Fillable CERTIFICATE OF CONVEYANCE (State of Maryland)

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CERTIFICATE OF CONVEYANCE (State of Maryland)

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CERTIFICATE OF CONVEYANCE
PART I
1. Location of land being conveyed:
(Include name of county or
Baltimore City)
2. Transferor:
3. Transferee:
4. Certificate of Conveyance accompanying: (Please check appropriate box)
[ ] Articles of Merger or Document Evidencing Merger
[ ] Articles of Consolidation or Document Evidencing Consolidation
5. Land affected: (SHOW SEPARATELY FOR EACH PARCEL A DEED REFERENCE AND
PROVIDE A BRIEF DESCRIPTION, PREFERABLY AS SHOWN ON RECENT TAX BILL. ATTACH
ADDITIONAL SHEETS IF NECESSARY.)
6. Name and mailing address for receipt of tax bill: _____________________________________
PART II
Is this a transfer of real property subject to agricultural transfer tax? YES [ ] NO [ ]
PART III
1. Is this a transfer of real property from a limited liability company, corporation, limited
partnership or statutory trust reorganizing as described in Section 368(a) of the Internal Revenue
Code? YES [ ] NO [ ]
NOTE: IF THE ANSWER TO QUESTION 1 IS YES, THEN THIS TRANSACTION IS NOT SUBJECT TO
STATE TRANSFER AND RECORDATION TAX.
Certificate of Conveyance (revised October, 2019) Page 1 of 3
2. Is this a transfer of real property from a corporation merging out of existence pursuant to
reorganizations described in Section 368(a) of the Internal Revenue Code? YES [ ] NO [ ]
NOTE: IF THE ANSWER TO QUESTION 2 IS YES, THEN THIS TRANSACTION IS ALSO NOT
SUBJECT TO COUNTY TRANSFER TAX. CONTINUE TO PART V AND COMPLETE ITEM 3.
PART IV
For use where real property is being conveyed by a merger or consolidation not covered by PART III.
(Please check applicable box.)
1. Is this a merger or consolidation where an entity other than a corporation is a party to the merger?
YES [ ] NO [ ]
NOTE: IF THE ANSWER TO QUESTION 1 IS YES, THE TRANSACTION IS TAXABLE AND THE TAX IS
BASED ON THE VALUE OF THE PROPERTY AS DETERMINED BY THE DEPARTMENT AT THE DATE
OF FINALITY IMMEDIATELY BEFORE THE DATE OF THE TRANSACTION. DO NOT ANSWER
QUESTIONS 2, 3 AND 4 AND COMPLETE PART V IN ITS ENTIRETY.
2. Is this a merger or consolidation where recordation tax and, if then required to have been paid, transfer
tax were paid when the corporation merging out of existence or the corporation consolidating to form
a new corporation acquired title to the real property? YES [ ] NO [ ]
3. Is this a merger of a parent corporation into its subsidiary corporation? YES [ ] NO [ ]
4. Is this a merger of a subsidiary corporation into its parent corporation where the parent corporation:
a. previously owned this real property? YES [ ] NO [ ]
b. owns the stock of the subsidiary and has owned that stock for a period greater than 18
months? YES [ ] NO [ ]
c. acquires the stock of the subsidiary corporation which has been in existence and has
owned the real property for a period of 2 years? YES [ ] NO [ ]
NOTE: IF ANY ANSWER TO QUESTIONS 2 THROUGH 4 IS YES, THEN THIS TRANSACTION IS NOT
SUBJECT TO MARYLAND RECORDATION TAX, MARYLAND TRANSFER TAX OR COUNTY
TRANSFER TAX. COMPLETE PART V, ITEM 3.
OTHERWISE, THIS TRANSACTION IS SUBJECT TO MARYLAND RECORDATION TAX, MARYLAND
TRANSFER TAX AND COUNTY TRANSFER TAX. THE TAXES ARE BASED ON THE VALUE OF THE
PROPERTY AS DETERMINED BY THE DEPARTMENT AT THE DATE OF FINALITY IMMEDIATELY
BEFORE THE DATE OF THE TRANSACTION. COMPLETE PART V IN ITS ENTIRETY.
Certificate of Conveyance (revised October, 2019) Page 2 of 3
PART V
NOTE: ITEMS 1. AND 2. TO BE COMPLETED ONLY IF ANY RECORDATION OR TRANSFER TAXES ARE
DUE.
1. Value of Real Property Determined by the Department at the date of finality immediately before the
date of the transaction: $ ___________________________________________
2. All public taxes due by the transferor in the county where the real property is located, have been paid
[ ] have not been paid [ ] (Please check one.)
All personal property taxes due by the transferor in the county where the real property is located,
have been paid [ ] have not been paid [ ] (Please check one.)
3. I hereby acknowledge and affirm under the penalties of perjury that to the best of my knowledge
information and best of my knowledge information and belief, the foregoing representations are
true.
Name of Entity
Signature Print Name and Title
(MUST BE OFFICER, AGENT OR ATTORNEY OF ONE OF THE PARTIES TO THE MERGER OR
CONSOLIDATION)
FOR OFFICE USE ONLY
MARYLAND RECORDATION TAX PAID:
MARYLAND TRANSFER TAX PAID:
LOCAL TRANSFER TAX PAID:
TOTAL:
Approved for record by
State Department of Assessments & Taxation
Certificate of Conveyance (revised October, 2019) Page 3 of 3
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CERTIFICATE OF CONVEYANCE (State of Maryland)

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Completed 16 June 2021

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