STATE OF DELAWARE :
: SS
COUNTY OF SUSSEX :
FIRST TIME HOME BUYER AFFIDAVIT
SUSSEX COUNTY REALTY TRANSFER TAX
BE IT REMEMBERED that on this _________ day of __________
_________, A.D.,
20 ____, personally appeared before me, the Subscriber, a Notary Public for the State
and County aforesaid, the Undersigned, known to me personally to be such, who being
by me duly sworn in due form of law does depose and say as follows:
1. That I am one of the purchasers of the property described in the attached Deed;
2. That at no time have I, either individually or as a co-tenant, held any interest in
residential real esta
te, wherever located, which has been occupied by me as my
principal residence, and that property being conveyed to me will be occupied by
me as my principal residence within ninety (90) days following recordation of the
attached Deed;
3. That my residence(s) for the past ten (10) years is (are) as follows:
a. ______________________________________________________
b. ______________________________________________________
c. ______________________________________________________
d. ______________________________________________________
e. _____________________________________________________
4. That I qualify as a “first time home buyer” within the meaning of Chapter 103 of
the Code of Sussex County, relating to the Sussex County Realty Transfer Tax.
(SEAL
)
SWORN AND SUBSCRIBED before me the day and year aforesaid.
______________________________________
Notar
y Public
Grantee's Signature
Print Name of Grantee
___________________________________
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