Fire Sprinkler Tax Credit Application Rev. 10/1/2018 Page 2 of 2
2. How much did installation of the fire sprinkler system on the property cost? $
(Please attach evidence of the cost, including contract and detailed receipts showing cost and
evidence of payment.)
3. Installation of the Fire Sprinkler System must comply with all standards established by the State Fire
Prevention Commission and any applicable City building and fire safety codes.
(Please provide Fire Permit # __________________ .)
I declare under the penalties of perjury, that this application (including any accompanying forms and
statements) 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 I have a legal interest in this property for
the prescribed period. I understand that I must submit documentation reasonably necessary to verify
the above.
Property Owner’s Names(s) (Please Print):
Property Owner’s Signature: Date:
Property Owner’s Signature: Date:
City of Annapolis - Fire Marshal Office:
I certify that the Fire Sprinkler System installed on the above property complies with all standards
established by the State Fire Prevention Commission and any applicable City building and fire safety
codes. I also certify the installation of the sprinkler system was required.
Signature Date
Name Title
City of Annapolis – Finance Office:
Finance Director Date
Fiscal Year of Tax
Credit
% of Exemption
