PARTIAL EXEMPTION FROM FEE (See Instruction Clause Samples

PARTIAL EXEMPTION FROM FEE (See Instruction. 9 on reverse side) NOTE: All boxes below apply to grantor(s) only. ALL BOXES IN APPROPRIATE CATEGORY MUST BE CHECKED. Failure to do so will void claim for partial exemption. Deponent claims that this deed transaction is exempt from State portions of the Basic Fee, Supplemental Fee, and General Purpose Fee, as applicable, imposed by C. 176, P.L. 1975, C. 113, P.L. 2004, and C. 66, P.L. 2004 for the following reason(s): A. SENIOR CITIZEN Grantor(s) ¨ 62 years of age or over.* (Sea Instruction #9 on reverse side for A or B) B. { BLIND PERSON Grantor(s) ¨ legally blind or;* DISABLED PERSON Grantor(s) ¨ permanently and totally disabled ¨ Receiving disability payments ¨ Not gainfully employed* Senior citizens, blind persons, or disabled persons must also meet all of the following criteria: ¨ Owned and occupied by Grantor(s) at time of sale. ¨ Resident of State of New Jersey. ¨ One or two-family residential premises. ¨ Owners as joint tenants must all qualify. *IN THE CASE OF HUSBAND AND WIFE, PARTNERS IN A CIVIL UNION COUPLE, ONLY ON GRANTOR NEEDS TO QUALIFY IF TENANTS BY THE ENTIRETY.