PB 26 01 Application

Inst, # 2025062136 - Page 5 of 9 GIT/REP-3 - State of New Jersey (8-24) Seller’s Residency Certification/Exemption (Print or Type} Seller’s Information Name(s) Antonia Silvestri Naim N/K/A Antonia Silvestri, unmarried Current Strest Address — Mia Dello Zeffiro N.8, San Casciang Det Bagn! City, Town, Post Office State ° ZIP Code -Information . = Lotis) ; ~ Cualiier Street Address 45 Ridgeway Avenue Clty, Town, Post Office State ZIP Code West Orange NJ 07052 Seller's Percentage of Ownership Owner's Share of Consideration * 1% 1 | me Seller is a resident taxpayer (Individual, estate, or trust) of the State of New Jersey pursuant to the New Jersey Gross Income Tax Act, will file a resident Gross Income Tax return, and will pay any applicable taxes on any gain or income from the disposition of this property, 2 & ‘The real property sold or transferred Is used exclusively as a principal residence as defined in 26 U.S. Code section 121, 3. 0 Seller Is a mortgagor conveying the mortgaged property to a mortgagee In forectosure or in a transfer in fieu of foreciosure with na additional consideration, 4 Oo Seller, transferor, or transferee is an agency or authority of the United States of, ‘America, an agency or authority of the State of New Jersey, the Federal National Mortgage Assaclation, the Federal Home Loan Mortgage Corporation, the Government National Mortgage Association, or a private mortgage Insurance company. we 6, 1 Setteris not an individual, estate, or trust and is not required to make en estimated Gross Income Tax payment. 6. Oo The total consideration for the property Is $1,000 or less so the seller Is not required to make an estimated Income Tax payment. 7a, ima] ‘The gain from the sala Is not recognized for federal income tax purposes under 26 U.S, Code section 721, 1031, or 1633 (CIRCLE THE APPLICABLE CODE SECTION). If the indicated section does not ultimately apply to this transaction, the seller acknowledges the obligation to file a New Jersey Income Tax retum for the year of the sale and report the recognized gain. See Instructions, 7b. Oo Seller only received IIke-kind property. & Oo The real property Is beng transferred 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

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, EI the real property being sold is subject to a short sale Instiluted by the mortgagee, whereby the seller agreed not to receive any proceeds from the sale and the mortgagee will recelve all proceeds paying off an agreed amount of the mortgage. 10, oC ‘The deed is dated prior to August 1, 2004, and was not previously recorded. 1.01 The real property Is being transferred under a relocation company transaction where a trustee of the relocation company buys the property from the seller and then sells the house to a third party buyer for the same price, 12, im] ‘The real property is being transferred between spouses or Incident to 2 divorce decree or property settlement agreement under 26 U.S, Code section 1041. 13. 1 the property transferred is a cemetery plot. 14, oO ‘The seller Is not recelving net proceeds from the sale, Net praceeds from the safe means the net amount due to the seller on the settlement sheet. 15, C1 the setter Is a ratirement trust that received an acknowledgment letter from the Intemal Revenue Service that the selleris a retirement trust, and Is therefore not required to make the estimated Gross Income Tax payment, 16, a ‘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, ‘Asmed Forces and Is now selling the property as a result of being deployed on active duty outside of New Jersey. (Only check this box If applicable and neither boxes 1 nor 2 apply.) Seller’s Declaration ‘ a ‘The undersigned understands that this declaration and Its contents may ba ‘disclosed or provided to the New Jersey Division of Taxation and that any false statement contained herein may be punlshed by fine, imprisonment, or both. I furthermore declare that | Rave examined this declaration and, to the best of my knowledge and belief, itis tre, correct and complete, By checking this box [mi I certify that a Power of Attomey to repre- sent the seller(s) has been previously recorded or is belng recorded simultaneously with the dead to which this form is attached, Sela _Ralsc— Vy Antonia Silvestri Naim NKA Antonia Silvestri Date! 7 Signature (Seller) _tndicate if Power

y recorded or is belng recorded simultaneously with the dead to which this form is attached, Sela _Ralsc— Vy Antonia Silvestri Naim NKA Antonia Silvestri Date! 7 Signature (Seller) _tndicate if Power of Attorney or Attomey in Fact Date Signature (Seller) Indicate if Power of Attorney or Attorney in Fact