Form Git/rep-4a - Waiver Of Seller'S Filing Requirement Of Git/rep Forms And Payment For Corrected Deed With No Consideration Page 2

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Waiver of Seller's Filing Requirement Instructions
This form is only to be completed by a title owner recording a deed to which this form is attached for
corrective or confirmatory purposes only which needs to be recorded or re-recorded due to a typographical,
clerical, property description or other scrivener error or omission and there is no consideration for the
corrective or confirmatory deed that is subject to the Gross Income Tax estimated payment requirements
under C.55, P.L. 2004 and is not covered by one of the other GIT/REP forms. The information to be put on
the form includes:
Name(s): Name of owner(s) listed on the deed as the grantee(s).
Address: Owner(s) primary residence or place of business.
Property Information: Information as listed on the corrective or confirmatory deed being recorded.
Signature: Seller(s) must sign and date the declaration. If the seller's representative is signing the
declaration either (1) a Power of Attorney executed by the seller(s) to the representative must be
previously recorded or recorded simultaneously with the deed to which this form is attached, or (2) a
letter signed by the seller(s) granting authority to the representative to sign this form must be
attached.
All information requested on this form must be completed. Failure to complete the form in its entirety will
result in the deed not being recorded.
The owner or owner's attorney must submit the original Waiver of Seller's Filing Requirement of GIT/REP-4A
form to the County Clerk at the time of recording the corrective or confirmatory deed. Failure to submit this
form or a Nonresident Seller's Tax Declaration (GIT/REP-1) or a Nonresident Seller's Tax Prepayment Receipt
(GIT/REP-2) or a Seller's Residency Certification (GIT/REP-3) or other waiver form (GIT-REP-4) will result in
the deed not being recorded.
The county clerk will attach this form to the deed when recording the deed.

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