Last Name, First Name, and Initial (Joint lers enter rst name and initial of each -Enter spouse/CU partner last name only if dierent)
Home Address (Number and Street, incl. apt. # or rural route) Change of address
Foreign address
City, Town, Post Oce
State
ZIP Code
TAXPAYER IDENTIFICATION AND STATUS
Your Social Security Number
Spouse’s/CU Partner’s Social Security Number
County/Municipality Code
NJ RESIDENCY Part-year residents, provide months/days you were a From To
STATUS New Jersey resident during 2021: MONTH DAY YEAR MONTH DAY YEAR
Filing Status Exemptions
As Originally
Reported
Amended
On On
Original Amended
Return Return
1. Single
2. Married/CU Couple,
ling joint return
3. Married/CU Partner,
ling separate return
4. Head of Household
5. Qualifying Widow(er)/
Surviving CU Partner
6. Regular
Yourself Spouse/ Domestic
CU Partner Partner
6.
7. Age 65 or over
Yourself Spouse/CU Partner
7.
8. Blind or Disabled
Yourself Spouse/CU Partner
8.
9. Veteran Exemption
Yourself Spouse/CU Partner
9.
10. Number of your qualied dependent children
10.
11. Number of other dependents
11.
12. Dependents attending colleges (See instr. NJ-1040)
12
13a. Add lines 6, 7, 8, and 12.
13a.
13b. Add lines 10 and 11.
13b.
13c. Enter amount from line 9.
13c.
DEPENDENT
INFORMATION
Check box if
14. Dependent’s Last Name, First Name, Middle Initial Dependent’s Social Security Number Birth Year dependent does not
have health insurance
a / /
b / /
c / /
d / /
GUBERNATORIAL
ELECTIONS FUND
Do you want to designate $1 of your taxes for this fund?
If joint return, does your spouse/CU Partner want to designate $1?
Yes
Note: If you check the “yes” box(es), it will not increase
your tax or reduce your refund.
Yes
NJ-1040X
2021
7x
SIGN HERE
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules
and statements, and to the best of my knowledge and belief, it is true, correct, and complete. If prepared
by a person other than taxpayer, this declaration is based on all information of which the preparer has any
knowledge.
Pay amount on line 68 in
full. Write Social Security
number(s) on check or money
order and make payable to:
State of New Jersey – TGI
Division of Taxation
Revenue Processing Center
PO Box 664
Trenton, NJ, 08646-0664
You can also make a payment
on our website:
nj.gov/taxation
Your Signature Date Spouse’s/CU Partner’s Signature (if ling jointly, BOTH must sign)
If enclosing copy of death certicate for deceased taxpayer, check box (See instructions NJ-1040)
Drivers License #
....................................................
(Voluntary. See instructions NJ-1040.)
I authorize the Division of Taxation to discuss my return and enclosures with my preparer (below)
Paid Preparer’s Signature Federal Identication Number
Firm’s name Firm’s Federal Employer Identication Number
Division
1 2 3 4 5 6 7 8
Use
New Jersey
Amended Resident Income Tax Return
For Tax Year January 1, 2021 – December 31, 2021, Or Other Tax Year Beginning , 2021, Ending , 2022
21 21
Name(s) and Social Security Number NJ-1040X (2021) Page 2
Both Columns Must Be Fully Completed
As Originally Reported Amended (See Instructions)
15. Wages, salaries, tips, and other employee compensation ...........
15.
16a. Taxable interest income ................................................................
16a.
16b. Tax-exempt interest income. Do not include on line 16a ..............
16b.
17. Dividends ......................................................................................
17.
18. Net prots from business ..............................................................
18.
19. Net gains or income from disposition of property .........................
19.
20a. Taxable
pension, annuity, and IRA distributions/withdrawals
........
20a.
20b. Excludable pension, annuity, and IRA distributions/withdraw
als ....
20b.
21. Distributive Share of Partnership Income .....................................
21.
22. Net pro rata share of S Corporation Income.................................
22.
23. Net gains or income from rents, royalties, patents,
and copyrights .............................................................................. 23.
24. Net gambling winnings .................................................................
24.
25. Alimony and separate maintenance payments received ..............
25.
26. Other.............................................................................................
26.
27. Total Income (Add lines 15, 16a, 17, 18, 19, 20a, and 21
through 26) ................................................................................... 27.
28a. Pension/Retirement Exclusion......................................................
28a.
28b. Other Retirement Income Exclusion .............................................
28b.
28c. Total Exclusion Amount (Add lines 28a and 28b) .........................
28c.
29. New Jersey Gross Income (Subtract line 28c from line 27) .......
29.
30.
Total Exemption Amount (See instructions)
...................................
30.
31.
Medical Expenses (See instructions NJ-1040)
..............................
31.
32. Alimony and separate maintenance payments .............................
32.
33. Qualied Conservation Contribution .............................................
33.
34. Health Enterprise Zone Deduction ...............................................
34.
35. Alternative Business Calculation Adjustment (See instructions
NJ-1040) ....................................................................................... 35.
36. Organ/Bone Marrow Donation Deduction (See instr. NJ-1040)....
36.
37. Total Exemptions and Deductions (Add lines 30 through 36) .......
37.
38. Taxable Income (Subtract line 37 from line 29) ............................
38.
39a. Total Property Taxes (18% of Rent) Paid (See instr. NJ-1040) .....
39a.
39b.
Block . Lot . Qualier
39c. County/Municipality Code Check box if you completed Worksheet G. (See instr. NJ-1040)
39d. Indicate your residency status during 2021 (ll in only one oval) ..........
Homeowner Tenant Both
40. Property Tax Deduction (See instructions NJ-1040) .....................
40.
41. New Jersey Taxable Income (Subtract line 40 from line 38) ......
41.
42. Tax on amount on line 41 (See instructions) ................................
42.
43. Credit For Income Taxes Paid to Other Jurisdictions
Enter other jurisdiction code (See instr. NJ-1040) ........
43.
44. Balance of Tax (Subtract line 43 from line 42) ..............................
44.
45. Sheltered Workshop Tax Credit
(See instructions NJ-1040)
.........
45.
46. Gold Star Family Counseling Credit
(See instructions NJ-1040)
..
46.
Name(s) and Social Security Number NJ-1040X (2021) Page 3
Both Columns Must Be Fully Completed
As Originally Reported Amended (See Instructions)
47. Credit for Employer of Organ/Bone Marrow Donor
(See instructions NJ-1040) ............................................................. 47.
48. Total Credits (Add lines 45 through 47) ..........................................
48.
49. Balance of tax after credits (subtract line 48 from line 44) If zero or
less, make no entry ........................................................................ 49.
50. Use Tax Due on Internet, Mail-Order, or Other Out-of-State
Purchases (See instructions NJ-1040) ........................................... 50.
51. Interest on Underpayment of Estimated Tax
(See
instructions NJ-1040)
Check box if Form NJ-2210 is enclosed ...................... ......... 51.
52. Shared Responsibility Payment
Check box if Schedule HCC is enclosed ..................... ......... 52.
53. Total Tax Due (Add lines 49 through 52) ........................................
53.
54. Total New Jersey Income Tax Withheld (See instructions for
required enclosures) ....................................................................... 54.
55. Property Tax Credit (See instructions NJ-1040) .............................
55.
56. New Jersey Estimated Tax Payments/Credit from 2020 tax return
56.
57. New Jersey Earned Income Tax Credit (See instructions
NJ-1040) ......................................................................................... 57.
58. Excess New Jersey UI/WF/SWF Withheld (See instructions
NJ-1040) ......................................................................................... 58.
59. Excess New Jersey Disability Insurance Withheld (See
instructions NJ-1040) ...................................................................... 59.
60. Excess New Jersey Family Leave Insurance Withheld (See
instructions NJ-1040) ...................................................................... 60.
61. Wounded Warrior Caregivers Credit (See instructions NJ-1040) ...
61.
62. Pass-Through Business Alternative Income Tax Credit
(See instructions NJ-1040) ............................................................. 62.
63. Child and Dependent Care Credit
(See instructions NJ-1040)
........
63.
64. Amount paid with original return, assessments, and/or with
request for extension to le ............................................................ 64.
65. Total payments/credits (Add lines 54 through 64) ..........................
65.
66. Refund previously issued from original return ................................
66.
67. Net payments (Subtract line 66 from line 65) .................................
67.
68. If line 67 is less than line 53, you have tax due. Subtract line 67 from line 53 and enter the amount you owe.......
68.
69.
If line 67 is more than line 53, you have an overpayment. Subtract line 53 from line 67 and enter the overpayment
69.
70. Amount of line 69 to be (A) REFUNDED ..................................................................................................
70a.
(B) CREDITED to your 2022 tax.........................................................................
70b.
Enter name, Social Security number, and address as shown on original return (if same as indicated on Page 1, write “Same”). If changing from separate to
joint return, enter names, Social Security numbers, and addresses used on original returns. (Note: You cannot change from joint to separate returns after
the due date has passed unless you have done so for federal tax purposes.)
Explanation of Changes to Income, Deductions, and Credits. Enter the line reference for which you are reporting a change and give the reason for each
change. You must enclose copies of your W-2s, 1099s, and supporting schedules.
If amending line 43, complete calculations below and include a copy of the tax return led with the other state (if one was led or required to be led):
(Income from Other Jurisdictions)
X =
(Income from New Jersey sources) (New Jersey Tax line 42)
2021 Form NJ-1040X
1
Line-by-Line Instructions
Use of Form NJ-1040X
You must use Form NJ-1040X for the appropriate tax year to
change (amend) any information reported on your original
resident Income Tax return (Form NJ-1040 or return that was
a 2021 resident Income Tax return and you need to change any
Failure to use
Form NJ-1040X to amend a resident return will delay the
processing of your return and/or refund.
Note: both the “As Originally Reported”
and “Amended” columns of Form NJ-1040X com-
Time Period for Refunds. Amended returns claiming a refund
will be considered past the statute and the refund claim will be
Amending Nonresident Returns.
nonresident return, use Form NJ-1040NR for the appropriate tax
Do not use Form
NJ-1040X to amend a nonresident return.
Enclosures with Form NJ-1040X
If you are amending an item of income, deduction, or credit that
requires supporting documents, you must enclose the applicable
Forms W-2 and 1099
and/or 1099s with Form NJ-1040X if you are amending (by
-
ship fund/ supplemental workforce fund contributions, family
Returns Filed Electronically.
electronically, enclose with Form NJ-1040X all supporting
-
When to File
File Form NJ-1040X only after
resident Income Tax return and you need to change the origi-
original
Where to File
Name and Social Security Number
Taxpayer Signature
Both husband and wife/civil union partners must sign a joint
amended return. A return without the proper signatures cannot
Tax Preparers
Anyone who prepares a return for a fee must sign the return as a
-
-
Calendar Year or Fiscal Year Ended
-
New Jersey resident Income Tax return while preparing his tax
Name and Address
Social Security Number
2021 Form NJ-1040X
2
County/Municipality Code
instructions for Form
NJ Residency Status
the month and day in the tax year your residency began and the
Filing Status (Lines 1–5)
instructions
Note:
Exemptions (Lines 6–13)
instruc-
tions
of exemptions reported on the original resident Income Tax
=
12
Dependent Information – Line 14
line
dependent who did not-
Do not
check the box for any dependents who had health insurance.
-
lines
14a–d and enclose a
statement with the return listing the information for the addi-
tional
Gubernatorial Elections Fund
If you did not check “Yes” on your original return and now want
online
Income and Deductions
(Lines 15–40)
You must complete both the “As Originally Reported” and
“Amended” columns fully, even if you are not amending all
the line items through line 67.
-
Line
As Originally
Reported
Amended
(See Instructions)
17. Dividends 2345 60 2345 60
18. Net prots from business 4272 00 4850 00
instructions
while residents of New Jersey and must prorate their exemp-
instruc-
tions
Tax Calculation – Line 42
the New Jersey Taxable Income (
line
rate, subtract the proper amount shown on the chart, and enter
the result on
line
line
41 is under
$100,000, you can use the Tax Table in the resident Income Tax
return instructions
Credit for Income Taxes Paid to Other
Jurisdiction(s) – Line 43
If you are amending your credit for income taxes paid to other
instruc tions
New Jersey Earned Income Tax Credit –
Line
57
2021 Form NJ-1040X
3
• If you were eligible for a federal earned income credit
why you are making this change and enter your federal
•
on the last day of the tax year, but you met all the federal
making this change and list your date of birth, including
-
website for ad-
Amounts Previously Paid – Line 64
If you made a payment with your 2021 resident return or with
an extension request, or if you paid as assessment for your 2021
return, include those amounts in both columns, “As Originally
Refund Previously Issued From Original
Return – Line 66
Balance Due or Refund (Lines 68 and 69)
Payments.
-
Check or Money Order, payable to “State of New Jersey
– TGI.”
Electronic Deduction From Bank Account (E-Check),
website
Note
payments made using an account that is funded from a
Credit Card, online
Note:
-
alties and Interest” in the Form NJ-1040 instructions
Refunds.
Amount to be Refunded/Credited to Your
2022 Tax (Lines 70A and B)
♦
to you; and/or
♦
Explanation of Changes
space is needed, enclose a statement that includes your name and
2021 Tax Rate Schedules
For ling status:
Single
Married/CU Partner, Filing Separate Return
Table A
If
line
41 is:
$ 0 $ 20,000 .014 – $ 0 _________
20,000 35,000 .0175 – 70.00 _________
35,000 40,000 .035 – 682.50 _________
40,000 75,000 .05525 – 1,492.50 _________
75,000 500,000 .0637 – 2,126.25 _________
500,000 1,000,000 .0897 – 15,126.25 _________
1,000,000 and over .1075 – 32,926.25 _________
SubtractOver But Not Over
Multiply
line
41 by:
Your Tax
If
line
41 is:
$ 0 $ 20,000
.014 – $ 0 _________
20,000 50,000
.0175 – 70.00 _________
50,000 70,000 .0245 – 420.00 _________
70,000 80,000 .035 – 1,154.50 _________
80,000 150,000 .05525 – 2,775.00 _________
150,000 500,000
.0637 – 4,042.50 _________
500,000 1,000,000
.0897 – 17,042.50 _________
1,000,000 and over .1075 – 34,842.50 _________
Table B
For ling status:
Married/CU Couple, Filing Joint Return
Head of Household
Qualifying Widow(er)/Surviving CU Partner
SubtractOver
Multiply
line
41 by:
Your Tax
2021 Form NJ-1040X
4
Items to Check Before Mailing Your Return
-
all
original paper return – including supporting documents for items not being amended.
-
(You can also pay by e-check or credit card.)
Both spouses/civil union partners must sign a joint return. Your amended return cannot be
When You Need Information…
by phone…
Call our Automated Tax Information System
1 (800) 323-4400 – or
(609) 826-4400.
♦ Listen to recorded tax information on many topics;
♦ Order certain forms and publications through our message
system;
♦
Contact our Customer Service Center
(609) 292-6400 – -
Deaf, Hard of Hearing, Deaf-Blind, Speech Disability
Visit njrelay.com
online…
Visit the New Jersey Division of Taxation Website
nj.gov/taxation
amounts, dates of birth, or bank account numbers in your
NJ Tax E-News, the
nj.gov/treasury/taxation/listservice.shtml
in person…
Visit a New Jersey Division of Taxation Regional
Information Center
