Maryland State Department   of Assessments and                                    Taxation 
                                   APPLICATION FOR EXEMPTION CHARITABLE PROPERTY 

To be filed with the Supervisor of Assessments in the appropriate local office; a list of offices is attached. 
This form seeks information for the purpose of   a charitable exemption on the indicated property.              Failure to provide this information will    result in denial of 
your application. However, some of this information would be considered a "personal record" as defined in State Government                         Article, §10-624. 
Consequently, you have the statutory right to inspect your file        and   to file   a written request   to correct   or amend any   information     you believe   to be 
inaccurate   or incomplete.   Additionally,     personal   information provided   to the State   Department   of Assessments       and Taxation    is not generally     available   for 
public review. However,       this information   is available   to officers   of the State, county   or municipality in their official capacity    and to taxing officials   of any State 
or the federal government,   as provided   by statute.     Additionally,   if your   property would   be used   by the State  Department   of Assessments         and Taxation     as a 
comparable for purposes   of establishing       the value   of another property     in a hearing before  the  Maryland     Tax Court,  the requested      information,   or a portion 
thereof, may have   to be     provided   to the owner   of that other property. 
Full name of titled owner: 
Address of property: 
Location and Description   of Property                                        Account Number:  
     Baltimore City                   Ward:                                   Section:                     Block:                             Lot: 

County:                               District:                               Map:                         Block:                             Parcel: 
1. Describe the facilities located on the property and how they are used. (Be specific and you may attach 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?                      Yes   ][                            No    [  ] 
            If yes, to whom and at what             rent?  
4. Does the applicant organization own any adjoining real property?                                      Yes [      ]              No     [   ] 
5. Attach to this application copies of the organization's Articles of Incorporation and most recent operating  by-laws. 

6.     If the  applicant      organization      purchased        the property        in the current     taxable    year,   it must submit       a   copy of the settlement
sheet or an affidavit showing the property                 tax it actually paid or reimbursed atsettlement                      if the property has                  an
assessed value less than $300,000. 
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   tothe best     of   my knowledge           and belief        is a true, correct and            complete return.           
Signature of Applicant                                                                                                  Date   

Print Name Here                                                                                                         Phone  

Address                                                                              Email Address
                                                THIS  APPLICATION IS NOT OPEN FOR PUBLIC INSPECTION                              SDATRP_EX-6   January 2019
                                                           (FOR ASSESSMENT OFFICE USE ONLY) 
                                                                                                                                       http:/dat.maryland.gov
Comments: 

New Application  [          ]                       Re-Application        [  ]                                       Code No.  

Approved          ][                                Disapproved         ][                                           Effective 

Land                                                Improvements                                                     Total 

Supervisor’s Signature                                                                                               Date  

  SDATRP_EX-6  July 2024                                                                                                               Page 1 of 1 https:/dat.maryland.gov