168-18 Exhibit A-Authorizing Cancellation of Taxes on 665 Eagle Rock Avenue.pdf

. RTF-1 {Rew. 7/44/10) MUST SUBMIT IN DUPLICATE STATE OF NEW JERSEY ‘AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER , , (Chapter 49, P.L.1868, as amended through Chapter 33, P.L. 2008) (N.J.8.A. 46:15-5 et seq.) ‘BEFORE COMPLETING THIS AFFIDAVIT, PLEASE READ THE INSTRUCTIONS ON THE REVERSE SIDE OF THIS FORM. STATE OF NEW JERSEY FOR RECORDER'S SE ONLY }ss wiskipa cote Consideration” §. y . County RIF paid by seller. $ COUNTY ESSEX 0722 bale by. MUNICIPALITY OF PROPERTY LOCATION, WestOrange “Use symbol °C to incicate thal fee is exclusively for county use. (1) PARTY OR LEGAL REPRESENTATIVE (See Insiructions #3 and #4 on reverse side) Beponent, SUNNY UBERO! being duly = swom according to = law = upon_—shisvher oath, (Name) deposes and says that he/she is the__ Member of Grantor. in adeed dated February 28, 2018 transferring (Grantor, Legal Representative, Corporate Officer, Officer of Tila Company, Lending Institution, ete.) teal property identified as Block number _ 176.03 Lot number 10. located at 865 Eagle Rock Avenue, West Orange, New Jersey and annexed thereto. (Sirest Address, Town) (2) CONSIDERATION §. 400,000.00 (instructions #1 and #8 on reverse side) [Kho prior mortgage to which property is subject. (3) Property transferred is Class 4A 4B - 4C (circle one), if property transferred is Class 4A, calculation in Section 3A below is required. (3A)REQUIRED CALCULATION OF EQUALIZED VALUATION FOR ALL CLASS 4A (COMMERCIAL) PROPERTY TRANSACTIONS: (See instructions #5A and #7 on reverse side) ‘Total Assessed Valuation + Director's Ratio = Equalized Assessed Valuation $. + Se ® $. If Director's Ratio js less than 100%, the equalized valuation will be an amount greater than the assessed value. if Direcior’s Ratio is equal to of in excess of 100%, the aséessed value will be equal to the equalized valuation. (4) EULC EXEMPTION FROM FEE (See instruction #8 on reverse side) Deponent states that this deed transaction is fully exempt from the Realty Transfer Fee imposed by C. 49, P.L. 1968, as amended through 4 . 68, P.L. 2004, for the following reason(s). Mere reference to exemption symbol is insufficient. Explain in detail. (5) PARTIAL EXEMPTION FROM FEE (instruction #9 on reverse side) NOTE: All boxes below apply to grantor(s) only. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so will void ciaim for partial.exemption. Deponent claims

truction #9 on reverse side) NOTE: All boxes below apply to grantor(s) only. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so will void ciaim for partial.exemption. Deponent claims that this deed transaction is exempt from State portions of the Basic, Supplemental, and General Purpose Fees, as applicable, imposed by C. 176, P.L. 1975, C, 113, P.L, 2004, and C. 68, P.1.. 2004 for the following reason(s): %_ SENIOR CITIZEN Grantor(e} [--]62 years of age or over. * (Instruction #9 on Faverse side for A or 6) B. BLIND PERSON Grantor(s) F"}tegally blind or; * DISABLED PERSON Grantor(s) Fj permanentty and totally disabted [receiving disability payments [Jnot gainfully employed (or citizens, blind persons, or disabled persons must gigo meet all of the following criteria: ‘and occupied by grantor(s) at time of sale. ‘esident of State of New Jersey. Ine or two-family residential premises. wners as joint tenants must all qualify. ‘IN CASE OF HUSBAND AND WIFE, PARTNERS IN A CIVIL UNION COUPLE, ONLY ONE GRANTOR NEED QUALIFY iF TENANTS 8Y THE ENTIRETY. fon ‘AND MODERATE INCOME HOUSING (insiniction #8 on reverse side} [Affordable according to H.U.D. standards. Reserved for ocoupancy. [Meets income requirements of region. Subject to resale controls. Entirely new improvement. lot previously occupied. Not previously used for any purpose. NEW CONSTRUCTION’ printed clearly at top of first pags of the deed. @) RELATED LEGAL ENTITIES TO LEGAL ENTITIES (Instructions #5, #12, #14 on reverse side) lo prior mortgage assumed or to which property is subject at time of sale. io contributions to capital by either grantor or grantee legal entity. lo stock or money exchanged by or between grantor or grantee legal entities. (8) Deponent makes this Affidavit to induce county clerk or registerof deeds fo record the deed and accept the fee submitted herewith in accordance with the provisions of Chapter 49, P.L. 1868, as ams through Chaplpr 934P.L. 2006, (8) NEW CONSTRUCTION (instructions #2, #10 and #12 Ferre ‘side) 4 ~~ 865 Realty Management, LLC ‘Signature of Deponent ‘Grantor Name. 26 So Valley Rd, West Orange, NJ 26 So Valley Rd, West Orange, NJ DANJEC ROY Deponent Address Grantor Address at Time of Sale An Attorney at Law of NJ KK. BS Foundation Title LLC Last three digits in Grantor's Social Security Number Name/Company of Settlement Officer FOR ‘ICIAL

nent Address Grantor Address at Time of Sale An Attorney at Law of NJ KK. BS Foundation Title LLC Last three digits in Grantor's Social Security Number Name/Company of Settlement Officer FOR ‘ICIAL USE ONLY. {instrument rune 2OTRIETAS County Zo 25a. Dead Number, Deed Dated A= Ser” Bate Recreate TZ ‘County recording officers shall forward one copy of cach RTF-1 form when Section 3A is completed to: - STATE OF NEW JERSEY PO BOX 251 TRENTON, NJ 08695-0251 ATTENTION: REALTY TRANSFER FEE UNIT The Director of the Division of Taxation in the Department of the Treasury has prescribad this form as required by law, and may not be altered or amendad ‘without prior approval of the Director. For information on the Really Transfar Fee of to print a copy of this Affidavit, visit the Division of Taxation website at: ‘ww state.nj.is treasurynaxationipuiocaltax.htm