PB 25 12 Application

mental, and General Purpose Fees, 8s applicable, imposed hy G. 176, P.L. 4976/6, 443, Pil. 2004, and . 86, P.L. 2004 for the following reason(s}: ot, RK’ _ SENIOR GINREN —“Gaiogn) TS yens eset gly, Toskonian dt onverea ats Ao) B. [ BUNDPERSON —— Grntoris) C2 legally tind of;" DISABLED PERSON —Grenior(s) El pormanantiy ae led 1) receiving dinabilty payments C1 not galtully employed” ‘Senlor citizens, blind persons, or ehsublod porsons tear all of tho following erkoria: Uonced and occu by ota nat JResxion! cf Stato of Now Jaraoy. Tone or two-tamdy residerilal praises. Tlowmers 98 join tenanta must ail qualty. “INCASE OF SCAND AND WIFE, PARTNERS IN ACT JPLE, ONLY ONE GRANTOR NEED QUALIFY IF TENANTS BY THE ENTIRETY. ©, TERT AND MODERATE INCOME AUBIN Taslnvelfan 0 on raverso sto) \F APPLIES ALL BOXES MUST BE CHECKED. /Atlordable necordhng {0 H.U.D. Ci Resacvad for occupancy. Diiests income requirements of d 1 Subjoct to rasala oonscts. (ons #2, #10 and 612 on reverse sie) IF APPLIES ALL BOXES HUST BE CHECKED. TlEnizety now improvem TNot previously occupted, Gi Not protouaty used for rp spse ‘NEW CONSTRUCTION” printed claarly a top of first page ofthe dood. () RELATED LEGAL ENTITIES TO LEGAL ENTITIES (insiructions NG #12, #74 on reverse sida) IF APPLIES ALL BOXES MUST BE CHECKED. ‘CiNoprlar merigage Gesumod nape lo wen ronaty subject al tne of aale. EiNo contihulfnto cop cna gest or anton tga en CNostock or mone ;ngad by or betiveen granior or Grantes logal entidos, © (iF APPLIES ACL BOXES MUST BE CHECKED, (Instruction #19 on reverse sida) alg ai {ranafor between combined group mombera as part of the unitary buslnose Dicombines grotip. NU ID number (Required) 18) Depenent makes this Aifidavil (o Induce caumly clerk or regiolar of deeds to record [ha }ioad and gecapt the fos submilled herewith In accordance wah the provisions of Chepler 49, P.L. 1965, 2s amended through Chapter 33, P.L. 2006. ‘Subscribed id een frome: . 4 COUSINS LLC oe | goeny “0S a Signature of Bopsnerd ‘or antor ane 1683 AMBOY AVE, EDISO! WEST ORA ou ‘Doponent Adeies ‘Grantor Addrees at Tne of Sela Jerfy Maroules Lesnar Sa SS una WanalCompary of Salonen Oca ttorney at Lavt FOR OFFICIAL USE ONLY cs cy State of New Jersey ovation sag Doad Datos Dato Roeadad 3 /IU7S County recording officers shall forward ane capy of each RITF-1 farm waen Section 3A is completedto: STATE OF NEW

FICIAL USE ONLY cs cy State of New Jersey ovation sag Doad Datos Dato Roeadad 3 /IU7S County recording officers shall forward ane capy of each RITF-1 farm waen Section 3A is completedto: STATE OF NEW JERSEY PO BOX 251 ‘TRENTON, NJ 08698-0251 ATTENTION: REALTY TRANSFER FEE UNIT ‘The Director af tho Division of Taxalion in the Department of the Treasury has prescribed this form as required by law, and may nol be allered or amended \wilhout prior approval of the Director. For intarmation on tha Realty Transfor Fao or to print a copy of this Affidavit, visit tha Division of Taxalian wabsita at: ‘worw.statn}.ueitrosguryitestationiipliacaltexchim

Inst. # 2025011243 - Page 7 of 8 GIT/REP-3 State of New Jersey (8-24) Seller’s Residency Certification/Exemption (Print or Type) Seller’s Information Name(s) 4 COUSINS LLC Current Street Address 270 MAIN STREET City, Town, Post Office Stale ZIP Code WEST ORANGE NJ 07052 Property Information Block(s) Lot(s) Qualifier 114 50 Street Address 270 MAIN STREET City, Town, Post Office State ZIP Code WEST ORANGE. No 07052 Seller's Percentage of Ownership Total Consideration Owner's Shareiof Consideration Closing Date 100 $900,000.00 $900,000.00 2/19/2025 1, Bel Setter is a resident taxpayer (individual, estate, or trust) of the State of New Jersey pursuantito the New Jersey Gross Income Tax Act, will file a resident Gross Income Tax return, and will pay any applicable taxes on-ay gain. or income from the disposition of this property. 2. 1 The real property sold or transferred is used exclusively as a principal residence as defined in 26 U.S. Code section 121. Be 0 Seller is a mortgagor conveying the mortgaged property to a mortgagee in foreclosure’or in a transfer in lieu of foreclosure with no additional consideration, 4. im] Seller, transferor, or transferee Is an agency or authority of the United StéteSof America, an agency or authority of the State of New Jersey, the Federal National Mortgage Association, the Federal Home ean Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. 5. [1 Seller is not an individual, estate, or trust and is not required to make an [bctimated Gross Income Tax payment. 6. Othe total consideration for the property Is $1,000 or less. 50) ‘the séller i is not required to make an estimated Income Tax payment. Ta. Oo The gain from the sale is nol recognized for federal ir incom tax Purposes under 26 U.S. Code section 721, 1031, or 1033 (CIRCLE THE APPLICABLE CODE SECTION). If the indicated seolion ‘dges not ultimately apply to this transaction, the seller acknowledges the obligation to file a New Jersey Income Tax return for the year.of the sale and report the recognized gain. See instructions. 7p, L1 seller only received like-kind property. _, 8. oO The real property is being transferred by an ex utor of 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

perty is being transferred by an ex utor of 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. im The real property being sold is subject to,a short gale instituted by the mortgagee, whereby the seller agreed not to receive any proceeds from the sale and the mortgage@wll ceive all proceeds paying off an agreed amount of the mortgage. 10. o The deed is dated prior to August 4, 2004, and was not previously recorded. 1. oO The real property is being transferred nder a relocation company transaction where a trustee of the relocation company buys the property from the seller and thent sells, the house to a third party buyer for the same price. 12, The real property is being transfered between spouses or incident to a divorce deoree or property settlement agreement under 26 U.S. Code section 1041. AN 13, 1 The property transferrediis a cemetery plot. 14, oOo The seller is not receiving nét proceeds from the sale. Net proceeds from the sale means the net amount due to the seller on the settlement sheet. 15. D1 the seller Is a retirement trust that received an acknowledgment letter from the Internal Revenue Service that the seller is a retirement trust, and is therefore not required to make the estimated Gross Income Tax payment. 16 The seller (and/or spouse/civil union partner) originally purchased the property while a resident of New Jersey as a member of the U.S. ‘Armed Forces and is now selling the property as a result of being deployed on active duly oulside of New Jersey. (Only check this box if applicable and neither boxes 1 nor 2 apply.) Seller’s Declaratio. ‘The undersigned understands that this declaration and its contents may be disclosed or provided to the New Jersey Division of Taxation and that any false statement contained herein may be punished by fine, imprisonment, or both. | furthermore declare that | have examined this declaration and, to the best of my knowledge and belief, it is true, correct and complete. By checking this box o | certify that a Power of Attorney to repre- sent the seller(s) has been previously recorded or is “tT —ee with the deed to which this form is attached, 2/19/2025 BY: GEORGE FASOULETOS, MANAGINGg jignature (Seller) Indicate if Power of Attorney or Attorney in

(s) has been previously recorded or is “tT —ee with the deed to which this form is attached, 2/19/2025 BY: GEORGE FASOULETOS, MANAGINGg jignature (Seller) Indicate if Power of Attorney or Attorney in Fact Date Date Signature (Seller) _ Indicate if Power of Attorney or Attorney in Fact

Inst. # 2025011243 - Page 8 of 8 LEGAL DESCRIPTION All that certain lot, piece or parcel of land, with the buildings and improvements thereon erected, situate, lying and being in the Township of West Orange, County of Essex, State of New Jersey. BEGINNING on the northwesterly side of Main Street, formerly Valley Road, at a point therein distant southwesterly 23.41 feet from the .intersection of the said northwesterly side of Main Street with the southwesterly side of Prospect Place; thence 4. Along said side of main street, South 37 degrees 52 minutes West, 75.00 feet to line of lands now or formerly of Rose Keenan; thence 2. Along the line of said land, North 61 degrees 30 minutes West, 82.40 feet to a corner; thence 3. Still along the line of said land and parallel to Main Street, South 37 degrees 52 minutes West, 25.00 feet to line of lands now or formerly of Emanuel Weiss; thence 4. Along the line of said lands, North 61 degrees 30 minutes West, 42.60 feet to lands now or formerly of Harry Hiscock and wife; thence " 5. Along the line of same and parallel to main street, North 37 degrees'52 minutes East, 48.40 feet to an angle; thence j 6. South 61 degrees 30 minutes East, 1.00 foot to an angle; thenée, 7. North 37 degrees 52 minutes East, 75.00 feet to line of prospect place; thence ea 8. Along the line of same, South 61 degrees 30 minutes East\’24,00 feet to the line of lands now or formerly of Joseph Pisano; thence 9. Along the line of same, South 37 degrees 52 mii it s'West, 23.41 feet to a corner; thence 10. Still along said line, South 61 degrees 30 minutés, East, 100.00 feet to the northwesterly line of Main Street and point and place of BEGINNING. ¢ 4 NOTE FOR INFORMATION: Being the following lot(s), Tax Map of the Township of West Orange, County of Essex: & Lot 50, Block 114 200336

Inst. # 2025011243 - Page 1 of 8 1 Essex County Register Document Summary Sheet HALL OF RECORDS - ROOM 130 465 DR. MARTIN LUTHER KING BLVD NEWARK NJ 07102 ESSEX COUNTY REGISTER OF DEEDS & MORTGAGES Transaction Identification Number 7542333 9247780 MADISON TITLE AGENCY, LLC 1125 OCEAN AVENUE LAKEWOOD, NJ 08701 Recorded Document to be Returned by Submitter to: Official Use Only JUAN M. RIVERA, JR REG. OF DEEDS & MORTGAGES ESSEX COUNTY New Jersey DOCUMENT TYPE 1 INSTRUMENT NUMBER 2025011243 RECORDED ON Feb 24, 2025 9:44:16 AM Total Pages: & COUNTY REALTY TAX COUNTY REALTY TAX - PHPEA NJ PRESERVATION ACCOUNT $40. REGISTER RECORDING FEE $50. STATE REALTY TAX $2,250. STATE REALTY TAX - $1,670. EAA STATE REALTY TAX - GENERAL PURPOSE NJAHTE $1,125. HOMELESSNESS TRUST FUND $3. CODE BLUE EMERGENCY 92. SHELTER SERVICES TOTAL PAID INV: 755313 USER: KS $900. $450. $2,020. Submission Date (mm/dd/jyyy) 02/20/2025 No. of Pages (excluding Summary Sheet) 6 Recording Fee (excluding transfer tax) $95.00 Realty Transfer Tax $8,415.00 Total Amount # $8,510.00 Document Type 8 DEEDINO EXEMPTION FROM REALTY TRANSFER FEE L2- Level 2 (With Images) 99 849607 Additional Information (Official Use Only) * DO NOT REMOVE THIS PAGE. COVER SHEET [DOCUMENT SUMMARY FORM] IS PART OF ESSEX COUNTY REGISTER FILING RECORD. RETAIN THIS PAGE FOR FUTURE REFERENCE. C5042218-0834-C722-BC5B-2B2349A 1CIF9/7542333 9247780 Page 1 of 2

Inst. # 2025011243 - Page 2 of 8 ! Essex County Register Document Summary Sheet Type DEED/NO EXEMPTION FROM REALTY TRANSFER FEE Consideration $900,000.00 Submitted By SIMPLIFILE, LLC. (SIMPLIFILE) Document Date 02/19/2025 Reference Info Book ID Book Beginning Page Instrument No. Recorded/File Date DEED/NO GRANTOR Name Address EXEMPTION FROM REALTY 4 COUSINS LLC .279 MAIN STREET, WEST TRANSFER FEE RANGE, NJ 11377 GRANTEE Address 50-18 SKILLMAN AVENUE, WOODSIDE, NY 11377 Parcel Info Property. Ty, Tax Dist. Block Lot Qualifier Municipality 99 114 50 99 “DO NOT REMOVE THIS PAGE. COVER SHEET [DOCUMENT SUMMARY FORM] IS PART OF ESSEX COUNTY REGISTER FILING RECORD. RETAIN THIS PAGE FOR FUTURE REFERENCE. €5042218-0834-C722-BC5B-2B2349A 1CIF9/7542333 9247780 Page 2 of 2

Inst. # 2025016950 - Page 3 of 9 Store # 19319-S ‘West Orange, New Jersey Prepared by: Sara Hansen Wilson, Esq. Faegre Drinker Biddle & Reath LLP Four Embarcadero Center, 27th Floor San Francisco, CA 94111-4180 Per NJSA 46:26A-3 preparer signature not required DEED This Deed is made on ___ March 13 _, 2025, BETWEEN WALGREEN EASTERN CO., INC., a New York corporation, having an address at 108 Wilmot Road, Deerfield, Illinois 60015, referted to, as the Grantor. 262 MAIN STREET REALTY, LEC, a 1 New Jersey limited liability company, having an address at 50-18 Skillman Avenue, Woe side, New York 10018, referred to as the Grantee. The words "Grantor™ gd Grantee” shall mean all Grantors and all Grantees listed above. Transfer of Ownership. The Grantor grants and conveys (transfers ownership of) the property described.below,to ‘the Grantee. This transfer is made for the sum of ONE MILLION EIGHT HUNDRED TWENTY FIVE THOUSAND and NO/100 Dollars ($1,825,000.00). The Grantor acknowledges'teceipt of this money. TAX MAP REFERENCE. (N.J.S.A. 46:4-6). West Orange Township, Essex County and State of New Jersey, being Block 114, Lot 55. Property. The property consists of the land and all the buildings and structures on the land in West Orange Township, Essex County and State of New Jerscy. The legal description of the Property is set forth on Schedule A attached hereto and made a part hereof. BEING THE SAME PREMISES conveyed to Grantor by Quit Claim Deed from Rite 1

Inst. # 2025016950 - Page 4 of 9 Store # 19319-S West Orange, New Jersey Aid of New Jersey, Inc., dated February 8, 2023 and recorded on April 26, 2023, in the Essex County Register of Deeds and Mortgages Office as Instrument Number 2023025435. Promises by Grantor. The Grantor promises that except for casements, covenants and restrictions of record, the Grantor has done no act to encumber the Property. This promise is called a “covenant as to grantor's acts" (N.JLS.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). AND SUBJECT to the restriction that except in the event that the party of the first part or its affiliates shall again become a tenant or owner of the Property, the Property shall not be used directly or indirectly for the operation of a drug store or a so-called prescription pharmacy or prescription ordering, processing or delivery facility, whether or not a pharmacist is present at such facility, or for any other purpose requiring a qualified pharmacist or othér person authorized by law to dispense medicinal drugs, directly or indirectly, for a fee or.remuneration of any kind. Notwithstanding the foregoing, the Property may be used for médical office uses including dispensing pharmaceuticals to patients at no additional charge’in connection with an office visit, provided there is no pharmacist on site. : (Text of the document ends here - signatures\commence on next page.) 2