NJ-165 form is straightforward. The form requires basic personal information and a declaration of residency or compliance with the Military Spouses Residency Relief Act. However, consulting with a tax professional can be beneficial if you have specific concerns related to your situation.

Correcting these misconceptions ensures that eligible Pennsylvania residents and military spouses can accurately claim and benefit from exemptions, reducing their tax liability appropriately while remaining compliant with New Jersey tax laws.

Key takeaways

Filling out and using the NJ-165 form comes with several key takeaways to ensure that it is completed accurately and effectively. Understanding these points can help individuals navigate the process smoothly. Here are seven essential aspects to remember:

  • The NJ-165 form is specifically designed for residents of Pennsylvania who work in New Jersey, claiming exemption from New Jersey gross income tax due to the reciprocal agreement between the two states. It also applies to military spouses who meet certain conditions under the Servicemember Civil Relief Act (SCRA) as amended by the Military Spouses Residency Relief Act.
  • Individuals must declare, under penalties of perjury, their residence in Pennsylvania or their eligibility under the SCRA to claim exemption from New Jersey gross income tax.
  • Employer responsibility is crucial; New Jersey employers must keep a copy of the completed NJ-165 form for each eligible employee. This documentation supports the employee's exemption from New Jersey gross income tax withholding.
  • Should there be a change of residence from Pennsylvania to another state, employees must notify their employer within 10 days. This update is vital to ensure compliance with tax withholding requirements.
  • Military spouses seeking exemption under the SCRA must attach a copy of their spousal military identification card to the NJ-165 form as part of their documentation.
  • Do not send the NJ-165 form to the Division of Taxation. This form is for employer records only, to justify the non-withholding of New Jersey gross income tax for eligible Pennsylvania residents and military spouses.
  • The ability to reproduce the NJ-165 form may simplify the process for employers who need to manage multiple claims of tax exemption from their employees. However, accuracy in completing the form remains paramount to avoid potential legal issues.

Properly understanding and adhering to these guidelines when using the NJ-165 form can help ensure that both employers and employees adhere to their legal obligations while making use of the benefits provided by reciprocal tax agreements and the military spouse tax relief provision.

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