MARYLAND Application for Certificate of DO NOT …

1 16-49 MARYLANDFORMMW506AE2016 Application for Certificate ofFull or Partial ExemptionFor the sale of real property or associated personal property in MARYLAND by nonresident individuals and NOT WRITE OR STAPLE IN THIS SPACEThe form and required documents MUST BE RECEIVED no later than 21 days before closing date. Social Security Number Spouse's Social Security NumberYour First Name Initial Last NameSpouse's First Name Initial Last NameName (Corporation, Partnership, Trust, Estate, etc.)T/A or C/O or Fiduciary Federal Employer Identification NumberPresent Address (No.)

2 And street)City or Town State ZIP codeTransferor/Seller s Entity Type: Individual/ Estate/ Trust BusinessOwnership Percentage_____%Property InformationDescription of Property (Include street address, county, or district, subdistrict and lot numbers if no address is available.)Date of ClosingProperty Account ID Number (if known)Was the property ever used as a rental or commercial property? Yes NoDates used as a rental/commercial property (dd/mm/yyyy):FROM _____ TO _____(Note: Income tax returns are required in most circumstances - see instructions.

3 (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 and the amount is final and not subject to appeal.) See instructions for more details on required documentation. 1. Purchase price/Inherited value. (Attach a copy of the HUD-1 or Death Certificate and appraisal.) ..1. _____ 2. Capital Improvements. (Optional. Will not be credited unless properly documented. Attach paid invoices or receipts with cancelled checks for improvements.)

4 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 [1st page and signature pages] or preliminary HUD-1.) ..7. _____ 8a. Subtract (Line 6 from Line 7). This is the amount subject to tax..8a. _____8b. Multiply Line 8a by ownership percentage ( , .50, .333, etc.) ..8b. _____ 9. Tax Rate. Check box for applicable tax rate.

5 A. Individual (.075) b. Business (.0825) 10. Tentative withholding amount. Multiply line 8b by applicable tax rate. If Line 8 is zero (0) or less than zero (0), enter zero (0)..10. _____Calculation of Tentative Exemption - RequiredNOTE: This amount will be recalculated by the Comptroller s Office based on the actual documentation received and amounts of contact person and companyStreet Address City State ZIP codeTelephone number Fax number Email AddressMARYLANDFORMMW506 AEApplication for Certificate of Full or Partial Exemption2016page 2 Transferor/Seller s Name _____ Your Social Security Number/FEIN _____Address of Settlement Agent to Mail Certificate if Issued (See instructions.)

6 Special SituationsCheck the box in the Special Situations column that applies to your situation, if any. If none apply, your exemption will be based only on the amount on the worksheet on page 1. See instructions for required documentation. Your signature Date Preparer s PTIN (required by law) Signature of preparer other than taxpayerSpouse s signature Date Address of preparerTelephone number Telephone number of preparer Email address Under the penalties of perjury, I declare that I have examined this Application , including any schedules or statements attached, and to the best of my knowledge and belief, it is true, correct and complete.

7 If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any here if you authorize us to contact you by email. Principal Residence. Principal Residence Active-duty Military, Certain Government Employees. Tax-Free Exchange for purposes of 1031 of the Internal Revenue Code. Transferor/seller is receiving zero proceeds from this transaction because proceeds are going to another seller/owner (ex. cosignor). Transfer is pursuant to an installment sale under 453 of the Internal Revenue Code.

8 Transfer of inherited property is occurring within 6 months of date of death. Transfer/seller is the custodian of an individual retirement account (IRA). Transfer is pursuant to a specific Internal Revenue Code section. Please see FOR Application FORCERTIFICATE OF FULL OR PARTIAL EXEMPTIONThe Comptroller s decision to issue or deny a Certificate and the amount of tax is final and not subject to INSTRUCTIONSP urpose of FormUse form MW506AE to apply for 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.

9 A nonresident entity is defined to mean an entity that: (1) is not formed under the laws of MARYLAND and (2) is not qualified by or registered with the Department of Assessments and Taxation to do business in May File an ApplicationAn individual, fiduciary, C corporation, S corporation, limited liability company, or partnership transferor/seller may file form MW506AE. Unless the transferors/sellers are spouses filing a joint MARYLAND income tax return, a separate form MW506AE is required for each : The completed form MW506AE and all required documentation must be received by the Comptroller of Mary-land no later than 21 days before the closing date of the sale or transfer to ensure timely receipt of a Certificate of Full or Partial Exemption.

10 applications with no closing date will not be Comptroller s decision to issue or deny a Certificate of Full or Partial Exemption and the determination of the amount of tax to be withheld if a partial exemption is granted are final and not subject to INSTRUCTIONST ransferor/Seller s InformationEnter the name, address and identification number (Social Se-curity number or federal employer identification number) of the transferor/seller applying for the exemption. If the transferor/seller was issued an individual taxpayer identification number (ITIN) by the IRS, enter the the box indicating the transferor/seller s entity the transferor/seller s ownership percentage of the prop-erty.