Form Git/rep-2 - Nonresident Seller'S Tax Prepayment Receipt
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1
2GIT/REP-2
State of New Jersey
(4 -15)
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 HAVE A RAISED SEAL AND BE SUBMITTED TO COUNTY CLERK. PHOTOCOPIES ARE NOT ACCEPTABLE
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