Form Citt-1e - Statement Of Waiver Of Transfer Tax Imposed By N.j.s.a. 54:15c-1 - New Jersey Division Of Taxation

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State of New Jersey
DIVISION OF TAXATION
CITT-1E
(1-07)
STATEMENT OF WAIVER OF TRANSFER TAX
IMPOSED BY N.J.S.A. 54:15C-1
NOTE: THIS FORM MUST BE FILED WITH FORM CITT-1
PART 1
TRANSFEROR
EIN
Name of Filing Entity
Mailing Address
City
State
Zip
Person to Contact
Telephone Number
Type of Entity
PART 2
TRANSFEREE
EIN
Name of Filing Entity
Mailing Address
City
State
Zip
Person to Contact
Telephone Number
EXEMPTIONS
Please check the box for the exemption you are claiming.
The tax imposed by N.J.S.A. 54:15C-1 does not apply to any sale or transfer
by or to the United States of America, this State, or any instrumentality, agency or subdivision thereof;
to a purchaser that is an organization determined by the federal Internal Revenue Service to be exempt
from federal income taxation pursuant to paragraph (3) of subsection (c) of section 501 of the federal
Internal Revenue code of 1986, 26 USC s.501;
having the underlying characteristics of the transactions enumerated in section 6 of P.L. 1968, c.49
(C.46:15-10);
that is subject to the fee imposed tax pursuant to section 8 of P.L. 2004, c.66 (C.46:15-7.2); or
that is incidental to a corporate merger or acquisition if the equalized assessed value of the real property
transferred is less than 20% of the total value of all assets exchanged in the merger or acquisition.
By signing this statement, the transferee is declaring that it is exempt from the Controlling Interest Transfer Tax pursuant to
P.L. 2006, c. 33, Section 3, (N.J.S.A. 54:15C-1).
Under penalties of perjury, I declare that I have examined this election, including all statements above, and to the best of
my knowledge and belief, it is true and correct and that I am properly authorized to sign and make this consent on behalf of:
___________________________________________________________________________________________
Name of Transferee
Signature and Title of Transferee
Date
___________________________________________________________________________________________
Signature of Notary
Notary stamp or seal
Date

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