West Orange Fourth Round HEFSP_adopted 111025_Appendices

ined herein could ne punished by fine, imprisonment, or bath, | furthermore declare thal | have examined this declaration and. lo the best of my knowledge and belief, il is (tue, correct and complete, By checking this box (1) | cently thal the Power af Atiorney to represent the seller(s) has been previously recorded oF is being recorded Simultaneously with the deed to which this form is allached Z of baie Signature 7 (Seller) Please inthe il Power of Attorney er Attorney in Fact Dale Signature {Seller] Please .ndicaie if Power af Attorney of Attorney in Fact

GITIREP-3 (5-12) State of New Jersey SELLER’S RESIDENCY CERTIFICATION/EXEMPTION (C.58, PL. 2004} Names(s) DIANA SEFCHIK Current Resident Address: Street: 102 READINGTON ROAD City. Town, Post Office WHITEHOUSE STATION TION Zip Cade P Block(s) 162.21 Street Address: 19 TERRACE AVENUE City. Town. Post Office WEST ORANGE Seller's Percentage af Ownership Consideration Closing Dale 1% Zip Cade 07052 federal internal Revenue Code of 1986, 26 U.S.C. 5. 121 [D)\ am a mortgagor conveying the mortgaged property to a,moitgadée in foreclosure or in a lransfer in lieu of foreclosure wilh no nited States of America, an agency or authority of the State of New Jersey, the Federal National Mortgage Association,théFederal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private morigage insurance, camy 5. [Seller is not an individual, estate or trust afd as sugh not required to make an estimated payment pursuant lo N.J.S.A.54A:1-1 et seq. 6. [The total consideration for the property is $4900 pursuant lo N.J.S.A, 544:5-1-1 et se less and as such, the seller is not required to make an estimated payment 7. Fhe gain from the sale will noi be re ized for Federal income tax purposes under 1.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 ta file a New Jéfsey ingore tax return for the year of the sale (see instructions). [no non-like kind property: 8. (JTransfer by an executor or adginistrator of a decedent to 4 devisee or heir to effect distribution of Ihe decedent's estate in accordance with the provisions of the decedent's will or the intestate laws of this state 9. [The property being sold is subject to a short sale instituted by the mortgagee. whereby the seller has agreed nol to receive any proceeds from the sale and the mortgagee will receive all praceeds paying off an agreed amaunt of the mortgage. 10. ithe deed being recorded is a deed dated prior to the effective date of PL. 2004, c. 55 (Augus! 1, 2004), and was previously unrecorded The undersigned understands that this declaration and its contents may be disclosed os pravided to the New Jersey Division of Taxation and nal any false slalement contained herein could be punished by fine, imprisonmenl, or bath. | furlhermore declare

nd its contents may be disclosed os pravided to the New Jersey Division of Taxation and nal any false slalement contained herein could be punished by fine, imprisonmenl, or bath. | furlhermore declare that | have examined this declaration and, to the best of my knowledge and behef, it is ue. correct and complele. By checking this box O | certify that the Power of Attorney lo represent the seller(s) has been previously recorded or is being recorded simultaneously with the deed to which this form is attached. Heol ta (nse SPewthe Date Te ture {Seller) Piease indicate if Power of Anlorney or Atomey in Fact Date Signature {Sel er) Please indicate f Power of Attorney or Atorney in Fact

GIT/REP-3 (5-12) State of New Jersey SELLER’S RESIDENCY CERTIFICATION/EXEMPTION (C.55, PL. 2004) Names(s} . CAROL DIVITTO Current Resident Address: Street: 232 GRANDVIEW AVENUE City, Town, Post Office NORTH CALOWELL Block(s) Lot(s) 152.24 eee 1391 and 1392 (1393,1394) Street Address: 19 TERRACE AVENUE Qualifier City, Town, Post Office Zip Code WEST ORANGE 07052 Seller's Percentage of Ownership Consideration Closing Date 1% $320,960.00 | am a resident taxpayer (individual, estate, or trust) of the State of Ni resident gross income tax return and pay any applicable taxes on 2, [The real property being sold or wansferred is used exclusively as: federal Internal Revenue Code of 1986, 26 U.S.C. 5. 121... 3. oi am a mortgagor conveying the mortgaged property to agnar ga Se in foreclosure or in a transfer in lieu of foreclosure with no additional consideration. 4, ([JSeller, transferor or transferee is an agency or author Nid the United States of America, an agency or authority of the State of New Jersey. the Federal National Morigage AssociationsthgFederal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a privale mortgage insurance, comp 5, [Seller is not an individual, estate or trust af 8. [[]The total consideration for the properly is $7400, pursuant to N.J.S.A. $4A;5-1-1 et se as sugh not required to make an estimated payment pursuant to N.J.S.A.54A:1-1 et seq. less and as such, the seller ig nol required to make an estimated payment 7, [The gain from the sale will not be recagriizes! for Federal income tax purposes under |.R.C. Section 721, 1031. 1033 or is a cemetery plot, (CIRCLE THE APPLICABLESEC'YON), /f such section does not ultimately apply to this transaction, the seller acknowledges the obligation to file a New JefSey iacomie tax return for the year of the sale (see instructions) Dno non-like kind propenytéceive 8 (Transfer by an executor or administrator of a decedent to a devisee or heir to effect distribution of the decedent's estate in accordance with the provisions of the decedent's will or the intestate laws of this state 9, [The property being sold is subject to a short sale instituted by the mortgagee. whereby the seller has agreed not to receive any proceeds from the sale and the mortgagee will receive all proceeds paying off an agreed amount of the morlgage 10. Othe deed being recorded is

tgagee. whereby the seller has agreed not to receive any proceeds from the sale and the mortgagee will receive all proceeds paying off an agreed amount of the morlgage 10. Othe deed being recorded is a deed dated prior to the effective date of PL. 2004, c. 55 (August 1. 2004), and was previously unrecorded ed understands that this declaration and its cortents may be disclosed or provided to the New Jersey Division of Taxation and thal any latse statement contained herein cauld be punished by line, imprisonment. or bath. | furhermore declare Ihat | have examined this declaration and, to the best of my knowledge ard belief, it is te, correct and complete. By checking this box O | certify that the Power of Attorney lo represent the seller(s) has been previously recorded or is being regorded simullaneously with the deed to which W7 atiached. le f2012- _ Udec fun Dat Meee {Seller) Please indicate if Power of Anlomey or Attorney in Fact Dale Signature {Setler) Picase indicate if Power of Atlorney or Allorney in Fact

RECORDING INFORMATION SHEET ESSEX COUNTY REGISTER'S OFFICE, HALL OF RECORDS , ROOM 130) 465 MARTIN LUTHER KING Jr. Blvd NEWARK NJ 07102 INSTRUMENT NUMBER: DOCUMENT TYPE : 8060148 DEED Official Use Only Return Address (for recorded documents) CENTURY INTER COUNTY TITLE CAROLE A. GRAVES, REGISTER AGENCY INC ESSEX COUNTY, NJ 18 HOOK MOUNTAIN ROAD INSTRUMENT NUMBER 8060148 RECORDED ON PINE BROOK NJ 07058 July 1, 2008 01:43 pm BOOK:12144 PAGE:5545 No. Of Pages (excluding Summary Sheet) 5 cc Recording Fee (excluding Transfer $70.00 Realty Transfer Tax $3,570.20 Amount Charged $98) $3,640.20 Municipality & CONSIDERATION (R) $437,000.00 Parcel) Informati 161 MAIL COPY Lot n NO COPY ENVELOPE First Pa e RICHARD S ZACKIN a Name | CPNJ WEST ORANGE RESIDENCE Il Additional Information (Official Use Only) ADDITIONAL STAMPINGS Jen doodoriinnrancenee0nen’ DO NOT REMOVE THIS PAGE} ei iennnicot itinerant COVER SHEET (DOCUMENT SUMMARY FORM) IS PART OF ESSEX COUNTY FILING RECORD Tettetitaeniciaiices RETAIN THIS PAGE FOR FUTURE REFERENCE. **®# #84444 08 14 88528

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tiene: CHE 6700/ Kr ® Century inter County Title Agency, Inc. 48 Hook Mountain Road, Pine Brook, NJ 07058 Tel. (973) 808-0770 ! Fax (973) 244-5696 103PD DEED - BARGAIN AND SALE (Cov. to Grantor’s Acts) Ind, to Ind, or Corp. Plain Language 1095 Prepared by: (Print signer’s name below signature) DEED Nancy A. Lottinville, Esq. This Deed is made on June fd , 2008, BETWEEN RICHARD S. ZACKIN, AND JACK M. ZACKIN, Co-Executors of the Estate of Dena H. Zackin, whose post office addresses are 31 Longview Road, New Jersey 08833 and 57 Oak Avenue, West Orange, New Jersey 07052 (“Grantor”), AND CPNJ WEST ORANGE RESIDENCE II, INC., who is about to Oak Avenue, West Orange, New Jersey 07052 (“Grantee”). The words “Grantor” and “Grantee” shall mean all Grantors all Gri listed above. Transfer of Ownership. Grantor grants and conveys ownership of) the property described below to Grantee. This transfer is madg for the sum of FOUR HUNDRED THIRTY SEVEN THOUSAND ($437,000.00) an 00 Dollars. The Grantor acknowledges receipt of this money. Tax Map Reference. (N.J.S.A. 46:15-41) Caeipnny of West Orange, Block No. 161, Lot No. 27, Account No. & (1 No property tax identification number ae ble on the date of this Deed. (Check box if applicable) Property. The property consi e land and all the buildings and structures on the land in the Township of West O1 , County of Essex and State of New Jersey. The legal Description is: ALL that certain lot, ps or tract 6f land, situate and lying in the Township of West Orange, County of Essex, State of New Jerse} 2 more particularly described as follows: BEING known and designated as Lot 27 in Block 161 as shown on a certain map entitled, “Map of Oak Avenue Estates, Section.Que, in the Town of West Orange , Essex County, N.J.” which map was filed on November x Gounty Clerk's Office as Map No. 3060. oint on the northwesterly line of Oak Avenue distant 400,00 feet northeasterly from the point ion of the northwesterly line of Oak Avenue with the northeasterly line of Hillcrest Avenue ning; thence ng the northwesterly line of Oak Avenue, North 29 degrees 35 minutes 00 ds East, a distance of 100.00 feet; thence (2) North 60 degrees 25 minutes 00 seconds West, a distance of 101.99 feet; thence (3) South 30 degrees 05 minutes 00 seconds West, a distance of 100.01 feet; thence (4) South 60 degrees 25 minutes 00 seconds East, a distance of

tes 00 seconds West, a distance of 101.99 feet; thence (3) South 30 degrees 05 minutes 00 seconds West, a distance of 100.01 feet; thence (4) South 60 degrees 25 minutes 00 seconds East, a distance of 102.87 feet tothe northwesterly line of Oak Avenue and the point and place of BEGINNING. ‘The above description is drawn in accordance with a survey made by Jack L. Held, LS, William Held Associates, Inc., dated May 5, 2008 and last revised June 2, 2008. Being the same premises conveyed to Sidney H. Zackin and Dena H. Zackin, his wife under Deed from Arlene L. Daddio, dated June 19, 1974 and recorded July 3, 1974, in the Register’s Office of the County of Essex, New Jersey in Deed Book 4479, Page 406; premises further vested in Sidney H. Zackin and Dena H. Zackin, as joint tenants with the right of survivorship under Deed from Sidney H. Zackin and Dena H. Zackin, his wife, dated July 20, 1990 and recorded August 24, 1990 in the in the Register’s Office of the County of Essex, New Jersey in Deed Book 5137, Page 83; Sidney H. Zackin died June 11, 2001 (Essex County Surrogates Office Docket No, 2001-3391) leaving his wife Dena H. Zackin surviving tenant by the entirety. Dena H. Zackin died on February 8, 2008 (Essex County Surrogates Office Docket No. 2008-0628). Said Will appoints Richard S. Zackin and Jack M. Zackin, Co-Executors of said Estate. Letters of Testamentary ware issued ta Richard S, Zackin and Jack M. Zackin on March 13, 2008. #1311069 vi 108192-62286

The street address of the Property is: 23 Oak Avenue, West Orange, New Jersey 07052 Promises by Grantor. The Grantor promises that the Grantor has done no act to encumber the property. This promise is called a “covenant as to grantor’s acts” (N.JS.A. 46:4-6). This promise means that the Grantor has not allowed anyone else to obtain any legal rights which affect the property (such as by making a mortgage or allowing a judgment to be entered against the Grantor). Signatures, The Grantor signed this Deed as of the date at the top of the first page. Witnessed By: GRANTOR: $2 Maney Wn. We ESC" STATE OF NEW JERSEY, COUNTY OF ESSEX I CERTIFY that on June_/0_, 2008, Richard S. Zackin, Co-Executor, came befo person (or if more than one, each person): (a) was the maker of this Deed; (b) executed this Deed as his or her owh (c) made this Deed for $437,000.00 the transfer of title. (Such consider: ated to my satisfaction that this and actual consideration paid or to be paid for ined in N.J.S.A. 46:15-5). #1311069 v1 108192-62286