Form B-7-NA "Notary Acknowledgment" - New Jersey

What Is Form B-7-NA?

This is a legal form that was released by the New Jersey Department of the Treasury - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on May 1, 2012;
  • The latest edition provided by the New Jersey Department of the Treasury;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form B-7-NA by clicking the link below or browse more documents and templates provided by the New Jersey Department of the Treasury.

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Download Form B-7-NA "Notary Acknowledgment" - New Jersey

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STATE OF NEW JERSEY 
B‐7‐NA   
 
 
                          
 
 
 
DIVISION OF TAXATION
   5‐12 
 
 
  
 
 
 
 
                               
 
TAXPAYER REGISTRATION 
 
 
 
                                            BEVERAGE TAX BOND UNIT 
 
 
 
 
 
                   
  CN‐252 
                                                                                   TRENTON, NEW JERSEY 08646 
NOTARY ACKNOWLEDGMENT
 
                                                                                  INDIVIDUAL    
 
 
 
 
 
 
          STATE OF:                                   )                                                                               F.I.D. #                                 
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                                PHONE #                                #                    
 
                                  
On this                                 day of                                    , 20           before me personally appeared: 
              
                                                                                   to me known and known to be the person described in and who 
 
           executed the foregoing instrument and he thereupon duly acknowledged to me that he executed the same. 
 
                                    
 
               
 
__     __  
   
                                               Notary Public   
 
FIRM OR CO‐PARTNERSHIP   
                                                                         
                                                                       
          STATE OF:                                   )                                                                              F.I.D. #                                  
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                              PHONE #                                         
 
                                  
On this                                 day of                                    , 20           before me personally appeared: 
 
                                                                                  known to me to be a member of the firm of                                                  e   
 
                                                                                    to me known to be the person described in and who executed the  
 
           foregoing instrument in the firm name of                                                                              and he acknowledged  
 
           that he executed the same as the act and deed of said firm of                                                                                                  
 
           for the uses and purposes therein mentioned. 
                              
 
 
 
   
                                               Notary Public   
CORPORATE   
 
         
          STATE OF:                                   )                                                                           FEIN #                                   
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                             PHONE #                                         
 
                                 
On this                                 day of                                    , 20           before me personally appeared: 
              
                                                                                       to me known, who, being by me duly sworn, did depose and say: 
 
            he/she resides at                                                                                                                                                                            
                                                                   (Street & Number)                                                      (City, Town or Village)  
 
                                                                                   that he/she is the                                                                             of the 
                         (County)                  (State) 
 
 corporation described in and which executed the above instrument:  that he/she knows the seal of said corporation; 
that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors 
of said corporation and that he/she signed his/her name thereto by order, and he/she acknowledged the said 
instrument to be the free act and deed of said corporation. 
 
 
 
 
 
_________________________________ 
 
 
 
 
                            Notary Public 
 
STATE OF NEW JERSEY 
B‐7‐NA   
 
 
                          
 
 
 
DIVISION OF TAXATION
   5‐12 
 
 
  
 
 
 
 
                               
 
TAXPAYER REGISTRATION 
 
 
 
                                            BEVERAGE TAX BOND UNIT 
 
 
 
 
 
                   
  CN‐252 
                                                                                   TRENTON, NEW JERSEY 08646 
NOTARY ACKNOWLEDGMENT
 
                                                                                  INDIVIDUAL    
 
 
 
 
 
 
          STATE OF:                                   )                                                                               F.I.D. #                                 
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                                PHONE #                                #                    
 
                                  
On this                                 day of                                    , 20           before me personally appeared: 
              
                                                                                   to me known and known to be the person described in and who 
 
           executed the foregoing instrument and he thereupon duly acknowledged to me that he executed the same. 
 
                                    
 
               
 
__     __  
   
                                               Notary Public   
 
FIRM OR CO‐PARTNERSHIP   
                                                                         
                                                                       
          STATE OF:                                   )                                                                              F.I.D. #                                  
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                              PHONE #                                         
 
                                  
On this                                 day of                                    , 20           before me personally appeared: 
 
                                                                                  known to me to be a member of the firm of                                                  e   
 
                                                                                    to me known to be the person described in and who executed the  
 
           foregoing instrument in the firm name of                                                                              and he acknowledged  
 
           that he executed the same as the act and deed of said firm of                                                                                                  
 
           for the uses and purposes therein mentioned. 
                              
 
 
 
   
                                               Notary Public   
CORPORATE   
 
         
          STATE OF:                                   )                                                                           FEIN #                                   
 
                                                                   SS: 
          COUNTY of:                                ) 
 
                                             PHONE #                                         
 
                                 
On this                                 day of                                    , 20           before me personally appeared: 
              
                                                                                       to me known, who, being by me duly sworn, did depose and say: 
 
            he/she resides at                                                                                                                                                                            
                                                                   (Street & Number)                                                      (City, Town or Village)  
 
                                                                                   that he/she is the                                                                             of the 
                         (County)                  (State) 
 
 corporation described in and which executed the above instrument:  that he/she knows the seal of said corporation; 
that the seal affixed to said instrument is such corporate seal; that it was so affixed by order of the Board of Directors 
of said corporation and that he/she signed his/her name thereto by order, and he/she acknowledged the said 
instrument to be the free act and deed of said corporation. 
 
 
 
 
 
_________________________________ 
 
 
 
 
                            Notary Public