252-26 Deed.pdf

GIT/REP-3 State of New Jersey (8-25) * . " ificati : ipa orTy8 Seller’s Residency Certification/Exemption Seller's. Information Name(s) SALVATORE MUSSO Current Street Address 620 Pascack Road, Room 222 City, Town, Post Office State ZIP Code Washington Twp. NJ 07676 Property Information Block(s) Lot(s) Qualifier 142 21 Street Address 102 Elm Street City, Town, Post Office State ZIP Code West Orange NJ 07052 Seller's Percentage of Ownership Total Consideration Owner's Share, gf Gonsideration Closing Date 25° $350,000.00 $87,500:00._ Seller’s Assurances (Check the Appropriate Box) (Boxes 2 through 16 appli uob Residents and Nonresidents 1. B] selteris a resident taxpayer (individual, estate, or trust) of the State of New Jersey pursif@fitto ‘tig New Jersey Gross Income Tax Act, will file a resident Gross Income Tax return, and will pay any applicable taxes on an gain or a from the disposition of this property. 2. oO The real property sold or transferred is used exclusively as a principal residend ‘as definéd'in 26 U.S. Code section 121. See instructions. Seller is a mortgagor conveying the mortgaged property to a mortgagee in torte in a transfer in lieu of foreclosure with no additional consideration. Seller, transferor, or transferee is an agency or authority of the United State’: ‘of America, an agency or authority of the State of New Jersey, the Federal National Mortgage Association, the Federal Home Lo; Ban Mortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. Seller is not an individual, estate, or trust and is not required tg maken Sstimated Gross Income Tax payment. The total consideration for the property is $1,000 or less softhe Seueris Mot required to make an estimated Income Tax payment. The gain from the sale is not recognized for federal income tax purposes under 26 U.S. Code section 721, 1031, or 1033 (CIRCLE THE APPLICABLE CODE SECTION), If the indicated section,doss not ultimately apply to this transaction, the seller acknowledges the obligation to file a New Jersey Income Tax return for the Yagi ghihe sale and report the recognized gain. See Instructions. Seller only received like-kind property. The real property is being transferred by an exe: arsety ‘administrator of a decedent to a devisee or heir to effect distribution of the decedent's estate in

Seller only received like-kind property. The real property is being transferred by an exe: arsety ‘administrator of a decedent to a devisee or heir to effect distribution of the decedent's estate in accordance with the provisigns’ofthe decedent's will or the intestate laws of this State. The real property being sold is subject toa Short sat sale’ instituted by the mortgagee, whereby the seller agreed not to receive any proceeds from the sale and the mortgagee will racelve all proceeds paying off an agreed amount of the mortgage. ‘The deed is dated prior to August 1, 2004band yas not previously recorded. The real property is being transfered under a relocation company transaction where a trustee of the relocation company buys the property from the seller and then sélls,the house to a third party buyer for the same price. The real property is being oOo spouses or incident to a divorce decree or property settlement agreement under 26 U.S. s ~ m & x ~ s r) OOop 00800 ooo og - 25S Nv Code section 1041, The property transferred is plot. The seller is not recefNifi@etproceeds from the sale. Net proceeds from the sale means the net amount due to the seller on the settlement sheet. 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. 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 duty outside of New Jersey. (Only check this box if applicable and nelther boxes 1 nor 2 apply.) Fe 15. Seller’s Declaration The undersigned understands that this declaration and its contents may be disclosed or provided to the New Jersey ion 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 checking this box 6 | certify that a Power of Attorney to represent the seller(s) has been previously recorded or is being recorded simultaneously with the At fe 0 Sabot om urs d Date Signature (Seller) Indicate if Power of Attorney or Attorney in Fact Date

present the seller(s) has been previously recorded or is being recorded simultaneously with the At fe 0 Sabot om urs d Date Signature (Seller) Indicate if Power of Attorney or Attorney in Fact Date Signature (Seller) __ Indicate if Power of Attorney or Attorney in Fact