Form Wv/nrae - Application For Certificate Of Full Or Partial Exemption Form - West Virginia State Tax Department Page 4

ADVERTISEMENT

(60) days of settlement must be stated on the application as the
purposes of §1041 of the Internal Revenue Code.
taxable amount.
Required documentation: Copy of marriage license or divorce
LINE 4 Transfer is by a tax-exempt entity for purposes of §501(a)
decree; copy of deed which will be recorded to accomplish the
of the Internal Revenue Code and transfer involves limited
transfer; if incident to divorce, copy of section of court order or
or no unrelated business taxable income under §512 of the
separation agreement governing transfer of the property.
Internal Revenue Code.
LINE 11 Transfer is treated as a transfer by an S corporation for
Required documentation: Copy of determination by the Internal
purposes of §1368 of the Internal Revenue Code.
Revenue Service that transferor is a tax-exempt entity for purposes
Required documentation: Copy of agreement governing transfer
of §501(a) of the Internal Revenue Code; Certificate of Good
between transferor and transferee; copy of approval by the Internal
Standing of transferor issued by the state in which transferor
Revenue Service of transferor’s S corporation election; Certificate
is incorporated; notarized affidavit executed on behalf of
of Good Standing issued by the state in which transferor is
transferor by its President and Treasurer stating that the transfer
incorporated.
involves limited or no unrelated business income under §512 of
LINE 12 Transfer is to a disregarded entity, classified as such, that
the Internal Revenue Code.
is solely owned by the transferor.
LINE 5 Transfer is to a partnership in exchange for an interest in
Required documentation: Copy of agreement governing transfer
the partnership such that no gain or loss is recognized under §721
from transferor to transferee; certified copy of transferee’s Articles
of the Internal Revenue Code.
of Organization; Certificate of Good Standing of transferee issued
Required documentation: Copy of agreement governing transfer
by the state in which transferee is organized; copy of transferee’s
between transferor and transferee; copy of the partnership
Operating Agreement.
agreement of the transferee.
LINE 13 Transfer is otherwise fully or partially exempt from the
LINE 6 Transfer is by a partnership to a partner of the partnership
recognition of gain in accordance with attached explanation.
in accordance with §721 of the Internal Revenue Code.
Required documentation: Attach any and all documents necessary
Required documentation: Copy of agreement governing transfer
to show that the transfer is fully or partially exempt from tax.
between transferor and transferee; copy of the partnership
Provide brief explanation of your reason for
agreement of the transferor.
requesting exemption
LINE 7 Transfer is treated as a transfer by a real estate investment
Provide a brief explanation of why the sale or transfer of the
trust for purposes of §857 of the Internal Revenue Code.
property qualifies for a full or partial exemption from the income
Required documentation: Copy of agreement governing transfer
tax withholding requirement. If necessary, attach additional
between transferor and transferee; certified copy of Articles of
documentation to support your request for a full or partial
Incorporation of transferor; Certificate of Good Standing of
exemption, and to support your calculation of the dollar amount
transferor issued by the state in which transferor is incorporated.
subject to tax, if the request is for partial exemption.
LINE 8 Transfer is a tax-free exchange for purposes of §1031 of the
Calculation of tax to be withheld
Internal Revenue Code.
Complete this section if you are requesting a partial exemption.
This section must be completed or the application for partial
Required documentation: Letter signed by the qualified
exemption will be denied.
intermediary, or by the person authorized to sign on behalf of a
Signature(s)
business entity acting as the qualified intermediary, which states
the name(s) of the transferor(s), property description, that the
Form WV/NRAE must be signed by an individual (both taxpayer
individual or business will be acting as the qualified intermediary
and spouse if filing a joint WV income tax return), or a responsible
for the transferor(s) as part of a 1031 exchange of the property,
corporate officer.
whether there will be any boot, and if so, the amount of boot.
Please include a daytime telephone number where you can be
The amount of any boot must be stated on the application as
reached between 8:00 AM and 5:00PM EST.
the taxable amount.
Your signature(s) signifies that your application, including all
LINE 9 Transfer is pursuant to a condemnation and
attachments is, to the best of your knowledge and belief, true,
conversion into a similar property for purposes of §1033 of the
correct and complete, under the penalties of perjury.
Internal Revenue Code.
If a power of attorney is necessary, complete federal Form 2848 and
Required documentation: Copy of agreement governing transfer
attach to your application.
between transferor and government body or authority condeming
Where to file
the property; notarized affidavit executed by transferor stating
Mail the completed form and all attachments to:
that transferor will identify and purchase replacement property
West Virginia State Tax Department
within the time limits required by §1033 of the Internal Revenue
Tax Account Administration Division/Withholding Unit
Code, or copy of contract of sale if transferor has already identified
PO BOX 784
replacement property. If proceeds from condemnation exceed
Charleston WV 25323-0784
price of replacement property, the excess must be stated on the
Additional information
application as the taxable amount.
For additional information, please call 1-800-982-8297 or
LINE 10 Transfer is between spouses or incident to divorce for
(304) 558-3333 or TDD (hearing impaired) 1-800-282-9833.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 4