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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
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 October 2023 Page 1 of 1 https:/dat.maryland.gov
