Form Rtf-1 - Affidavit Of Consideration For Use By Seller

RTF-1 (Rev. 7/14/10)

STATE OF NEW JERSEY

MUST SUBMIT IN DUPLICATE

AFFIDAVIT OF CONSIDERATION FOR USE BY SELLER

(Chapter 49, P.L.1968, as amended through Chapter 33, P.L. 2006) (N.J.S.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 USE ONLY

}

Consideration

$ _____________________

ss.

County Municipal Code

___________________

RTF paid by seller

COUNTY

Date___________ By _____________________

_________________

________________

MUNICIPALITY OF PROPERTY LOCATION

_________________________

*Use symbol “C” to indicate that fee is exclusively for county use

(1) PARTY OR LEGAL REPRESENTATIVE (See Instructions #3 and #4 on reverse side)

Deponent,

______________________________,

being

duly

sworn

according

law

upon

his/her

oath,

(Name)

deposes and says that he/she is the____________________________ in a deed dated ________________________ transferring

(Grantor, Legal Representative, Corporate Officer, Officer of Title Company, Lending Institution, etc.)

real property identified as Block number ___________________________ Lot number __________________________located at

_______________________________________________________________________________

and

annexed

thereto

Street Address, Town

(

)

(2) CONSIDERATION $__________________(Instructions #1 and #5 on reverse side)

no prior mortgage to which property is subject.

_________________________________________________________________________________________________________

(3) Property transferred is Class 4A

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

$_____________________  ____________% = $_________________________

If Director’s Ratio is less than 100%, the equalized valuation will be an amount greater than the assessed value. If Director’s Ratio is equal to or in excess of

100%, the assessed value will be equal to the equalized valuation.

(4) FULL 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

C. 66, 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 claim 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. 66, P.L. 2004 for the following reason(s):

______________________________________________________________________________________________________________________

SENIOR CITIZEN

Grantor(s)

62 years of age or over. * ( Instruction #9 on reverse side for A or B)

BLIND PERSON

Grantor(s)

legally blind or; *

DISABLED PERSON Grantor(s)

permanently and totally disabled

receiving disability payments

not gainfully employed*

Senior citizens, blind persons, or disabled persons must also meet all of the following criteria:

Owned and occupied by grantor(s) at time of sale.

Resident of State of New Jersey.

One or two-family residential premises.

Owners 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 BY THE ENTIRETY.

________________________________________________________________________________________________________________________________________________

LOW AND MODERATE INCOME HOUSING (Instruction #9 on reverse side)

Affordable according to H.U.D. standards.

Reserved for occupancy.

Meets income requirements of region.

Subject to resale controls.

(6) NEW CONSTRUCTION (Instructions #2, #10 and #12 on reverse side)

Entirely new improvement.

Not previously occupied.

Not previously used for any purpose.

“NEW CONSTRUCTION” printed clearly at top of first page of the deed.

________________________________________________________________________________________________________________________________________________

(7) RELATED LEGAL ENTITIES TO LEGAL ENTITIES (Instructions #5, #12, #14 on reverse side)

No prior mortgage assumed or to which property is subject at time of sale.

No contributions to capital by either grantor or grantee legal entity.

No stock or money exchanged by or between grantor or grantee legal entities.

________________________________________________________________________________________________________________________________________________

(8) Deponent makes this Affidavit to induce county clerk or register of deeds to record the deed and accept the fee submitted herewith in

accordance with the provisions of Chapter 49, P.L. 1968, as amended through Chapter 33, P.L. 2006.

Subscribed and sworn to before me

____________________________

______________________________

this

day of

, 20

Signature of Deponent

Grantor Name

_____________________________________

________________________________________

Deponent Address

Grantor Address at Time of Sale

_______ XXX-XXX-___________ _

______________________________

Last three digits in Grantor’s Social Security Number

Name/Company of Settlement Officer

FOR OFFICIAL USE ONLY

Instrument Number___________________ County_________________

Deed Number_________________ Book __________ Page_________

Deed Dated ___________________ Date Recorded ________________

County recording officers shall forward one copy of each 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 prescribed this form as required by law, and may not be altered or amended

without prior approval of the Director. For information on the Realty Transfer Fee or to print a copy of this Affidavit, visit the Division of Taxation website at:

Form Rtf-1 - Affidavit Of Consideration For Use By Seller - 2010

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