New Jersey Waiver of Seller's Filing Requirement of GIT/REP Forms and Payments for Corrected Deed With No Consideration

Waiver of Seller's Filing Requirement of GIT/REP Forms and Payments for Corrected Deed With No Consideration
Waiver of Seller’s Filing Requirement of GIT/REP Forms and Payment For Corrected Deed With No Consideration, Form GIT-REP-4A
State of New Jersey

GIT/REP-4A	
(06-10) 	

Waiver of Seller’s Filing Requirement of
GIT/REP Forms and Payment For Corrected Deed
With No Consideration
(C.55, P.L. 2004)

(Print or Type)

Owner’s Information
Name(s)

Current Resident Address

City, Town, Post Office	

State	

Property Information (Brief Property Description)
Block(s)	

Lot(s)	

ZIP Code

Qualifier

Street Address

City, Town, Post Office	

State	

ZIP Code

Owner(s) Declaration
The undersigned is (are) the title owner(s) of the real property identified under the “Property Information” section above.
By presenting this declaration fully completed and signed by me (us), I (we) represent that the deed to which this form is
attached is for corrective or confirmatory purposes only. In other words, the deed needs to be recorded or re-recorded solely
due to a typographical, clerical, property description, or other scrivener error or omission and there is no consideration for
the corrective or confirmatory deed. The county recording officer will accept this form for recording along with such deed. The
recording officer may also, however, continue to accept the GIT/REP-4 form with the Division’s raised seal in lieu of the GIT/
REP-4A. 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.
This waiver form may be presented to the appropriate county recording officer for recording along with the deed of the owner
as identified in the information above. Accordingly, the county recording officer is hereby authorized to accept this waiver
form in lieu of any other GIT/REP form without any further payment of any tax on estimated income gain pursuant P.L. 2004,
c. 55.

	

Date	

	

Date	

	

	

Signature (Owner)	

Indicate if Power of Attorney or Attorney in Fact

Signature (Owner)	

Indicate if Power of Attorney or Attorney in Fact

GIT/REP-4A	
(06-10)

Page 2

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.