GIT/REP-4 State of New Jersey
(1-21)
Waiver of Sellers Filing Requirement of
GIT/REP Forms and Payment
(C.55, P.L. 2004)
(Print or Type)
Do not use this form to claim a refund. See Form A-3128.
Owners Information
Name(s)
Current Street Address
City, Town, Post Oce State ZIP Code
Property Information (Brief Property Description)
Block(s) Lot(s) Qualier
Street Address
City, Town, Post Oce 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 ocer for recording along with the deed of the owner as identied 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 le 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 ocer 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 axing 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.
GIT/REP-4 Page 2
(1-21)
Waiver of Sellers Filing Requirement Instructions
This form is only to be completed by individuals, estates, trusts or any other entity recording a deed not subject to
the Gross Income Tax estimated payment requirements under C.55, P.L. 2004 and not covered by one of the other
GIT/REP forms.
Name(s): Name of owner(s).
Address: Owner(s) primary residence or place of business.
Property Information: Information as listed on deed being recorded.
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.
This form, along with documentation supporting the request for exemption, must be completed and submitted by
email to Taxation.RegulatoryServices@treas.nj.gov for approval prior to the deed being presented to the County
Clerk for recording. Documentation supporting the request should include:
1. Detailed reasons why the exemption is being requested.
2. Copy of the RESPA/HUD-1 form or other documentation, other than the deed, showing the date the
transaction closed or deed conveyed.
3. Copy of the deed or deeds to be recorded or rerecorded.
If the waiver cannot be emailed because the party submitting the request does not have access to email or a scan-
ner, the waiver request may be submitted to Division of Taxation, Regulatory Services Branch, PO Box 269, Tren-
ton, New Jersey, 08695. Note: If mailing the request, only include a copy. Do not mail the original notarized deed.
The Division of Taxation may request additional documentation or information as it deems necessary to make a
determination. Please include a point of contact in case the Division of Taxation needs to contact you.
The Division of Taxation will either approve the request by axing the raised seal of the Director, Division of Taxa-
tion to the form or send a rejection notice.
The owner or owners attorney must submit the original Waiver of Seller’s Filing Requirement of GIT/REP Forms
and Payment to the County Clerk at the time of recording the deed. Failure to submit this form or a Nonresident
Sellers Tax Declaration (GIT/REP-1) or a Nonresident Sellers Tax Prepayment Receipt (GIT/REP-2) or a Sellers
Residency Certication (GIT/REP-3) will result in the deed not being recorded.
The county clerk will attach this form to the deed when recording the deed.