West Orange Township_Fourth Round HEFSP_Final Draft

GIT/REP-3 (5-423 State of New Jersey SELLER'S RESIDENCY CERTIFICATION/EXEMPTION (C.55. PL, 2004) (Piease Pri or Type} SELLER(S INFORMATION (Séelinstructionsd Page:2)pae eet ae eT ee Names(s} veanneke Whaley and fark Whaley Current Resident Address 34 Summit Drive Street , . . . _ City, Town, Post Office Siatc Zip Code Basking Ridge y PROPERTYsINFORMATION (Briat Property (Description) ha. S¥ir fi ee, RR Block(s) Lotis) Qualifier 185 27 CONT? Street Address: 177 Marion Drive City, Tow, Post Office 7 ~ Stace ~ "Zip Code West Q-argo . . . oo. No o7052 Selier's Percentage of Ownership Consideration Closing Date DID, Grd - 0d | SECEERASSURANCES/(Checkithe Appropriate, Box)" {Boxes 2ithtough'iGapply: to: Residents and|Nor-residents)': + Blam a resi¢ens taxpayer (individual, esiate, or trust) of te State of New Jersey pursuant to N.J S.A. 54A:1-1 ef seq. and will fle a “esicent gross incoire lax return ang pay any applicab'e laxes on any gain or income from Ire Gisposition of this properly, 2. Chthe ‘eal property being sold or Wansferred .s used exctus vely a8 my princ.pal res‘dence wathi> ke “neaning of scl on 121 of the federal (nterna! Reve-uc Gade of 1986, 26 U.S.C. 5.121 3. [lam a mortgagor corveying the morgaged property to a mortgagee in foreciosu’e or in a transfer in lieu of foreciosure with no mal consideration 4 €[JScher, ransfero: or transferee is at age cy or authonly of te United States of America. an agency ar authorily of the Siate of New Jersey. the Fodera National Mortgage Associaton, the Federal Home Laas Morigage Corporation, the Goversren: National Morigage Association, of a privale mortgage insurance company. 5. Sel er is not an andvidy val. estate or lrust and as such not required to make a> estimated payment: pursuant to N.J.S.A.54A. 1-7 et seq 6 [Je total consideration for the propery is 51.000 oF less and as such, the se ior is not requ.rea ‘0 make an estinia‘ed payment pursuant to NJ.5,4 §4A:5-1-1 et seq. 7 Fr] The gain from the sale wil not be recagrized for Federal ncome tax purposes under | R.C. Secon 721, 1031, 1033 or is a cemetery plet (CIRCLE THE APPLICABLE SECTION) # such section does not ullimate'y apply lo this iracsaction, the sede’ acknowledges the obligation to tla a Neve Jefecy Income iax return for the year af the sale (see ingtructia.is). Tne romixe king proporty received. 8. ([Jiransfer by an exec tor cr

action, the sede’ acknowledges the obligation to tla a Neve Jefecy Income iax return for the year af the sale (see ingtructia.is). Tne romixe king proporty received. 8. ([Jiransfer by an exec tor cr admynisiraloy of a decedent ta a vevisee or heir lo effect distribution of the decedent's estate in accordance vith the provisions of he decedent's va'l or the intestate laws of this state. 9 ETre property bey sold is subject to a shor sate inslituted dy Ihe mortgagee, whereby the seller has agreed act ie "ecenc any picceeds from tae sac and the mortgagee will recewe a.| vroceeds paying off an agreed amount of the mongage. 10. [I the ceca being recorded is a deed da:ed pnor to the effect ve date of PL. 2004. c 55 (August 1, 2004). ang was previcusly unrecorded. The urdersigred tinderstands its contents ray ntosed Or orovided lo the New Jersey Q'vesion of Tazalion and that eny false slalemert conlained rerein cou.d be punished by ‘ine. imorisorment. ¢° bot | furthermore daclare that | have ezarrined this declaration ard, to the dest of knowledge and belel, rs tue, comect and complete By chacking tris box Cl I cently tha; Ine Power of Atosay Io represent the sclier(st has been previ feconde oF is being recorded surullaneausly with the deec Ie which Imus ‘ere rs attached. — 84fp — - Q4[ia Date Signature WSeler} Freese “deate I Power of Azores i fvuosrey an Fat