West Orange Township_Fourth Round HEFSP_Final Draft

GITVREP-3 (12-07 State of New Jersey " Seller's Residency Certifiration/Exemption (0.55, P.L. 2004) (Piease Print ar Type} SELLER(S) INFORMATION (see Instructions, page 2): Namefs) Project Live, Inc. Current Resident Address 465-475 Broadway City, Town, Post Office Newark State NJ Zip Cade 07104 PROPERTY INFORMATION (Brief Property Description): Block(s) 159.06 Lot(s) 38 Qualifier Street Addresa 97 Edgewood Avenue City, Town, Post Office West Orange __ State NJ Zip Code 07052 Seller's Percentage of Qwnership_100%_ Consideration $1.00 Closing Date December 12, 2008 SELLER'S ASSURANCES (Check the Appropriate Box) (Boxes 2 through 8 apply to NON-residents): 10 I am a resident taxpayer (individual, estate or trust) of the State of New Jersey pursuant to N.J.S.A. 54A:1-1 et seq. and will file a resident gross income tax return and pay any applicable taxes on any gain or income from the disposition of this property. 2 02 The real property being sold or transferred is used exclusively ag my principal residence within the meaning of section 121 of the federal Internal Revenue Code of 1986, 26 U.S.C. s. 12}. 3 O | am a mortgagor conveying the mortgaged property to a mortgagee in foreclosure or in a transfer in lieu of foreclosure with no additional consideration. 4 0 Seller, transferor or transferee is an agency or authority of the United States of America, an agency or authority of the State of New Jersey, the Federal National Mortgage Association, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. 5, & Geller is not an individual, estate or trust and as such not required to make an estimated payment pursuant to N.J.S.A.54A:5-1-1 et seq. s. & The totat consideration for the property is $1,000 or less and as such, the seller is not required to make an estimated payment. pursuant to N.J.S.A. 54A:5-1-1 et seq. 7 O The gain from the sale will not be recognized for Federal income tax purposes under {.R.C. Section 721, 1031, 1033 or is a cemetery plot. (CIRCLE THE APPLICABLE SECTION.} If such section does not ultimately apply to this transaction, the seller acknowledges the obligation to file a New Jersey income tax return for the year of the sale (see instructions). Oo No non-like kind property received. s DO Transfer by an executor or administrator of a decedent to &

obligation to file a New Jersey income tax return for the year of the sale (see instructions). Oo No non-like kind property received. s DO Transfer by an executor or administrator of a decedent to & devisee or heir to effect distribution of the decedent's estate in accordance with the provisions of the decedent's will or the intestate jaws of this state. SELLER(S) DECLARATION: 7 The undersigned understands that this declaration and its contents may de disclosed or provided to the New Jersey Division of Taxation and that any false statement contained herein could be punished by fine, imprisonment, er both. I furthermore declare that I have examined this declaration and, to the best of my knowledge and belief, it is true, correct and complete. December 712, 2008 _ A __ Date Project Live, Inc. Signature (Sellee) Please infieate if Power of Attornay or Attorney in Pact Date ~~ Signature ~ (Seller) Please indicate if Power of Attorney or Attorney ix Fact i ificati i Printed by ALL-STATE LEGAL® 1647 ~ Seller's Residency Certification ExemPioe Powered by ‘A Division of ALL-STATE International, Inc. GITREP3 HotDocs waww.astegalcom 800.222.0510 Pagel Rev. 2207 P2/08