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Get HR-1040-X 2002 STATE OF NEW JERSEY AMENDED HOMESTEAD REBATE APPLICATION 2002 Please Print Or Type

First Name and Initial Spouse s Social Security Number Home Address (Number and Street, including apartment number or rural route) County/Municipality Code City, Town, Post Office FILING STATUS 1. 2. 3. 4. 5. Single Married, filing joint return Married, filing separate return Head of household Qualifying widow(er) (Joint filers enter first name and initial of each - Enter spouse last name ONLY if different) State Zip Code RESIDENCY STATUS 6. If you were a New Jersey resident for ON.

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