Form Git/rep-4 - Waiver Of Seller'S Filing Requirement Of Git/rep Forms And Payment - 2004

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GIT/REP-4
State of New Jersey
(11-04)
WAIVER OF SELLER’S FILING REQUIREMENT OF
GIT/REP FORMS AND PAYMENT
(C.55, P.L. 2004)
(Please Print or Type)
OWNER(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
DIVISION OF TAXATION WAIVER DECLARATION
This waiver form with the raised seal of the New Jersey Division of Taxation at the bottom right hand corner may be presented to
the appropriate county recording officer for recording along with the deed of the owner as identified in the information above. This
form represents that the Division of Taxation has granted a waiver of the requirement that the grantor/seller/transferor of the subject
real property named herein need not file a GIT/REP-1, GIT/REP-2 or GIT/REP-3 form or pay any tax on estimated gain from the
transfer pursuant P.L. 2004, c. 55, and that the county recording officer is hereby authorized to accept this waiver form in lieu of any
other GIT/REP form without payment of any tax on estimated income gain.
By affixing the Seal of the Director, Division of
Taxation, this date
_________________________________________
(date)
the Division of Taxation has authorized this waiver.
ORIGINAL FORM MUST BE SUBMITTED TO COUNTY CLERK. PHOTOCOPIES ARE NOT ACCEPTABLE

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