TOWNSHIP OF WALL

BUILDING DEPARTMENT

ADDRESS:_____________________________________________________


BLOCK:___________________ LOT:___________________

To Whom It May Concern:

Please be advised that the structure being constructed at the above

mentioned address is to be for personal use only.

I understand that if I decide to sell the property within ten (10) years

of issuance of the certificate of occupancy, I will inform the buyers

that the structure is not covered under a new home warranty.

___________________________________________
(Signature)



___________________________________________
Print Name and Date

Sworn and subscribed on this


_______day of __________ 20___

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