Application for Certificate of Tax Lien Search

Application for Certificate of Tax Lien Search
STATE OF NEW JERSEY
DEPARTMENT OF THE TREASURY
DIVISION OF TAXATION
MAILING
ADDRESS:
DIVISION OF TAXATION
PO BOX 277
TRENTON,
NJ 0860
nd
08695
Address o
APPLICATION FOR CERTIFICATE OF TAX LIEN SEARCH
(Please type or print and submit in duplicate with $25.00
fee)
Applicant's
Title No.
Name of Corporation
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State and Date
of Incorporation
Certificate of Tax Lien Search
about to be executed on prem
specified; said premises bein
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Date
CI
INSTRUCTIONS:
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1. Certificate will be issued
Any variation of the nam
fee. Be sure to include t
2. Under 'Title Held", enter
was divested of the title
date.
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3. Give a brief description o
approximate dimensions
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Return
Date Completed
CS-152-R(4-98,R-G)
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