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
2014
in Maryland by nonresident individuals and entities.
Beginning _________ , 2014 and Ending __________
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
Ownership Percentage
Transferor/Seller’s Entity Type:
________________________%
Individual/ Estate/ Trust
Business
Property Information
Description of Property (Include street address, county, or district,
Use of Property at Time of Sale:
subdistrict and lot numbers if no address is available.)
Rental/Commercial
Yes
No
(Note: Income tax returns are required in most circumstances - see instructions.)
Length of time used for this purpose: Years ______ Months _______
Date of Closing
Property Account ID Number (if known)
Calculation of Tentative Exemption
(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 is final and not subject to appeal.)
1. Purchase price/Inherited value. (Attach a copy of the HUD-1 or Death Certificate and appraisal.) . . . . . . . . . . . . 1. ___________________
2. Capital Improvements. (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
8. Subtract (Line 6 from Line 7). This is the amount subject to tax. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8. ___________________
9. Tax Rate. Check box for applicable tax rate.
a.
Individual
7% (.07)
b.
Business
8.25% (.0825)
10. Tentative withholding amount. Multiply line 8 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.