Form Git/rep-2 Sample - Nonresident Seller'S Tax Prepayment Receipt printable pdf download

Form Git/rep-2 Sample - Nonresident Seller'S Tax Prepayment Receipt

GIT/REP-2

State of New Jersey

(6-10)

NONRESIDENT SELLER’S TAX

PREPAYMENT RECEIPT

(C.55, P.L. 2004)

(Please Print or Type)

SELLER(S) INFORMATION

Name(s)

Street Address:

City, Town, Post Office

State

Zip Code

PROPERTY INFORMATION (Brief Property Description)

Block(s)

Lot(s)

Qualifier

Street Address:

City, Town, Post Office

State

Zip Code

Seller’s Percentage of Ownership

Consideration

Closing Date

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 could be punished by fine, imprisonment, or both. I furthermore declare that I have examined this declaration and,

to the best of my knowledge and belief, it is true, correct and complete. By checking this box

I certify that the Power of Attorney to represent

the seller(s) has been previously recorded or is being recorded simultaneously with the deed to which this form is attached.

__________________________________________

_____________________________________________________________________

Date

Signature

(Seller) Please indicate if Power of Attorney or Attorney in Fact

__________________________________________

_____________________________________________________________________

Date

Signature

(Seller) Please indicate if Power of Attorney or Attorney in Fact

I hereby certify by affixing the Seal of the Director,

Division of Taxation, that on

_________________________________________

(date)

payment was received from the seller(s) listed above,

in an amount as required under C.55, P.L. 2004 but

not less than 2% of the consideration price stated

above.

ORIGINAL FORM MUST BE SUBMITTED TO COUNTY CLERK. PHOTOCOPIES ARE NOT ACCEPTABLE

Form Git/rep-2 Sample - Nonresident Seller'S Tax Prepayment Receipt

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