MARYLAND
DO NOT WRITE OR STAPLE
Application for Certificate of
IN THIS SPACE
FORM
Full or Partial Exemption
MW506AE
For the sale of real property or associated personal property
2016
in Maryland by nonresident individuals and entities.
The form and required documents MUST BE RECEIVED no later than 21 days before closing date.
Social Security Number
Spouse's Social Security Number
Your First Name
Initial
Last Name
Spouse's First Name
Initial
Last Name
Name (Corporation, Partnership, Trust, Estate, etc.)
T/A or C/O or Fiduciary
Federal Employer Identification Number
Present Address (No. and street)
City or Town
State
ZIP code
Transferor/Seller’s Entity Type:
Ownership Percentage
________________________%
Individual/ Estate/ Trust
Business
Property Information
Was the property ever used as a rental or commercial property?
Description of Property (Include street address, county, or district,
subdistrict and lot numbers if no address is available.)
(Note: Income tax returns are required in most circumstances - see instructions.)
Yes
No
Dates used as a rental/commercial property (dd/mm/yyyy):
FROM _______________ TO _________________
Date of Closing
Property Account ID Number (if known)
Calculation of Tentative Exemption - Required
(The certificate of exemption will be calculated based on actual documents received & amounts substantiated. The Comptroller’s decision to issue or
deny a full or partial exemption and the amount is final and not subject to appeal.) See instructions for more details on required documentation.
1. Purchase price/Inherited value. (Attach a copy of the HUD-1 or Death Certificate and appraisal.) . . . . . . . . . . . . 1. ___________________
2. Capital Improvements. (Optional. Will not be credited unless properly documented. Attach paid invoices or
receipts with cancelled checks for improvements.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. ___________________
3. Settlement costs. (Attach HUD-1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. ___________________
4. Add (Lines 1 through 3) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. ___________________
5. Depreciation deducted for rental activity on federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. ___________________
6. Subtract (Line 5 from Line 4). This is your adjusted basis. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. ___________________
7. Contract sales price. (Attach contract [1
page and signature pages] or preliminary HUD-1.) . . . . . . . . . . . . . . . 7. ___________________
st
8a. Subtract (Line 6 from Line 7). This is the amount subject to tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8a. ___________________
8b. Multiply Line 8a by ownership percentage (1.00, .50, .333, etc.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8b. ___________________
9. Tax Rate. Check box for applicable tax rate.
a.
Individual
7.5% (.075)
b.
Business
8.25% (.0825)
10. Tentative withholding amount. Multiply line 8b by applicable tax rate.
If Line 8 is zero (0) or less than zero (0), enter zero (0). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. __________________
NOTE: This amount will be recalculated by the Comptroller’s Office based on the actual documentation received and amounts substantiated.
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