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

TO BE FILED IN DUPLICATE with the Supervisor of Assessments in the appropriate local office, a list of offices is attached.  

Full Name of Titled Owner: ___________________________________________________________________________ 
Address of property: ________________________________________________________________________________ 
______________________________________________________________________________________________________ 
Date Acquired: ____________________________ Account number: __________________________________________ 
Location and description of property:  
Baltimore City           Ward                     Section               Block                  Lot 
County                   District                 Map                   Block                  Parcel

1. What type of facilities and number of buildings are located on the property? (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?__________________________________________   What is the estimated annual rent?_________________ 

4. Does the applicant organization own any adjoining real property?     Yes [   ]      No [   ]

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                                                                          DATE 
__________________________________________________________________     _________________________________ 
ADDRESS                                                                                        PHONE
_______________________________________________________________ 
CITY,  STATE,  ZIP CODE  

                                                  (FOR OFFICE USE ONLY) 
COMMENTS:___________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________ 
   New Application_______________                 Re-Application______________  Code No.______________________ 
   Approved_________________       Disapproved____________                     Effective______________________
Land                               Improvements                                Total

__________________________________________________________              _______________________________ 
Supervisor' Sisgnature                                                  Date  

                           THIS APPLICATION IS NOT OPEN FOR PUBLIC INSPECTION 

SDATRP_EX-6A                                                                                         Page 1 of 1

                                                                         MARYLAND STATE DEPARTMENT OF ASSESSMENTS & TAXATION 
                                                                                      REAL PROPERTY DIVISION 
                                                                    Listed below are the mailing addresses for local assessment offices 

                                                ASSESSMENT OFFICE MAILING ADDRESSES                                                       PHONE            FAX    EMAIL
Allegany County Assessments 112 Baltimore Street, 3rd Floor, Cumberland, MD 2150  2                                                 (301) 777-2108 (301) 777-2052 sdat.alle@maryland.gov
Anne Arundel County Assessments 45 Calvert St., 3rd Floor, Annapolis, MD 21401                                                      (410) 974-5709 (410) 974-5738 sdat.aa@maryland.gov
Baltimore City Assessments Wm. Donald Schaefer Tower, 6 Saint Paul Street, 11th Floor, Baltimore, MD 21202                          (410) 767-8250 (410) 333-4626 sdat.baltcity@maryland.gov
Baltimore County Assessments Hampton Plaza, 300 E Joppa Road ,Suite 602, Towson, MD 21286                                           (410) 512-4900 (410) 321-4148 sdat.blco@maryland.gov
Calvert County Assessments State Office Bldg. 200 Duke Street ,Room 1200, Prince Frederick, MD 20678                                (443) 550-6840 (443) 550-6850 sdat.calv@maryland.gov
Caroline County Assessments Denton Multi-Service Center,  207 South 3rd St, Denton, MD 21629                                        (410) 819-4450 (410) 819-4441 sdat.crln@maryland.gov
Carroll County Assessments  15 E Main Street, Suite 229, Westminster, MD 21157                                                      (410) 857-0600 (410) 857-0128 sdat.carl@maryland.gov
Cecil County Assessments District Court Multi-Service Center, 170 East Main Street, Elkton, MD 21921                                (410) 996-2760 (410) 996-2770 sdat.cec@maryland.gov
Charles County Assessments Southern Maryland Trade Center, 101 Catalpa Drive Suite 101A, LaPlata, MD 20646                          (301) 932-2440 (301) 932-2189 sdat.char@maryland.gov
Dorchester County Assessments 501 Court Lane, PO Box 488, Cambridge, MD 21613                                                       (410) 228-3380 (410) 228-3704 sdat.dor@maryland.gov
Frederick County Assessments 5310 Spectrum Dr, Suite E, Frederick, MD 21703                                                         (301) 815-5350 (301) 663-8941 sdat.fred@maryland.gov
Garret County Assessments County Courthouse 317 East Alder St. ,Room 106 ,PO BOX 388, Oakland, MD 21550                             (301) 334-1950 (301) 334-5018 sdat.gar@maryland.gov
Harford County Assessments Mary E.W. Risteau District Court Multi-Service Center, 2 South Bond Street ,Suite 400, Belair, MD 21014  (410) 836-4800 (410) 838-5914 sdat.harf@maryland.gov
Howard County Assessments District Court Multi-Service Center, 3451 Court House Dr, Ellicott City, MD 21043                         (410) 480-7940 (410) 480-7960 sdat.how@maryland.gov
Kent County Assessments 114-A Lynchburg Street, Chestertown, MD 21620                                                               (410) 778-1410 (410) 778-1525 sdat.kentco@maryland.gov
Montgomery County Assessments 30 W. Gude Drive, Suite 400,  Rockville MD 20850                                                      (240) 314-451 0(301)424-3864  sdat.mont@maryland.gov
Prince George's County Assessments 14735 Main Street, Suite 354B, Upper Marlboro, MD 20772                                          (301) 952-2500 (301) 952-2955 sdat.princeg@maryland.gov
Queen Anne's County Assessments Carter M. Hickman District Court Multi-Service  Center, 120 Broadway Suite 7, Centreville, MD 21617 (410) 819-4160 (410) 819-4170 sdat.qaco@maryland.gov
St Mary's County Assessments Carter Building, 23110 Leonard Hall Drive, Room 2059, PO Box 1509 Leonardtown, MD 20650                (301) 880-2900 (301)475-4856  sdat.stm@maryland.gov
Somerset County Assessments 11545 Somerset Avenue, Princess Anne, MD 21853                                                          (410) 651-0868 (410) 651-1995 sdat.som@maryland.gov
Talbot County Assessments 29466 Pintail Drive, Suite 12, Easton, MD 21601                                                           (410) 819-5920 (410) 822-0048 sdat.talb@maryland.gov
Washington County Assessments 3 Public Square, Hagerstown, MD 21740                                                                 (301) 791-3050 (301) 791-2925 sdat.wash@maryland.gov
Wicomico County Assessments Salisbury District Court Multi-Service Center, 201 Baptist Street, Box 8 Salisbury, MD 21801            (410) 713-3560 (410) 713-3570 sdat.wic@maryland.gov
Worcester County Assessments One West Market Street, Rm. 1202, Snow Hill, MD 21863                                                  (410) 632-1196 (410) 632-1366 sdat.wor@maryland.gov

                                                         ALL ASSESSMENT OFFICES ARE OPEN MONDAY - FRIDAY 8:00 AM – 4:30 PM, 
                                                                    EXCEPT BALTIMORE CITY WHICH IS OPEN 8:00 AM – 5:00 PM 
                                 For a complete list of office locations visit http://dat.maryland.gov/realproperty/Pages/Maryland-Assessment-Offices.aspx 

        Revised:  /3 0232