Draft_October 2025_West Orange_HEFSP_with Appendices

GITIREP-3 State of New Jersey (12-07) SELLER’S RESIDENCY CERTIFICATION/EXEMPTION {€.55, P.L.. 2004} {Please Print ov Tyne} SELLER(S) INFORMATION (See Instructions, Page 2) Name{s) RICHARD $, ZACKIN AND JACK M. ZACKIN, CO-EXECUTORS OF THE ESTATE OF DENA H. ZACKIN Current Resident Address: Street: 31 Longview Road / 57 Oak Avenue City, Town, Post Office State Zip Cose Lebanon / West Orange Ng 08833 / 07052 PROPERTY INFORMATION (Brief Property Description} Block(s) Lot(s} L . Qualifier 161 27 , : ‘Steet Address: 23 Oak Avenue ¢ iy Town, PosiOffce State Zip Code West Orange _. Nd 07052 Seller's Percentage of Owrersh.p Consideration = Closing Date 100% $437,000.00 11910 SELLER ASSURANCES (Check the Appropriate Box) (Boxes 2 thraugh 8 apply to NON-resicents} 1, Rj | ame resident taxpayer (individual, estate, or trust).o? the:Stete of New Jersey pursuant to N.J.S.A. 54A:1-1 et seq and will file a resident gross income tax retum arid pay.anyapplicable taxes on any gatn or income from the disposition of this property. 7 . The rea! property being sold or transferred is used extiusively as my orincipal residence within tre meaning of section 124 of tne federas Intemal Revenue Code of 7985, 26U3.C.s. 121 tam a mortgager conveying the mortgaged property to a mortgages Ir foreclosure o: in # Iransfer in lieu of foredosure with no additional consideration. Seller, lransferor of transferee iS'an agency of authority of the United Siates of America, an agency ar authority of tne State of New Jersey, the Federal Nauional:Mortgage Association, the Federal Home Loa Mortgage Corporation, the Goverrment Nat cra! Mortgage Association, or a psvate morgage insurance company. o 5. B Selier is not an individua:, estate.or trust and as sucn not required to make ar estimated payers pursuant to NJ. 54K 1-1 @1 56% The total consideration for tne proverty is $1,000 0° ‘ess and as such, the seller is not required to make an estimated paymert pursuant toNJS.A 54A:5-4-1 et seq. The gain from the sale wil: rot be recognized for Federa: inceme tax purposes under |.R.C. Section 721, 103%, 1033 ar is a cemetery piot. (CIRCLE THE APPLICABLE SECTION). If such section does nat ultimately apply to this Iransaclion, the seller acknow edges the obligalian to file a New Jersey incorre tax retum for the year of the sale (see instructions}. No nonlike kind property received 3. iw

timately apply to this Iransaclion, the seller acknow edges the obligalian to file a New Jersey incorre tax retum for the year of the sale (see instructions}. No nonlike kind property received 3. iw Transfer by an executor or administratcr of a decedent 10 a devisee or heir to effect distribution of the dacedent's estate in accordance with the provisions of the decedent's will or the intestate laws of this state. SELLER(S) DECLARATION ‘Tne undersigned understands that th's decta-ation and its contents may be disclosed or pray false statemen! contained harer couls 9€ ounished by fine, imprison neni, or both. | fur to the best of mykaowlegge and bele!, ‘t's wee, correct and compiay LfLLOL oe g do tha Naw Jersey Division of Taxatian and that any re dectay jal ij have examined this dectrration and, Date Richa'd S Zazkin. Go-Executor of the Estate of Sigratcre Dana H, Zackir: = Btagse ind Power 0” Aliqrtey or Auomey in Tack _¢ i fo { oF Sy Sx 7 Sate Vaak M. Zackin. Co-Exa Dena H. Zackin