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Form Rew-2 - Residency Affidavit, Individual Transferor, Maine Exception 3(A) - 1999

FORM REW-2

MAINE REVENUE SERVICES

Income/Estate Tax Division - REW

P.O. Box 1068

Augusta, ME 04332-1068

Tel. 207-626-8473

Fax 207-287-4028

RESIDENCY AFFIDAVIT, INDIVIDUAL TRANSFEROR,

MAINE EXCEPTION 3(A)

36 MRSA, §5250-A provides that a buyer (transferee) of real property located in Maine must

withhold tax if the seller (transferor) is not, as of the date of the transfer, a resident of the State of

Maine. To inform the buyer that withholding of tax is not required upon my disposition of a State of

Maine property interest, I, _________________________________ hereby certify the following:

(Name of seller)

1. I was a resident of Maine at the end of the previous income tax year.

2. I have not established a domicile outside Maine as of the date of the transfer of Maine real property.

Domicile means a permanent home - to which whenever absent, an individual has the intention of returning.

3. My Social Security number is: ___________________________ , and;

4. My home address is:

_________________________________________________

I understand that this certification may be disclosed to the Executive Director by the buyer and that any false

statement contained herein is punishable by fine, imprisonment or both.

Signature

Date

Spouse’ s signature (if property is held jointly with spouse)

Date

State of ________________

County of _______________ , SS

Personally appeared the above named______________________________ , and acknowledged the above

(seller)

instrument to be his free act and deed in his said capacity. _____________________________________________

(Notary Public)

(Date)

NOTE: The buyer, or real estate person, must retain a signed original affidavit.

Closing Agents/Title Companies must attach a copy of the completed/signed/notarized Form REW-2 to the

Maine Real Estate Transfer Tax Declaration indicating residency status on all transfers. These forms are

then submitted to Maine Revenue Services’ Property Tax Division for further processing by the Registry of

Deeds.

Rev. 8/99

Form Rew-2 - Residency Affidavit, Individual Transferor, Maine Exception 3(A) - 1999