253-26 EC Register Document Summary Sheet - 8 Pine Street.pdf

Inst. # 2026056313 - Page 6 of 7 GIT/REP-3 State of New Jersey (8-25) Seller's Residency Certification/Exemption (Print or Type) Seller’s Information Name(s) Tanya Brooks, Unmarried & Current Street Address 50 Johnson Road City, Town, Post Office State ZIP Code West Orange NJ 07052 Property Information Block(s) Lot(s) Qualifier 30 9 Street Address 8 Pine Street City, Town, Post Office State ZIP Code West Orange 07052 Seller's Percentage of Ownership Total Consideration Owner's $ sideration Closing Date 507, 578,000 $289,0 19410026 B/2O/2026, sidents and Nonresidents) tant {9 the New Jersey Gross Income Tax Act, ny gail come from the disposition of this property. in 26 U.S. Code section 121. See Seller is a resident taxpayer (individual, estate, or trust) of the State of New Jerse’ will file a resident Gross Income Tax return, and will pay any applicable taxes 2. & The real property sold or transferred is used exclusively as a principal reside instructions. 3. O Seller is a mortgagor conveying the mortgaged property to a mortgageetin foreclosure or in a transfer in lieu of foreclosure with no additional consideration, 40 Seller, transferor, or transferee is an agency or authority of the United Jersey, the Federal National Mortgage Association, the Federal A) America, an agency or authority of the State of New ortgage Corporation, the Government National Mortgage Association, or a private mortgage insurance company. 5. im] Seller is not an individual, estate, or trust and is not requit ro stimated Gross Income Tax payment. 6. O The total consideration for the property is $1,000 or less 0 sole not required to make an estimated Income Tax payment. 7a, oO The gain from the sale is not recognized for federal in oe oses under 26 U.S. Code section 721, 1031, or 1033 (CIRCLE THE APPLICABLE CODE SECTION). If the indicated ion does not ultimately apply to this transaction, the seller acknowledges the obligation to file a New Jersey Income Tax return for Sor om ‘Sale and report the recognized gain. See instructions. 7b. E] seller only received like-kind property, . 8.[1 thereat property is being transferred by an exer inistrator of a decedent to a devisee or heir to effect distribution of the decedent's estate in accordance with the isians of the decedent's will or the intestate laws of this State. 9. o The real property being sold is subject td’

visee or heir to effect distribution of the decedent's estate in accordance with the isians of the decedent's will or the intestate laws of this State. 9. o The real property being sold is subject td’ shortsalé instituted by the mortgagee, whereby the seller agreed not to receive any proceeds from the sale and the mortgagee will ive all proceeds paying off an agreed amount of the mortgage. 10. oO The deed is dated prior to August 1, 2004, s not previously recorded. 11.0) The real property is being ae ie a relocation company transaction where a trustee of the relocation company buys the Property from the seller and then 1e, house to a third party buyer for the same price. 12. o The real property is being ey /een spouses or incident to a divorce decree or property settlement agreement under 26 U.S. Code section 1041. 13. [the property transferred is ry plot. ' 14, o The seller is not re from the sale, Net proceeds from the sale means the net amount due to the seller on the settlement sheet. 15. oO 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. oO 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 neither boxes 1 nor 2 apply.) Seller’s Declaration ‘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 | certify that a Power of Attomey to represent the seller(s) has been previously recorded or is being recorded simultaneously with the deed to which this fprm is attached. Tanya Brooks ignature (Seller) Indicate if Power of Attorney or Attomey in Fact Date Signature (Seller) Indicate if Power of Attorney or Attorney in Fact