Maryland Form Mw506ae - Application For Certificate Of Full Or Partial Exemption - 2012

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DO NOT WRITE OR STAPLE IN THIS SPACE
2012
Application for Certificate of
Full or Partial Exemption
MARYLAND
FORM
For Calendar Year 2012 or other tax year
MW506AE
Beginning ________________ , 2012 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
Date of Closing
is available)
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
(Rev. 06-12)
11-49

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