Name and Address of Attorney (List your information if you are not represented by an attorney) Telephone Number Tax Court of New Jersey Docket No. Plaintiff, Civil Action Application For Judgment Pursuant To N.J.S.A. 54:51A-8 v. (Tax Court Freeze Act) Defendant. Block Lot Street Address 1. Plaintiff is the taxpayer of the above property and demands judgment for tax year(s) year(s)) pursuant to N.J.S.A. 54:51A-8 based upon a judgment of the Tax Court for tax year (base year). A final judgment has been (will be) entered by the Tax Court for tax year the assessment on the captioned property to be: $ Land $ Improvements $ Total (freeze (base year) determining 2. There is no appeal pending from said base year judgment (or, if said judgment has not yet been entered, it is agreed that such judgment when entered will be a final judgment and no appeal will be filed therefrom). 3. The original assessment and the county tax board action for the captioned property for the year(s) for which the freeze is requested (not the base year) are as follows: Original Assessment County Tax Board Assessment Year(s) Year(s) $ $ $ $ Land $ $ $ $ Improvements $ $ $ $ Total 4. There has been no change in value of the captioned property, revaluation or reassessment put into effect for the defendant taxing district for the freeze year(s) referred to in paragraph one (1) above. 5. A judgment entered pursuant to this Application shall be a final disposition of this case and the entire controversy and of any actions pending or hereafter instituted by the parties concerning the assessment on the property referred to herein for said Freeze Act year(s). 6. No Freeze Act year(s) shall be the basis for application of the Freeze Act for any subsequent year. It is stipulated and agreed that a judgment incorporating the above terms be entered affirming that the judgment for the base year is applicable for the freeze year(s). Date Plaintiff or Attorney for Plaintiff Date Attorney for Defendant Note: 1. The Freeze Act, N.J.S.A. 54:51A-8, does not apply to a judgment granting an exemption or granting qualification for farmland assessment. 2. It is the policy of the Tax Court not to issue judgments applying the Freeze Act to an assessment until the assessment date has passed. Revised 09/2008, CN 11016-English, Freeze Act based on Tax Court Judgment (N.J.S.A. 54:51A-8) page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com