Fill and Sign the State Tax Form

Revised: 06/2017, CN; 10325 , State Tax Complaint page 1 of 4 Plaintiff or Filing Attorney Information: Name NJ Attorney ID Number Address Telephone Number Email Address Tax Court of New Jersey Docket No. Plaintiff, Civil Action Complaint (State Tax) v. Defendant. 1. Plaintiff contests (check one): a. Tax assessment(s) made by the Director of the Division of Taxation, as shown on the attached information schedules which is/are made a part of this complaint. b. The denial of plaintiff's claim for refund(s) by the Director of the Division of Taxation, as shown on the attached information schedule(s) which is/are made a part of this complaint. 2. This complaint contests separate assessment(s) or refund denial(s) under different tax statutes. Each tax is included as a separate count and each is shown on a separate information schedule attached to the face of this complaint. 3. The facts and contentions upon which the plaintiff relies are: Wherefore, Plaintiff demands that said assessment, penalty and interest be set aside or reduced, or taxes previously paid be refunded, together with such other relief as may be appropriate. Date Signature of Plaintiff or Attorney for Plaintiff Revised: 06/2017, CN; 10325, State Tax Complaint page 2 of 4 NOTE : 1. The use of this printed form is optional. Any complaint submitted for filing shall set forth the claim for relief and a statement of the facts on which the claim is based, and shall conform to the rules of court. The wording in this sample form may be modi fied to conform to the claim made and relief sought in a particular case. However, the applicable State Tax Case Information Statement must be attached to the face of the complaint. 2. A complaint for review of a State tax assessment or the denial of a claim for refund must be received in the Tax Court Administrator's Office within the 90- day time period provided by the rules of court together with proof of service as required and the correct filing fee. 3. If you are contesting a State tax administered by an agency other than the Division of Taxation, this form must be modified so that the defendant will be the Director of the State agency administering the tax in contest. 4. A copy of the notice or determination in controversy must be attached to the complaint. Rule 8:3- 5(b)(1). 5. A complaint by a taxpayer seeking review of a certification of debt issued by the Director of the Division of Taxation pursuant to N.J.S.A. 54:49-12 shall have attached thereto, where available, copies of the Certificate of Debt and the underlying assessment. The complaint shall state whether the issuance of the Certificate of Debt or the underlying assessment is being challenged. A challenge to the assessment may be reviewed only if the applicable period for filing a complaint to challenge this assessment had not previously expired. Please note: Rule 1:38-7(b) requires attorneys and self-represented litigants to redact (remove) confidential persona l identifiers from all documents prior to filing, unless required by statute, court rule, administrative directive or court order. Rule 1:38-7(a) defines a confidential personal identifier as a Social Security number, driver's license number, vehicle plate number, insurance policy number, active financial account number, or active credit card number . An active financial account number may be identified by the last four digits when the account is the subject of litigation and cannot otherwise be identif ied. It is not the responsibility of court staff to redact (remove) confidential personal identifiers when included in pleadings or other documents submitted to the court. Revised: 06/2017, CN; 10325, State Tax Complaint page 3 of 4 PROOF OF SERVICE 1. On , I, the undersigned, served upon the Director of the Division of Taxation personally or by registered or certified mail, return receipt requested (strike out one), a copy of the within compl aint. 2. On , I, the undersigned, served upon the Attorney General of the State of New Jersey personally or by registered or certified mail, return receipt requested (strike out one), a copy of the within complaint. I certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment. Date Signature of Plaintiff or Attorney for Plaintiff Revised: 06/2017, CN; 10325, State Tax Complaint page 4 of 4 TAX COURT OF NEW JERSEY TAX COURT MANAGEMENT OFFICE (609) 815 -2922 P. O. Box 972 TRENTON, NEW JERSEY 08625-0972 The original documents and your filing fee must be mailed to the Tax Court Management O ffice at the above address. Service must also be made on the following: Director, Division of Taxation 50 Barrack Street P. O. Box 240 Trenton, NJ 08695 and Office of the Attorney General Hughes Justice Complex P.O. Box 112 Trenton, NJ 08625