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signed by the qualified intermediary, or by the person authorized

Signature(s)

to sign on behalf of a business entity acting as the qualified

Form MW506AE must be signed by an individual (both taxpayer

intermediary, which states the name(s) of the transferor(s),

and spouse, if filing a joint Maryland income tax return), or a

the property description, that the individual or business will be

responsible corporate officer.

acting as the qualified intermediary for the transferor(s) as part

Please include a daytime telephone number where you can be

of a §1031 exchange of the property, whether there will be any

reached between 8:00 AM and 5:00 PM.

boot, and if so, the amount of boot. The amount of any boot

must be stated on the application as the taxable amount.

If you would like to be contacted by email in the event that more

information is needed to process your application, please include

Transferor/seller is receiving zero proceeds from this

your email address and check the box allowing us to contact you

transaction.

by email. The exemption certificate, if issued, will not be emailed

Note: This situation applies when all proceeds go to another

to you.

seller/co-owner. This does not apply if you receive ANY proceeds.

Your signature(s) signifies that your application, including all

Required documentation in addition to that on page 1; copy of

attachments, is, to the best of your knowledge and belief, true,

a letter from the transferor/seller to the title company advising

correct and complete, under penalties of perjury.

they are to receive zero proceeds from the sale and advising to

If a power of attorney is necessary, complete Maryland Form 548

whom the proceeds are to go; a copy of the acknowledgment

and attach to your application.

letter from the title company to the transferor/seller that all

proceeds are to go to another seller/co-owner.

Where to File

Transfer is pursuant to an installment sale under §453 of

Mail the completed form and all attachments to:

the Internal Revenue Code.

Comptroller of Maryland

Revenue Administration Division

Required documentation in addition to that on page 1; copy

Attn: NRS Exemption Requests

of contract of sale or copy of settlement sheet from the title

P.O. Box 2031

company; copy of promissory note to transferor which will be

Annapolis, MD 21404-2031

executed by transferee at settlement. That portion of the total

payment that the transferor receives at or within sixty (60) days

of settlement must be stated on the application as the taxable

E-mail the completed form and all attachments to nrshelp@

amount.

comp.state.md.us

Transfer of inherited property is occurring within 6

Note: The e-mail submission will not expedite the processing of

months of date of death.

your application. If you are e-mailing large attachments, send

Required documentation in addition to that on page 1; provide

multiple smaller e-mails.

a copy of the death certificate and a copy of the estimated

Submit your application via only one method.

settlement sheet from the title company.

Additional Information

Transferor/seller is the custodian of an individual

retirement account.

For additional information visit ,

e-mail nrshelp@comp.state.md.us or call 1-800-MDTAXES

Required documentation in addition to that on page 1; provide a

(1-800-638-2937) or 410-260-7980 in Central Maryland.

copy of the preliminary settlement sheet from the title company,

the custodian’s certificate of good standing from its state of

incorporation, and a letter from the title company stating that all

proceeds will be disbursed to the custodian.

Transfer is pursuant to a specific Internal Revenue Code

section. Please see addendum.

Address to Mail Certificate if Issued

Please provide the name and address of the title company

or settlement agent to whom we should mail the exemption

certificate if issued. If you do not know the identity of the title

company or settlement agent at the time you complete this

form, you must email the name and address to nrshelp@comp.

state.md.us as soon as possible. You must provide a mailing

address to avoid delay in recording the sale.

17-49

Form Mw506ae Draft - Application For Certificate Of Full Or Partial Exemption - 2017 Page 4

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