NOTICE OF SETTLEMENT

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File No.

Owner(s) Name(s) and Address(es)

Purchaser(s) Name(s) and Address(es)

Lenders Name and Address

NOTICE is hereby given of a contract, agreement of sale, or mortgage commitment between the parties hereto.

The lands to be affected are described as follows:

ALL THAT (THOSE) CERTAIN tract(s) or parcel(s) of land and premises situate, lying, and being in the Municipality of , County of , and State of New Jersey, commonly known as and more particularly described as follows:

BEING known as Lot , Block , Tax Map.

, , , New Jersey.

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ACKNOWLEDGEMENT

State of New Jersey, County of Passaic

Be it remembered that on __________________, before me, the subscriber, personally appeared __________________, who I am satisfied, is or are the person(s) named in and who executed the within instrument, and thereupon he, she, or they signed, sealed, and delivered the same as such office aforesaid on behalf of the corporation and that the within instrument is the voluntary act and deed of such corporation.

Sworn to and subscribed before me, the date aforesaid.

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