AFFIDAVIT OF CONTRACT DATE
Under penalties of perjury, the undersigned hereby declares that he/she has examined the
attached Form 5402, Realty Transfer Tax Return (the “Return”), and in connection with the filing of the
Return, he/she hereby certifies from personal knowledge, that the contract for the sale of the real
property that is the subject of the Return was entered into on . This
Affidavit is provided as evidence in support of the reduction of the applicable tax rate permitted on Line
7 of Part C of the Return. The parties authorize the Division of Revenue to request and obtain sufficient
documentation to verify the information provided in this Affidavit.
Subscribed and sworn to before me, a Notary Public, on this
, 20 .