Form Mw506ae - Application For Certificate Of Full Or Partial Exemption - 2013
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1
2Application for Certificate of
FORM
DO NOT WRITE OR STAPLE IN THIS SPACE
MW506AE
Full or Partial Exemption
2013
For Calendar Year 2013 or other tax year
Beginning _________ , 2013 and Ending ___________
NOTE: This form is to be used only to request a Certificate of Full or Partial Exemption from the withholding requirements on the proceeds of the sale
of real property and associated personal property in Maryland by nonresident individuals and nonresident entities. This form must be RECEIVED by
the Comptroller of Maryland, Revenue Administration Division, NRS Exemption Requests, P.O. Box 2031, Annapolis, MD 21404-2031 no later than 21
days before the closing date.
Transferor/Seller’s Information
Last Name
Name (If joint, give first names and initials of both)
Your Social Security number
Spouse’s Social Security number
Name (Corporation, Partnership, Trust, Estate, etc.)
T/A or C/O or Fiduciary
Federal Employer I.D. Number
Current Address (Number and street)
City, State and ZIP code (province, postal code and country)
Ownership Percentage
Transferor/Seller’s Entity Type
Individual
S Corporation
Business Trust
____________________ %
Estate
Partnership
Other:
Trust
Limited Liability Company
______________________
C Corporation
Limited Liability Partnership
Property Information
Description of Property (Include street address, county, or district, subdistrict and lot numbers if no address is available)
Date of Closing
Contract Sales Price
Property Account ID Number (if known)
Transferor/Seller Acquired Property By:
Transferor/Seller’s Adjusted Basis:
Purchase
1031 Exchange
Purchase price/Inherited value $ ___________________________
Gift
Foreclosure/Repossession
(see instructions)
Inheritance
Other: _________________
Add: capital improvements
and settlement costs
___________________________
Use of Property at Time of Sale:
Rental/Commercial
Vacant land
Less: depreciation (if any)
___________________________
Secondary/Vacation
Other: _________________
Adjusted basis:
$ ___________________________
Length of time used for this purpose: Years _______ Months _______
Transferee/Buyer’s Information
Name (If joint, give first names and initials of both)
Name (Corporation, Partnership, Trust, Estate, etc.)
Address (Number and street)
City, State and ZIP Code (province, postal code and country)
Transferee/Buyer’s Entity Type
Individual
C Corporation
Limited Liability Company
Business Trust
Estate
S Corporation
Limited Liability Partnership
Other:
_________________________________
Trust
Partnership
COM/RAD-306
13-49
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