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HS09390613 STATE OF NEW JERSEY DEPARTMENT OF THE TREASURY DIVISION OF PENSIONS AND BENEFITS PO BOX 299 TRENTON, NJ 086250299 STATE HEALTH BENEFITS PROGRAM CLASSIFICATION OF FULL TIME EMPLOYEES In
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This form is used for reporting state taxes in New Jersey.
Individuals or businesses with taxable income in New Jersey are required to file this form.
The form must be filled out with accurate financial information and submitted to the New Jersey Department of Revenue.
The purpose of this form is to report and pay state taxes to the state of New Jersey.
Income, deductions, and credits must be reported on this form.
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