Ltr Chandler Requesting Extension 4925

RTF (Rov. 9222) UST SUBMIT IN DUPLICATE STATE OF NEW JERSEY . AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER ye 8 * Chapter 49, P.L.1968, as amended through Chapter 33, P.L. 2008) (Nw.S.A. 46:15-5 et seq.) BEFORE COMPLETING THIS AFFIDAVIT, PLEASE READ THE INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM. ATE OF NEW JERSEY ay FOR RECORDER'S USE ar Consideration = § SS. County Munisipal Code RIF paipby seller, 3S, > GOUNTY Essox o722 Daeg ep 2 ey aeata MUNICIPALITY OF PROPERTY LOCATION West Orange *Use symbol "C" to indicate that fee is exclusively for county use. (1) PARTY OR LEGAL REPRESENTATIVE (Sae /nstructions #3 and #4 on raverse side) Deponent, Dore Beinhaker being duly swom = according «to «= faw —supon_—ihhis/her_—oath, sett tn tet teams aad teal property identified as Block number 64 Lot number _45 anf4S Jocated at 87-89 Ashland Terrace, West Orange and annexed thereto, (Streat Address, Town) (2) CONSIDERATION $1.00 (instructions #1 and #5 on reverse side) Cno prior mortgage to which property is subject, (3) Property transferred is Class4A 4B 4C (circle one). If property transferred is Class 4A, calculation in Section 3A hetow is required. (GA)REQUIRED CALCULATION OF EQUALIZED VALUATION FOR ALL CLASS 4A (COMMERCIAL) PROPERTY TRANSACTIONS: (See Instructions #5A and #7 on raversa side} Total Assessed Valuation + Director's Ratio = Equalized Assessed Valuation = i Diroctor’s Ralio is tess than 100%, the equated valuation will ba an amount greater than ihe assessed valua, If Director's Ratio Is equal to or in excess of 100%, the assessed value will be aqual fo the equalized valuation, (4) FULL EXEMPTION FROM FEE (See Instruction #8 on reverse side) Deponent states that this deed transaction is fully exempt from the Realty Transfer Fee imposed by C. 49, PL. 1968, as amended through C. 66, P.L. 2004, for the following reason(s). Mere reference to exemption symbol is insufficient. Explain in detail, a. consideration is tess than $100,00 () PARTIAL EXEMPTION FROM FEE ( instruclion #9 on reverse ska) NOTE: All boxes below apply to grantor(s) only. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to da so will void claim for partial exemption. Deponent claims that this deed transaction is exempt from State portions of the Basic, Supplemental, and Generat Purpose Fees, as applicable, Imposed by C. 176, Pt. 1975, C. 113, P.L. 2004, and C.

on. Deponent claims that this deed transaction is exempt from State portions of the Basic, Supplemental, and Generat Purpose Fees, as applicable, Imposed by C. 176, Pt. 1975, C. 113, P.L. 2004, and C. 68, P-L. 2004 for the following reason(s): A ‘SENIOR CITIZEN Grantor's) (1 62 years of age or aver.* —_{ instruction #9 on reverse sife for A or B) B. ff BLIND PERSON Grantor(s) [1 togatly bind or;* DISABLED PERSON = Grantor(s)_[] permanently and totelly disabfod £1 receiving disablity paymonts CI not gainfully employed ‘Senior citzens, blind persons, or disabled persons must alco meat all of the following criteria: Clowned and occupled by grantor(s) at time of sale, DiResident of State of New Jersey. (Clone or two-family residential premises. ‘ClOwners as jointtenants must all quaity. ‘IN CASE OF HUSBAND AND WIFE, PARTNERS IN A CIVIL UNION COUPLE, ONLY ONE GRANTOR NEED QUALIFY IF TENANTS BY THE ENTIRETY. €D LOW AND MODERATE INCOME HOUSING (Insiruction #0 on roverso sida) IF APPLIES ALL BOXES MUST BE CHECKED. Affordable according to H.U.D, standards. 1 Reserved for accupancy. £] Meets income requirements of region. 11 Subject to resule controls, (6) NEW CONSTRUCTION {instructions #2, #40 and #12 on reverse 6100) IF APPLIES ALL BOXES MUST BE CHECKED. C1 Entirely new improvement Not previously eccupled, 1D Net previously used for any ptimpose. [I'NEW CONSTRUCTION" printed clearly at top of fst page of the deed. (@) RELATED LEGAL ENTITIES TO LEGAL ENTITIES (instructions #5, #12, #14 on reverse side) iF APPLIES ALL BOXES MUST BE CHECKED. ZINo pricr mertgage assumed ar to which property is subject at time af sale, EINo contributions to capitat by elther grantor or grantee legal entity. CINo stock or money exchanged by or between grantor or grantee fegal entities. (@) INTERCOMPANY TRANSFER iF APPLIES ALL BOXES MUST BE CHECKED. (Instruction #16 on raverso ska) Elintercompany transfer betwoen combined group members as part of the unitary business. Ecombined graup NU ID number (Required) mitted herewith In accordance with the {@) Depiiiant makes this Affidavit to induce counly olerk or roglater of deeds to record the deed and accept ina ey Provisions of Chapter 49, P.L, 1968, a5 amondad thraugh Chapter 382 R200, —~ A 202-> 20 Sout Se ; Bopanant Address Grantor Address at Tima of Sate x 798 “St three digits in Grantors Social Security Number “Nama/Company

49, P.L, 1968, a5 amondad thraugh Chapter 382 R200, —~ A 202-> 20 Sout Se ; Bopanant Address Grantor Address at Tima of Sate x 798 “St three digits in Grantors Social Security Number “Nama/Company of Settiement Officer Frank S, Ench ‘Subscribed. and sworn to befare me y day of aittop BENG, Ns o798t NOTARY PUBLIC STATE OF NEW JERSEY ey SL ission res Mareii 19, 2024 Insament Ny Pee eiticsra My Commission Expi sas a ‘County recording officers shall forward onc copy of each RTF-1 form when Section 3A is completedto: © STATE OF NEW JERSEY PO BOX 251 ‘TRENTON, NJ 08695-0251 ATTENTION: REALTY TRANSFER FEE UNIT ‘The Ditectar of the Division of Taxation in the Departmant of the Treasury has prescribed this form as required by law, and may not be altered or amended ‘without prior approval of the Director. For Informatfan on the Realty Transfer Fee or to print a copy of this Affidavit, visit the Division of Taxation wabstte at itps:fiwww.state.nj.usitreasuryltaxation/iptiecaltax shtml