State: New York
Recording Office Time Stamp
Name (if individual; last, first, middle initial)
Social security number
Mailing address
Federal employer identification number
Name (if individual; last, first, middle initial)
Social security number
Mailing address
Federal employer identification number
Grantor
Individual
Corporation
Partnership
Other
Grantee
Individual
Corporation
Partnership
Other
Tax map designation
Address
City/village
Town
County
Section
Block
Lot
Type of property conveyed (check applicable box)
1
Vacant land
2
Commercial/industrial
3
Apartment building
4
Office building
5
Other
Date of conveyance
month
day
year
Condition of conveyance (check all that apply)
a.
Conveyance of fee interest
c.
Transfer of a controlling interest (state
e.
Other (describe)
b.
Acquisition of a controlling interest (state
percentage transferred
%
percentage acquired
%)
d.
Conveyance which consists of a mere
change of identity or form of ownership or
organization (attach Form TP-584.1, Schedule F)
Schedule B — Real estate transfer tax return (Article 31 of the Tax Law)
Part I – Computation of tax due
1 Enter amount of consideration for the conveyance (if you are claiming a total exemption from tax, enter
consideration and proceed to Part II )......................................................................................................................................
1
2 Continuing lien deduction (see instructions if property is taken subject to mortgage or lien) ...................................
2
3 Taxable consideration (subtract line 2 from line 1) ..........................................................................................................
3
4 Tax due: $1 for each $500, or fractional part thereof, of consideration on line 3.........................................................
4
Part II– Explanation of exemption claimed in Part I, line 1 (check either box that applies)
a. Conveyance is a mere change of identity or form of ownership or organization where there is no change in beneficial
ownership .............................................................................................................................................................................................................. a.
b. Other (attach explanation) ............................................................................................................................................................................... b.
Schedule C - Credit line mortgage certificate (Article 11 of the Tax Law)
Complete the following only if the interest being transferred is a fee simple interest.
I (we) certify that: (check the appropriate box)
TP-584-REIT (3/07)
New York State Department of Taxation and Finance
Combined Real Estate
Transfer Tax Return and
Credit Line Mortgage Certificate for
Real Estate Investment Trust Transfers
Before completing this form, see General Information on back.
Schedule A — Information relating to conveyance
$0.00
1
The real property being sold or transferred is not subject to an outstanding credit line mortgage.
2
The real property being sold or transferred is subject to an outstanding credit line mortgage. However, an exemption from the tax is
claimed for the following reason:
The transfer of real property is to a person or entity where 50% or more of the beneficial interest in such real property after the transfer
is held by the transferor.
The maximum principal amount secured by the credit line mortgage is $3,000,000 or more and the real property being sold or
transferred is not principally improved nor will it be improved by a one- to six-family owner-occupied residence or dwelling.
Please note: for purposes of determining whether the maximum principal amount secured is $3,000,000 or more as described above,
the amounts secured by two or more credit line mortgages may be aggregated under certain circumstances. See TSB-M-96(6)R for
more information regarding these aggregation requirements.
Other (attach detailed explanation).
3
The real property being transferred is presently subject to an outstanding credit line mortgage. However, no tax is due for the
following reason:
A certificate of discharge of the credit line mortgage is being offered at the time of recording the deed.
A check has been drawn payable for transmission to the credit line mortgagee or his agent for the balance due, and a satisfaction of
such mortgage will be recorded as soon as it is available.
4
The real property being transferred is subject to an outstanding credit line mortgage recorded in
(insert liber and page or reel or other identification of the mortgage). The maximum principal amount secured in the mortgage
is
. No exemption from tax is claimed and the tax of
is being paid herewith. (Make check payable to county clerk where deed will be recorded or, if the recording is to take place in
New York City, make check payable to the NYC Department of Finance.)
For recording officer’s use
Amount
Date received
Transaction number
received
(e) to acquire any interest in real property (including an
ownership interest in any entity owning real property)
except an acquisition that would qualify for the reduced rate
of tax provided for a REIT transfer (without regard to this
requirement); or
(f) for reserves established for any of the purposes described
in items (a), (b), (c) or (d) above.
For purposes of this requirement, the term real property
includes real property owned directly or indirectly by the REIT,
whether located inside or outside New York State. Also, the
calculation of the net cash proceeds from the initial offering
of the REIT is made without regard to any proceeds resulting
from the exercise of any underwriter’s over-allotment option in
connection with the initial offering of the REIT shares.
Payment of estimated personal income tax by
individuals, estates, and trusts
Nonresidents – Nonresident individuals, estates, and trusts
taxed under Article 22 of the Tax Law must comply with the
provisions of Tax Law section 663, estimating the personal
income tax on the gain, if any, from the sale or transfer of certain
real property located in New York State. Such nonresident
individuals, estates, and trusts are required to either complete
Form IT-2663, Nonresident Real Property Estimated Income Tax
Payment Form, or Form TP-584, Schedule D, Certification of
exemption from the payment of estimated personal income tax,
and file it with Form TP-584-REIT.
Residents – The requirement for payment of estimated
personal income tax under Tax Law section 663 does not
apply to individuals, estates, and trusts who are residents
of New York State at the time of the sale or transfer.
Resident individuals, estates, and trusts must complete
Form TP-584, Schedule D, Certification of exemption from
the payment of estimated personal income tax, and file it with
Form TP-584-REIT.
See Payment of estimated personal income tax, on page 1
of Form TP-584-I, Instructions for Form TP-584, for more
information.
Specific instructions
Schedule A
Condition of conveyance
Indicate the condition of conveyance by checking all
the condition(s) that apply. If you check item d, attach
Form TP-584.1, Real Estate Transfer Tax Return Supplemental
Schedules, to Form TP-584-REIT, with Schedule F completed.
Schedule B
Line 1 – Enter the consideration for the conveyance as set
forth in section 1402(b)(3) of the Tax Law. See
TSB-M-94(4)R for more information on the
calculation of consideration and net cash flow
from operations.
Line 2 – See Form TP-584-I, Line Instructions for
Completing Form TP-584, page 2, for more information
on the continuing lien deduction.
Line 3 – Enter the taxable consideration by subtracting
line 2 from line 1.
Line 4 – Compute and enter the amount of tax due based
on the consideration entered on line 3. The rate is $1
for each $500, or fractional part thereof, of taxable
consideration on line 3.
Schedule C
Check the appropriate box on Schedule C, if this schedule is
required.
TP-584-REIT (3/07) (back)
General Information
A conveyance of real property to a real estate investment trust
(REIT), as defined in section 856 of the Internal Revenue Code,
may be subject to the transfer tax at the reduced rate of $1 for
each $500 or fractional part of consideration. The conveyance
may be to the REIT itself or to an entity, such as a partnership
or a corporation, in which a REIT owns a controlling interest
immediately following the transfer (REIT transfer).
To qualify for the reduced transfer tax rate, REIT transfers that
are in connection with the initial formation of the REIT must
occur on or after June 9, 1994. In addition, the REIT transfer
must also meet certain ownership retention requirements
and the use of proceeds requirement described below. See
TSB-M-94(4)R for the requirements for determining whether
a REIT transfer qualifies as being a transfer that occurs in
connection with the initial formation of the REIT.
In addition, REIT transfers other than those in connection
with the initial formation of the REIT qualify for the reduced
transfer tax rate if they occur on or after July 13, 1996, but
before September 1, 2008. Furthermore, in order to qualify for
the reduced transfer tax rate, a REIT transfer must meet the
ownership retention requirements described below.
Ownership retention requirements
As part of the consideration for the conveyance of real property
or interest therein, the grantor(s) must receive ownership
interests in the REIT or in an entity controlled or to be controlled
by the REIT which have at least a certain minimum value
as described herein. The value of those ownership interests
received in the REIT or in an entity controlled or to be controlled
by the REIT must be equal to at least 40% (50% if the
conveyance is other than in connection with the initial formation
of a REIT) of the equity value of the real property or interest
therein conveyed by the grantor(s) to the grantee. In addition,
the ownership interests in the REIT or in an entity controlled or
to be controlled by the REIT received by the grantor(s) as part
of the consideration for the conveyance must be retained by the
grantor(s) (or an owner of the grantor) for a period of at least
two years from the date of the REIT transfer, except in the case
of the subsequent conveyance of these interests as a result of
the death of an individual grantor. See TSB-M-94(4)R for the
method used to calculate the equity value of the property
and the value of the ownership interests received.
Use of proceeds requirement
At least 75% of the net cash proceeds (after deducting
underwriting discounts) received by the REIT from its initial
offering must be used for the following purposes:
(a) to make payments on loans secured by any interest in the
real property owned directly or indirectly by the REIT;
(b) to pay for capital improvements to the real property owned
directly or indirectly by the REIT;
(c) to pay costs, fees and expenses (including brokerage fees,
commissions and professional fees) incurred in connection
with the creation of a leasehold or sublease pertaining to
the real property owned directly or indirectly by the REIT;
(d) to make payments to or on behalf of a tenant as an
inducement to enter into a lease or sublease, including but
not limited to the following:
(i) a cash bonus paid to a tenant for signing a lease;
(ii) a payment for the unexpired term of a tenant’s previous
lease;
(iii) payment of a tenant’s moving costs;
(iv) payment for a tenant’s improvements that do not
constitute capital improvements (such as temporary
partitions or non-permanent electrical wiring for
computer equipment); and
(v) payment of a tenant’s attorneys’ fees;
Signature and affirmation (both the grantor(s) and grantee(s) must sign).
The undersigned certify that the above return, including any certification, schedule or attachment, is to the best of his/her
knowledge, true and complete, and authorize the person(s) submitting such form on their behalf to receive a copy for purposes
of recording the deed or other instrument effecting the conveyance.
Grantor signature
Title
Grantee signature
Title
Grantor signature
Title
Grantee signature
Title
TRANSFER TAX AND RELATED DOCS NY27: FORM TP-584-REIT: 3/07: COMBINED REAL ESTATE TRANSFER TAX RETURN AND CREDIT LINE MORTGAGE CERTIFICATE FOR REAL ESTATE INVESTMENT TRUST TRANSFERS, TP584 REIT