STATE OF NEW JERSEY, COUNTY OF SS.:
I CERTIFY that on , 20 ,
personally came before me and stated to my satisfaction that this person (or if more than one, each person):
(a) was the maker of the attached deed;
(b) executed this deed as his or her own act; and,
(c) made this Deed for $ as the full and actual consideration paid or to be paid for the transfer of title. (Such consideration is defined in N.J.S.A. 46:15-5.)
(Print name and title below signature)
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