State of New Jersey, Department of the Treasury, Division of Taxation Edition Form NJ-W-4P (04-17) 2 pages New Jersey

Form NJ-W-4P — Voluntary NJ Withholding from Pension and Annuity Payments

The New Jersey certificate a retiree sends to a pension or annuity payer to have New Jersey Gross Income Tax taken out of each payment, or to stop it.

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Form NJ-W-4P · Certificate of Voluntary Withholding of New Jersey Gross Income Tax from Pension and Annuity Payments
The official State of New Jersey, Department of the Treasury, Division of Taxation form, edition Form NJ-W-4P (04-17) — blank
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Form NJ-W-4P (2017) Certificate of Voluntary Withholding of New Jersey Gross Income Tax from Pension and Annuity Payments — page 1 of 2
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Form NJ-W-4P (2017) Certificate of Voluntary Withholding of New Jersey Gross Income Tax from Pension and Annuity Payments — page 2 of 2
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Fill this form online Blank PDF from State of New Jersey, Department of the Treasury, Division of Taxation

What is Form NJ-W-4P?

Form NJ-W-4P comes from the New Jersey Division of Taxation. Pension and annuity payers don't have to withhold New Jersey income tax unless you ask, so retirees who expect to owe New Jersey tax use this certificate to request a set dollar amount from each payment. The same form stops withholding you asked for before.

Page 2 explains when a pension is taxable in New Jersey and has a five-line worksheet: your estimated New Jersey tax for the year, less tax already paid or withheld from other sources, divided by the number of payments. The form asks for a whole dollar amount of at least $10 a payment. If you don't expect to owe New Jersey tax at the end of the year, the form says not to request withholding.

FileIt fills in your name, address, Social Security number and pension ID, does the worksheet arithmetic if you switch it on, and rounds the result up to the whole-dollar amount the form wants. Your answers print on the Division's own PDF (edition 04-17). Sign with FileIt's eSignature or by hand, then mail it to your pension or annuity payer. FileIt doesn't send it for you.

Who fills it
Anyone receiving pension or annuity payments who wants New Jersey income tax withheld, or wants it stopped.
Sent to
The payer of your pension or annuity, not the Division of Taxation.
Minimum
A whole dollar amount of $10 or more for each payment.
Pages
2: the certificate and instructions, then taxability notes and the worksheet.
Edition
Form NJ-W-4P (04-17), still the current link on the Division's site
Agency
State of New Jersey, Department of the Treasury, Division of Taxation

Who needs to fill out Form NJ-W-4P?

  • New Jersey residents receiving a private pension, annuity or retirement plan payments.
  • Retirees who would rather have tax taken out of each payment than make estimated tax payments.
  • People who asked for withholding before and now want to change the amount or stop it.
  • State of New Jersey retirees, who can find their payer's mailing address through the Division of Pensions and Benefits.

When to use Form NJ-W-4P

  • When your pension or annuity payments begin and you expect to owe New Jersey income tax.
  • When your other income changes and you want a different amount withheld.
  • When you no longer expect to owe New Jersey tax and want withholding to stop.
  • Not again if nothing changed: the form says not to refile unless you want a change.

What you need before you start

  • Your name, home address and Social Security number.
  • The ID number of your pension or annuity, from your annual statement or from your plan administrator.
  • For the worksheet: an estimate of your New Jersey tax for the year and of tax already paid or withheld elsewhere (the NJ-1040 instructions and publication GIT-8 help), and the number of payments in the year.
  • Your payer's mailing address.

What’s on Form NJ-W-4P

The 2017 edition has 2 pages. FileIt asks for it in 4 parts, and it is signed by Pension or annuity recipient:

  1. Your detailsPension or annuity recipient
  2. Worksheet: what amount to withholdPension or annuity recipient
  3. What you want your payer to doPension or annuity recipient
  4. SignaturePension or annuity recipient

How to fill out Form NJ-W-4P, step by step

1 Your details

Name, Social Security number (printed across the form's three boxes), home address and the pension or annuity ID number.

2 Worksheet (optional)

Enter lines 1, 2 and 4. FileIt works out line 3 (line 1 minus line 2) and line 5 (line 3 divided by line 4) and carries the result, rounded up, to page 1.

3 Start or stop

Choose either the amount to withhold from each payment, in whole dollars of $10 or more, or stop withholding. Only one box can be checked.

4 Sign and mail

Sign and date the form and mail it to the payer of your pension or annuity.

Common mistakes to avoid

  • Entering an amount under $10, or with cents: the form wants whole dollars of $10 or more.
  • Checking both boxes instead of one.
  • Leaving out the pension or annuity ID number, which tells the payer which contract to change.
  • Sending the form to the Division of Taxation instead of your payer.
  • Requesting withholding when you won't owe New Jersey tax, for example if your income for the year is no more than $20,000 ($10,000 if single or married/CU partner filing separately).

After you fill it out

Mail the signed form to your pension or annuity payer. If you don't have the address, contact the payer.

Check your next payment statement for the New Jersey withholding.

Keep the worksheet with your tax records. FileIt keeps the finished form in your vault.

Fill out Form NJ-W-4P online with FileIt

  1. Pick the person. Choose someone from People and FileIt fills in their name, date of birth, address and other details it already knows.
  2. Answer plain-language questions. One part of the form at a time, with the official help text beside each question — 17 fields in all. Your answers save as you go.
  3. Check the live preview. Watch your answers land on the real State of New Jersey, Department of the Treasury, Division of Taxation form, and let FileIt do any worksheet arithmetic.
  4. Generate the official PDF. FileIt prints your answers into the agency’s own PDF and files it in that person’s folder in your vault. Sign it, or send it for e-signature.

FileIt fills the form — it never files or submits anything for you. Deliver the finished form to whoever asked for it, the way the form’s instructions say.

Start Form NJ-W-4P now — it’s free

Form NJ-W-4P: frequently asked questions

Is my pension taxable in New Jersey?

Page 2 of the form gives the main rules: a pension isn't subject to New Jersey tax if you weren't a resident while receiving it, if it is a U.S. military pension, or if it is a disability pension and you are under 65. Publication GIT-1 has the details.

How much should I have withheld?

The form's worksheet divides your expected New Jersey tax, less tax paid or withheld elsewhere, by the number of payments in the year. FileIt does the arithmetic and rounds up to whole dollars.

Can I stop New Jersey withholding from my pension?

Yes. Check the second box, "I want to stop withholding", sign the form and mail it to your payer.

Do I need a new NJ-W-4P every year?

No. The form says not to file again unless you want to make a change.

Is this the same as the federal Form W-4P?

No. The federal W-4P sets federal withholding; NJ-W-4P covers only New Jersey Gross Income Tax. Many retirees file both.

Can I sign it electronically?

FileIt places an eSignature box on the signature line. If your payer requires a handwritten signature, print the form and sign it in ink.

Official sources

FileIt is not affiliated with or endorsed by State of New Jersey, Department of the Treasury, Division of Taxation or any government. This page explains the form in general terms and is not legal, tax or immigration advice. Always read the official instructions, and check that you are using the edition the recipient accepts. Page last reviewed 2026-10-19.

Fill out Form NJ-W-4P online