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Rev. 1/07
New Jersey Division of Revenue
Electronic Filing Program
REGISTRATION FORM
To participate in the New Jersey Division of Revenue Electronic Filing Program, you
must provide the information requested below. All lines must be completed. If a line does not
pertain to your company, enter “N/A”. Incomplete forms will be returned. Electronic returns
received from entities that have not registered with the Division will be automatically rejected.
If you have any questions, please call the Division’s Electronic Filing Section at
(609) 633 -1132.
-- Please type of print --
Company Name
Trade Name
Address
City
State
Zip
Telephone Number ( )
Fax Number ( )
Contact Person
Company FID/EIN/SSN
EFIN
ETIN
Email Address
A separate form must be completed for each EFIN/ETIN. For example, companies that
have multiple locations and EFINs cannot combine them on one form.
Mail completed forms to:
New Jersey Division of Revenue
ELF
PO Box 191
Trenton, NJ -8646-0191
You may fax completed forms to (609) 777-2811.
(This form may be reproduced)
ELF Registration
