West Orange Township_Fourth Round HEFSP_Final Draft

(Rey. 7714710) MUST SUBMIT I DUPLICATE STATE OF NEW JERSEY . AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER (Chapter 49, PL, 1968, as amended though Chapter 33, P.L. 2006) {N.J.S.A. 46:15-5 ol seq.) BEFORE COMPLETING THIS AFFIDAVIT, PLEASE READ THE INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM. STATE OF NEW JERSEY COUNTY ESSEX MUNICIPALITY OF PROPERTY LOCATION I FOR Cansidesalior SS. counyy Mon cpa Code RIF _0722 | bate DELY oy y By. RECOR BE! n "S USE ONLY | Oe | est Dranze (1) PARTY OR LEGAL REPRESENTATIVE (See lnsiructions #3 and #4 on reverse side} “Use symbol *C~ to ind-cale that fee is exc us vely for county «se Oepenert. Kennet R Sauter being = duly = Swern accordéng) = to taw ego —his*her oath, deposes and says that he'she Si Representative madeeddates “TUT 17. 2014 vansterang (Grantor, Legal Reprasontative, Corporate Officer, Oticer of Title Company, Lending institution, ets.) - rea: propery identified as Block numaer 155 Lotnumber 27 CO177 Jocated al 177 Max on Drive. Vest Orange, New Jersey and anneaee thereto. (Street Address, Town} {2) CONSIDERATION $__ 1.00 tastructions #7? and #5 on reverse side) iho prior mo-tgage to which praperty is subject (3) Progeny wansferec 5 Class 4A 4B aC io one) If oroperty Wanslerrec ‘s Class 4A, calculat on in Section 3A below is required. (3A;REQUIRED CALCULATION OF EQUALIZED VALUATION FOR ALL CLASS 4A (COMMERCIAL) PROPERTY TRANSACTIONS: {Seg insiructions #54 ard #7 on reverse sie) Total Assessed Valuation : Director's Ratio = Equalized Assessed Valuation % =. AF Duecter 100% Ire assessed value y: 1. be equal lo Ihe equal zed valualior 5 Ratio is less tha “00%, the « ‘equalized valuation vall be 2r. around greater lhan he assessed value If Director's Rabo .s equal to oF in excess of (4) FULL EXEMPTION FROM FEE (See instruction 88 on reverse side) 4$ fully exempt from ‘ne Realty Trangler Fea imposed by C. 49, P.L. 1988, as amended througn C 66, P.L. 2004, for the fol ovang reasur(s). Mere reference lo exemplion symbc. .s insufficient. Expain in detail Deponent states thal ing deed transacto’ ta} For a consideration of less than $100 (5) PARTIAL EXEMPTION FROM FEE ( instruction #9 on reverse side) NOTE: Ah boxes below apaly to grantor(s) ony, ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so wil! yor caim for partal exerspiion Deponent clams :hat ths deed Iransactian

rse side) NOTE: Ah boxes below apaly to grantor(s) ony, ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so wil! yor caim for partal exerspiion Deponent clams :hat ths deed Iransactian is exempt from Stale portions of the Basic, Supplemental, and General Purpose Fees, as anp.icable. mngosed oy C, 176, P.L. 1975, C. 113. P.L. 2004. and C. 66, P.L. 2004 for the following reason(s): SENIOR CITIZEN BLIND PERSON —Grantor(s} DISABLED PERSON Grantor(s! A. * 5 wed and [Tne of two-tacn ior ciizens, olied persons, or d'sabted persons must pied by grantor: ly sesidential pres egally olind of; * permanently and totally disabled | Grantor(s)]_}62 years of age or over. * (instruction 49 on revorse side for A ar B) ™ receiving disability payments |_|not gainfully employed” meel ail of the following criteria: Is; esidenl of State of New Jersey. ers as joial senants mus: a qualify. “IN CASE OF HUSBAND AND WC FE, PARTNERS IA 2 VIL UNION COUPLE DVLY ONE GRANTOR NEEL QUALIFY IF TENANTS BY THE EXIRE SY Cc Affordable according to UD. , _}Meets income rea vements cf regins. “OW AND MODERATE INCOME HOUSING finsiruction #9 on reverse sue} standards, |_] Reserved for occupancy [_]Sutject to resa'e conirots (6) NEW CONSTRUCTION (fnstruetions #2, #10 and #72 of reverse side) Entirely n Not previous provement. used for any purpose ot previously occupied NEW CONSTRUCTION" printed clea“y at top of first page of the deed, (7) RELATEO LEGAL EN“ITIES TO LEGAL ENTITIES (tristructions #5, #12, 14 on reverse side} [Ye prior mortgage assumed cr te which property 's subject al ne of sae [Yo contributo-s 10 capital by eiiher grantor or gran‘ee legal entry jo Slock Or meney excnanged by or between grantor or graniec lega entities (8) Deponest t makes (ns Alfidavit to iacuce courty “clesk oF register of deeds lo -ecord the deed asd accept the fee submilled herewit accordance with ihe prov'slons ol Chapter 49, PL. 1968, as am Subdscrived ang sworn 10 belcre me ts 23rd day of June ladys Pbel elds ANDREA G. PECKHOLOT A Notary ublicof New Jersey la Sad Signature of Seoonent Hil Vwallack LL? 89 Headquarters Plaza Marristown, NJ 07960 Deponént Address XXXXXX. 173 ded through Chanter 33. P-L. 2006. The Arc of Essex County, inc. Grantor Narre 123 Naylon Avenue Livingston, Nu 07039 Granlor Address at Time of Sale Kenneth R Sauter, Esq. My Commission

XX. 173 ded through Chanter 33. P-L. 2006. The Arc of Essex County, inc. Grantor Narre 123 Naylon Avenue Livingston, Nu 07039 Granlor Address at Time of Sale Kenneth R Sauter, Esq. My Commission Expires: April 22, 2019 Last three digits -n Grantor's Social Securily Number ~Narne/Company of Settlement Officer County reurithing of eves sna: The “Hector of Ine Qivisicn o! Taxation in Ihe Devalrea! of the Treas.ry "as presctives this form as required by N AKiOr approval of re Director Fo: inlommator. on ine Re forward one copy of cach RTF-1 forn FOR OFFICIAL USE ONLY ] Tiansler Fee orto print a coy ol thi wivew.state.nj.usitreasuryitaxation/Iptilocaltax.him instru County, Dees ni Book Page Dee Dates 7 Dale Recerded whea Secvon 34 1s conpicte STATE OF NEW JERSEY PO BOX 251 TRENTON, NJ 08695-0251 TION: REALTY TRANSFER FEE UNIT and may nol be alleved or amended vistl Ube Divis.on of Taxation website at: 5 All d: