Free Governmentally Owned Property - Maryland

STATE OF MARYLAND DEPARTMENT OF ASSESSMENTS AND TAXATION APPLICATION FOR EXEMPTION GOVERNMENTALLY OWNED PROPERTY

RETURN TO:

Your local Assessment Office. Click this box to get a list of local offices.

TO BE FILED IN DUPLICATE with the Supervisor of Assessments at the address shown above.

Full Name of Titled Owner: Address of property:

Date Acquired: Location and description of property: Baltimore City Counties 1. Ward District Account Number Section Map Block Block Lot Parcel

What type of facilities and number of buildings are located on the property? (Be specific and you may attached a separate itemization if more space is required.)

2.

What limitations or restrictions apply concerning who may use each separate facility? (A supplemental explanation sheet may be attached.)

3.

Is any part of this property rented? If yes, to whom? What is the estimated annual rent?

Yes G

No G

4.

Does the applicant organization own any adjoining real property? Yes G

No G

I declare under the penalties of perjury, pursuant to Section 1-201, Tax Property Article, of the Annotated Code of Maryland, that this return (including any accompanying schedules and statements) has been examined by me and to the best of my knowledge and belief is a true, correct and complete return.

SIGNATURE OF APPLICANT ADDRESS CITY STATE ZIP CODE (FOR OFFICE USE ONLY) COMMENTS:

DATE PHONE

New Application G Approved G

Re-Application G Disapproved G

Code No. Effective

Land

Imp

Total

Supervisor's Signature

Date

State Supervisor's Signature

Date THIS APPLICATION IS NOT OPEN FOR PUBLIC INSPECTION SDAT - EX 6A