2 of 2 Revised 2015; Updated 2018
SDAT_TC-Homestead Application
Maryland State Department of Assessments & Taxation
APPLICATION HOMESTEAD TAX CREDIT ELIGIBILITY
Section II
YOU MUST ANSWER ALL QUESTIONS AND INCLUDE THE SOCIAL SECURITY NUMBER OF ALL HOMEOWNER(S) AND
SPOUSES’ (EVEN IF THEY ARE NOT LISTED AS AN OWNER ON THE DEED). A homeowner is defined as any living person
listed on the deed.
1. Is the real property shown on this letter currently used, and expected to be used in the next calendar year as
the single principal residence of the homeowner(s)? [ ] Yes [ ] No
2. Is this real property address the location where the homeowner(s) expect to file their next federal and
Maryland income tax return if oneis filed? [ ] Yes [ ] No [ ] Not applicable
(NotFiling)
3. Is this real property address the location from which the homeowner(s) have received a MD issued driver’s
license or identification card, if applicable?
[ ] Yes [ ] No [ ] Not applicable
(No License or Identification Card)
4. Is this real property address the location from which the homeowner(s) are registered to vote, if registered?
[ ] Yes [ ] No [ ] Not applicable
(Not Registered)
5. Is any portion of the principal residence rented? [ ] Yes [ ] No
All owners must complete the section below. If there are more than four (4) owners attach a separate sheet listing the
additional names and Social Security numbers before mailing. Spouses’ are included even if they are not an owner.
Printed Name of Homeowner (First Name, Middle Initial, Last, Suffix) Social SecurityNumber
Printed Name of Spouse or 2nd Homeowner (First Name, Middle Initial, Last, Suffix) Social SecurityNumber
Printed Name of Homeowner (First Name, Middle Initial, Last, Suffix) Social SecurityNumber
Printed Name of Homeowner (First Name, Middle Initial, Last, Suffix) Social SecurityNumber
In submitting this application I hereby declare under the penalties of perjury, pursuant to Tax-Property Article, 1-201, Annotated Code of
Maryland, that the application has been examined by me and the information contained herein, to the best of my knowledge and belief is
true, correct and complete and that this property is my principal residence for the prescribed period. I understand that the Department
may independently verify the above information by contacting, including but not limited to, the Internal Revenue Service, the
Maryland Comptroller’s Office and the Motor Vehicle Administration.
Homeowner’s Signature Spouse or Co-Owner’s Signature Date
Telephone Number (Daytime)
Mail completed application to:
Department of Assessments and Taxation
Homestead Tax Credit Division
301 West Preston Street, 8th Floor
Baltimore MD 21201
A person who willfully or with intent to evade payment of a tax under this Article provides false information or a false answer to a property tax
interrogatory/ application is guilty of a misdemeanor and on conviction is subject to a fine not exceeding $5,000 or imprisonment not exceeding 18
months or both. Tax- Property Article, § 14-1004. For example, it is willful intent for a homeowner to indicate a property is his or her principal residence
when the property is used for another purpose, such as a rental or a vacation home.
PRIVACY AND STATE DATA SECURITY NOTICE
The principal purpose for which this information is sought is to determine your eligibility for a tax credit. Failure to provide this information will result in
a denial of your application. Some of the information requested 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, it is unlawful for any officer or employee of the state or any political subdivision to divulge any income
particulars set forth in the application or any tax return filed except in accordance with a judicial or legislative order. However, this information is
available to officers of the state, county or municipality in their official capacity and to taxing officials of any other state, or the federal government, as