Draft_October 2025_West Orange_HEFSP_with Appendices

14° tRey, 7114110) , MUSTSUBMIT IN DUPLICATE STATE OF NEW JERSEY se AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER (Chapter 49, P.L.1968, as amended through 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 [ FOR a wal be USE_ONLY SS. Cosny Munc'pa! Cote RIF id by sell CQUNTY ESSEX _ 0722 | Dae Bn PT y ay. a MUNICIPALITY OF PROPERTY LOCATION est O “Use symbol "C” to md-cate fee 15 exc'us vely for county use. (1) PARTY OR LEGAL REPRESENTATIVE (See Instructions #3 and #4 on reverse side) Deponert, Kenneth R Sauter _. berg duly sworn accordng to ‘aw upon —hismer — oath, (Name) deposes and says thal he/she is the Legal Represen: June 17, 2014 . (Grantor, Legal Repiesantative, Corporate OMe ia in a Geed dated . _ vansterring Title Company, Lending Institution, ete.) reai praperty identitiod as Block number s1:55. . Lot number 27 CO177 . _ located at 177 Mar cn Orive, West Orange, New Jersey and annexed thereto. (Street Address, Town) (2) CONSIDERATION $, 1.04) (tnstructions #1 and #5 on reverse side} [Who prior mortgage to which property is subject (3) Property transferred s Class 4& “4B $C (circle one). If property transferred 's Class 4A, calculacon in Section SA below is required. (3A}REQUIRED CALCULATION OF EQUALIZED VALUATION FOR ALL CLASS 48 (COMMERCIAL) P ROPERTY TRANS: ACTIONS: {See instructions #54 and 47 on reverse: site; Total Assessed Valuation = Director's Ratio = Equalized Assessed Valuation . é 8. % =§ I Direclor’s Ratio is less than “20%, the equalaed valualion will be af arrounl greater Ihan Ine assessed vale. It Director’ Ratio is equal to or in excess of 100%, Ine assessed value # | be equal to We equal'zed valuatior . {4) FULL LXEMPTION FROM FEE (See instruction #8 on reverse sida} Depovent states Mat ths deed transaction 1s fully exernpt from the Really Teansfer Fea. imposed by C, 49, P.L. 1963, as amended througn €. 66, P.L, 2004, for the fol owing reason(s). Mere reference to exemption symbei .s insvifiaent, Explain in detail {21 For a consderation of | less than $100 S (5) PARTIAL EXEMPTION FROM FEE ( insiruittion #9 on reverse side} NOTE: Ali boxes below apoly to grantoris} oly. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so wil! void ¢: lor partial exermpuon. Deponent claims that

uittion #9 on reverse side} NOTE: Ali boxes below apoly to grantoris} oly. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so wil! void ¢: lor partial exermpuon. Deponent claims that this deed transaction %% exenipt from Stale portions of the Basic, Supplemental, and General Purpose Fees, as aopicable, impased py C. 176, P.L. 1975, C. 143, P.L, 2004. and C. 66, P.L. 2004 for the following reason(s): A SENIOR CITIZEN — Grantors) | _)62 years of age or over. * {instrucoon #9 on reverse site for A orB) 8 BLIND PERSON — Grantors} [“]:egallly blind os SN DISABLED PERSON Grantor{s} im permanently and totaly disabled receiving disability payments hot gainfully ¢mployed* wned aad cucugied by gravtoris) at time of sale. fesidant of Stale of New Jersey. ne or twotamily residential prerrises. wners as joint ‘enants must ali qualify. ae citizens, plied persons, or d-sabled persoris must Cre all of the follawing critetia: “IN CASE OF HUSBAND AND YY FE. HARINERS Ita S vil uMon cour. F NLY ONE GRANTOR NEO GUALH Y IF TENANTS BY THE EN“IRESY. c. ‘COW AND MODERATE INCOME HOUSING Bastrvction 19 on reverse sie) Affordable according to H.U.O. standards. Reserved for vccupancy Meets income requiroments ctrogion. | Csubect jo resa e comrals: (6) NEV CONSTRUCTION finsiructions #2, #10 and #12 ort reverse side) Entirely new improvement. lot previously occupied {Not previously used far any purpose. [NEW CONSTRUCTION" pnnted cleariy a: tup of first page of the deed. (7) RELATEO LEGAL ENTITIES TO TEGAL ENTITIES {tastructions AS, #12, #14 07 re [VINo prior mosgaye assured ov :¢ which property +s subject at time ot sa‘e. ¥No contributo-s to capital by either grantor or gran‘ce legal entry ere stock oF sney @xchanged by or belween gractor or gramec tega entities {8} Deponent makes This Alfidavi: 1 induce courty clerk Or register of deeds to -ecord the deed and accept the fee si with in accordance with the provisions af Chapter 49, P.L. 1968, as ani ded through Cranter 33, P-L. 2006. Subscrived and swarn tc befsre me 5 The Arc of Essex County. Inc. this 23rd day of June ,20 14 ignature of Jeponent Grantor Narre In| Watlack LLP 123 Naylon Avene i of 89 tleadquarters Plaza Livingstan, NJ 07039 4) 28 2 . BU Ms) Morristown, NJ 07980 ~ Depanent Address Grantor Address at Time of Sale ANDREA G. peciHOLDT A! Notary: y-Public of New Jersey XXX-XKK- 173 Kenneth R.

ers Plaza Livingstan, NJ 07039 4) 28 2 . BU Ms) Morristown, NJ 07980 ~ Depanent Address Grantor Address at Time of Sale ANDREA G. peciHOLDT A! Notary: y-Public of New Jersey XXX-XKK- 173 Kenneth R. Sauter, Esq. My" ‘Commission "Expires: April 22, 2049 Last thece digt's 'n Grantor's Social Security Number — NamefGompany of Setlement Officer FOR OFFICIAL USE ONLY Insteumesl Number, County__ Deec Number Book Page Dees Daves Date Recorded EW JERSEY 1? BOX 251 TRENTO: NE OR69S 0281 ATTENTION LTY TRANSFER EE UNIT The 3: ©! Taxation in, the Dezartvent of tie Treasut prescribed th.s form as required by law, and may not be altered er amended! without prior approval of ine Director For information an the Realy Viansles Fee or lo print a copy of this Alf davit, visit lhe Division of Taxation website at www state.nj.usitreasury/taxation/Iptilocaltax.htm County eeverding oF ouward one cony of cach RTK-L form whea Section 34