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Page 1 of 3 Prepared by: DEED OF RIGHT-OF-WAY DEDICATION THIS DEED is made on this day of , 20 by whose mailing address is (hereinafter referred to as "Grantor"), and THE COUNTY OF CAPE MAY, a body corporate and politic of the State of New Jersey, with offices at 4 Moore Road, Cape May Court House, New Jersey 08210 (hereinafter referred to as "Grantee"). The words “Grantor” and “Grantee” shall mean all Grantors and all Grantees listed above. 1. Transfer of Ownership. The Grantor grants and conveys (transfers ownership of) the property (called the "Property") described below to the Grantee. This transfer is made for the sum of One ($1.00) Dollar. The Grantor acknowledges receipt of this money. 2. Tax Map Reference. (N.J.S.A. 46:15-2.1) Municipality of , Block No. , Lot No. . 3. Property. The Property consists of the land and all the buildings and structures on the land in the of , County of Cape May and State of New Jersey. The legal description is: ALL that certain lot, tract, or parcel of land required for widening a portion of Road (County Road No. as more particularly described in Schedule (attached hereto and made a part hereof in one page) which is a legal description prepared on by . BEING a portion of the lands and premises conveyed unto Grantor by deed from , dated and ---PAGE BREAK--- Page 2 of 3 recorded in the Cape May County Clerk's Office on at Deed Book , Page . THE described lands are also identified on a certain filed Site Plan/Subdivision Map entitled “ , Cape May County, New Jersey” dated , and prepared by , N.J. License No. , (which subdivision map was filed on in the Cape May County Clerk’s Office as Map No. ) (strike out if Dedication is required as a condition of Site Plan approval). THIS conveyance is made pursuant to and as a condition of subdivision/site plan review and approval by the Cape May County Planning Board under N.J.S.A. 40:27-6.6 (Cape May County Planning Board File Number This conveyance is made as a dedication to the County of Cape May, New Jersey, for the purpose of future road widening of the aforesaid Road (County Road No. 4. Promises by Grantor. The Grantor promises that the Grantor has done no act to encumber the Property. This promise is called a "covenant as to grantor's acts" (N.J.S.A. 46:4-6). This promise means that the Grantor has not allowed anyone else to obtain any legal rights that affect the Property (such as by making a mortgage or allowing a judgment to be entered against the Grantor). 5. Signatures. The Grantor signs this Deed as of the date at the top of the first page. If the Grantor is a corporation, this Deed is signed and attested to by its proper corporate officers and its corporate seal is affixed. WITNESS: GRANTOR: ---PAGE BREAK--- Page 3 of 3 (ACKNOWLEDGMENT) STATE OF : : ss. COUNTY OF : I HEREBY CERTIFY that on , 20 , the Grantor, , appeared before me and established to my satisfaction that: he/she signed, sealed and delivered this Easement as his/her act and deed individually and/or on behalf of any corporate entity named herein as Grantor; if executed on behalf of a corporate Grantor, he/she verified that he/she has been authorized to execute this Easement on behalf of the corporation and has affixed the true seal of the corporation hereto; and made this Easement for One Dollar ($1.00) as the fill 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.) NOTARY PUBLIC Seal RECORD AND RETURN TO: OFFICE OF COUNTY COUNSEL 4 Moore Road, DN-104 Cape May Court House, N.J. 08210 Tel. (609) 465-1122 Fax (609) 463-0705