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                                            Maryland State Department of Assessments & Taxation 
            2023 Homeowners’ Property Tax Credit Application HTC-                               1 Form ● Filing Deadline            October 1, 2023 
                                      Apply online:  http://www.taxcredits.sdat.maryland.gov/  

APPLICANT DETAILS   PLEASE REVIEW THE                                 INSTRUCTIONS             BEFORE COMPLETING                 THE APPLICATION         
1. Name:  Last, First, Middle Initial                                                  2. Social Security Number          3. Date of Birth 

4.Mailing Address  (If different from Property Address and provide an explanation on a separate sheet of paper 5. Current Marital Status: 
and include with this application.) 
                                                                                                                  ☐       Single 
                                                                                                                  ☐       Married 
                                                                                                                  ☐       Separated 
                                                                                                                  ☐       Divorced 
                                                                                                                  ☐       Widowed 

                                                                                                               If Married, Separated, Divorced, or Widowed,  
                                                                                                                          please include Month and Year  
                                                                                                                                _______________  
                                                                                                                                    (MM/YYYY)  
6. Name of Spouse or Residential Co-Owner: Last, First, Middle Initial                 7. Social Security Number          8. Date of Birth 

9. Property Address(House Number, Street Name   or Rural Route   – No P.O. Box)        10. City, Town, or Post Office     11. County Code      12. Zip Code 

13. Will  you reside in the property  on which you are applying for  the tax  credit  on July      1, 202  3 and for more than 6 months thereafter? 
     ☐YES           ☐NO   If response is “NO” please see the instructions for Field 13 and provide the requested information with the application. 

14. Do you own any          other  dwelling or  other  real  estate in the State of  Maryland or  elsewhere. 
     ☐NO      ☐ YES   If response is “YES” please          see the instructions for Field 14 and provide the requested information with the application. 

15.  Do you own or operate a business in the State of Maryland or elsewhere. 
     ☐NO      ☐ YES   If response is “YES” please          see the instructions for Field 15 and provide the requested information with the application. 

PROPERTY INFORMATION  
16. Property Account Number                    17. This residence is a(n):                                          18. Property use: 
    (On your Tax Bill or Assessment Notice)    ☐ Single Family  Home     ☐  Land Installment Contracts              ☐ Residential Only 
                                               ☐ Multi-Family Home         ☐ Retirement Community/ 
     ____________________                      ☐ Mobile Home                      Continuing Care                   Residential and 
* Baltimore City Residents state the             Cooperative                                                        ☐ Business   __________% 
                                               ☐
Ward, Section, Block and Lot Number.           ☐ Other      ___________________                                     ☐ Farming    __________% 
                                                                                                                    ☐ Rental       __________%        
19. Total  number      of apartments  on the property,  including vacant               20. Amount of annual rent received from tenants in previous year: 
apartments:  __________ 
                                                                                       Gross:  $____________         Net:  $____________  

HOUSEHOLD MEMBERS  
21. Are there any  household members  over  eighteen (18)  years      of age who are not  a spouse or  co-owner and who cannot be claimed as 
applicant’s dependent for IRS purposes?  If more than one Household Member, include a sheet of paper  with Fields 22a.-22d. answered for each member. 
☐    Yes    Complete Fields 22a. – 22d. 
☐    No      Move to Field 23. 
22a. Household Member Name:  Last, First, Middle Initial                                              22b. Date of Birth  

22c. Household Member Gross Income Last Year:                              22d. Total  Contribution to Room and Board or Household Expenses last year:  

  $                                                                          $ 

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                                                              Maryland State Department of Assessments & Taxation 
              2023 Homeowners’ Property Tax Credit Application HTC-                                                                 1 Form ● Filing Deadline                           October 1, 2023 
                                                      Apply online:  http://www.taxcredits.sdat.maryland.gov/  

2022  WAGES & INCOME 
                                                                                                                                             Spouse/Resident                         Household 
                                                                                                                                                                                                                                        
23. All accompanying schedules and                                                                                      Applicant                                                                           Office Use Only 
submitted with this application. Do NOT documentssend originals.MUST be                                                                            Co-Owner                          Member(s) 
Wages, Salary, Tips, Bonuses, Commissions, Fees                                                               $                            $                                 $                              $ 
Interest (Includes both taxable and non-taxable)                                                              $                            $                                 $                              $ 
Dividends (Includes both taxable and non-taxable)                                                             $                            $                                 $                              $ 
Capital Gains (Includes non-taxed gains)                                                                      $                            $                                 $                              $ 
Rental Income (Net)                                                                                           $                            $                                 $                              $ 
Business Income (Net)                                                                                         $                            $                                 $                              $ 
Room & Board paid to you by a nondependent resident, seeinstructions for 
Items 22a.-22d.                                                                                               $                            $                                 $                              $ 
Unemployment Insurance                                                                                        $                            $                                 $                              $ 
Workers’ Compensation                                                                                         $                            $                                 $                              $ 
Alimony and/or Spousal Support                                                                                $                            $                                 $                              $ 
Public Assistance Grants (Include copy of AIMS)                                                               $                            $                                 $                              $ 
Social Security (Include copy of 2022 Form SSA-1099)                                                          $                            $                                 $                              $ 
S.S.I Benefits for 2022 (Include Proof)                                                                       $                            $                                 $                              $ 
Railroad Retirement (Include copy of 2022 Verification or Rate Letter)                                        $                            $                                 $                              $ 
Other  Federal Pensions (Not including VA Benefits) per year                                                  $                            $                                 $                              $ 
Veterans Benefits per year                                                                                    $                            $                                 $                              $ 
Pensions (If a rollover, include proof)                                                                       $                            $                                 $                              $ 
Annuities (If a rollover, include proof)                                                                      $                            $                                 $                              $ 
IRAs (If a rollover, include proof)                                                                           $                            $                                 $                              $ 
Deferred Compensation (Include W-2 Statement)                                                                 $                            $                                 $                              $ 
Gifts over $300.00                                                                                            $                            $                                 $                              $ 
Expenses Paid by Others                                                                                       $                            $                                 $                              $ 
Inheritances                                                                                                  $                            $                                 $                              $ 
All other monies received last year not reported above                                                        $                            $                                 $                              $ 
TOTAL HOUSEHOLD INCOME FOR 2022                                                                                     $                            $                                 $                          $ 
24. Did or will you and/or your spouse, file a Federal Income Tax Return for 2022?                                                        ☐  Yes     ☐ No                If yes, a copy of your return (and if married & 
filing separately, a copy of your spouse’s return) with all accompanying schedules MUST be submitted with this application. 

CERTIFICATION 
☐   I declare under the penalties of perjury, pursuant to Sec. 1-201   of the Maryland                 Tax-Property Code       Ann.,    that  this   application  (including any accompanying          forms  and    statements)  
has been examined by         me and the information contained herein, to the               best   ofmy  knowledge  and  belief,      is true, correct    and  complete,  that   I   have reported    all monies received,   that      I
have  a legal  interest      in this property,   that  this  dwelling will be   my  principal  residence  for  the      prescribed period, and  that   my net worth   is less than $200,000 excluding         the value      of the 
subject dwelling  and    homesite,    IRAs   and  qualified retirement           savings  plans.   I   understand that    the Department  may   request           at alater date additional information  to verify the statements 
reported on this form, and that independent verifications   of the information reported                  may be         made. Further, I hereby authorize    the      Social Security Administration,    Comptroller of the 
Treasury, Internal Revenue Service, the Income Maintenance Administration, Unemployment                                  Insurance, the State Department of           Human Resources, and Credit Bureaus           to release to 
the  Department      of Assessments and         Taxation       any and     all information concerning  the income      or benefits received.   
Applicant’s  Signature                                                                                                                                  Date  

Applicant’s Email Address                                                                                                                               Applicant’s  Daytime Telephone Number  

                                                                                                                                                        (           ) 
Spouse’s or Resident Co-             Owner’s  Signature                                                                                                 Date  

RETURN TO:  Department   of Assessments and Taxation                                                                               FOR IMMEDIATE INFORMATION: 
                    Homeowners’ Tax Credit Program                                                                                 Email: sdat.homeowners@maryland.gov 
                    P.O. Box 49005                                                                                                 Telephone:  Baltimore Area 410.767.4433 
                    Baltimore, Maryland 21297                                                                                                            Toll Free 1.800.944.7403 

                                                                                                                                   NOTE: Emailed applications will not be accepted in 
                                                                                                                                   accordance with State Data Security Protocol.  

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                 Maryland State Department of Assessments & Taxation 
2023 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline  October 1, 2023 
     Apply online:  http://www.taxcredits.sdat.maryland.gov/  

                                                       HTC-1 (v.1.0)  



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                                                    Maryland State Department of Assessments & Taxation 
             2023 Homeowners’ Property Tax Credit Application HTC-                                      1 Form ● Filing Deadline                    October 1, 2023 
                                        Apply online:  http://www.taxcredits.sdat.maryland.gov/  
The State of Maryland provides a credit for the                If all four requirements are met, the amount of                  credit. Failure to provide this information will  
real  property  tax  bill  for  homeowners of      all  ages   tax credit due, if any, will be  calculated on the               result in a denial of your application. Some of  
who qualify  on the basis of      gross  household             basis of      the gross  household income for                    the information requested would be considered 
income. For more information, please visit our                 calendar year 2022.                                              a “Personal  Record” as defined in State 
website at  https://dat.maryland.gov/Pages/Tax-                                                                                 Government Article, § 10-624 consequently,  
Credit-Programs.aspx                                           Limitations                                                      you have the statutory  right  to inspect  your  file 
                                                               The lesser of $300,000 or  the total assessed                    and to file a written request to correct or amend 
Eligibility                                                    value minus any Homestead credit, shall be                       any information you believe to be inaccurate or  
A new application must be filed every year if                  used for  calculating taxes  eligible for  credit.               incomplete. Additionally, it is unlawful for any  
applicant wishes to be considered for a tax                                                                                     officer or employee of the state or any political  
credit.  Actual  taxes  eligible for  this  credit do not      Important Filing Deadlines                                       subdivision to divulge any  income particulars  
include fixed metropolitan charges  which may                  The deadline for  filing an application is  October  
                                                                                                                                set forth in the application or any tax return 
appear on the tax bill for such services as                    1, 2023. However, if applicant submits a                         filed except in accordance with judicial  
sewer, water, or improvement repayments, and                   properly completed application before April                      legislative order.  However,  this  information is  
do not  include taxes  for  excess  land acreage,              15th, 2023, and that application is not subject                  available to officers of the state, county, or  
other  buildings or      portions of      buildings  used for  to an audit by the department, applicant will                    municipality in their official capacity and to 
business purposes.  Property  owners  with large               receive any credit due on the July 1,      2023, tax             taxing officials of      any  other  state, or      the federal  
tracts of land will have the credit limited to the             bill. A properly  completed application means                    government,  as  provided by  statute.  
amount of taxes on land necessary for the                      that all questions are answered, the form is  
residential  dwelling and does  not  include                   signed,  copies      ofthe entire federal  income tax             INSTRUCTIONS FOR COMPLETING THE 
excess  acreage.  The credit  shall  be limited to             return, schedules and forms, necessary Social                                        APPLICATION  
the portion of  the dwelling that is      used  only for       Security form (SSA-1099), Railroad Retirement  
                                                                                  Rate Letter are all included, and 
the applicant’s  residential purposes.                         Verification or                                                  ⮚   Please Print Clearly 
An application may be subjected to an audit at                 applicant has provided responses to any                          ⮚   Do Not Staple  Documents 
any time and applicant may be requested to                     subsequent inquiries made by  the department                         Do Not Send  Original Documents 
submit additional verification or other evidence               in a reasonable timeframe. If  the application is                ⮚
of income in order to substantiate the                         filed after April 15, 2023, applicant should not                 Applicant Details  
application for the property tax credit.                       expect to receive any tax credit  on the July 1,                 Field 1:  Name - Enter  the full  legal  name of  
                                                               2023, tax bill, and is advised to pay the tax bill               applicant (last name, first name, middle initial).  
Requirements                                                   to receive the discount for early payment.                       Applicant  must  own or  have a  legal  interest  in 
Applicant(s) must  satisfy four (4) legal                                                                                       the property.  
requirements  before eligibility  can be                       How  Tax Credits are Granted  
considered:                                                    By  submitting this  application,  the applicant  will  
                           which the application is            receive one of  the following:                                   Field 2:  Social Security Number - Enter  
1.   The dwelling for                                                                                                           applicant’s  nine (9)  digit  social  security  number.  
     being made,  must  be the applicant’s                     ⮚  Credit  directly  on the July  property tax bill if 
     principal residence. Applicant resides or                    the application is completed properly and is                  Field 3:  Date of Birth - Month, Day, and Year  
     expects to reside for more than six (6)                      not subjected to audit and is received before                 the applicant was born.  
     months of      the tax  year,  including July    1,          April 15, 2023; or  
     2023, unless unable to do so for reasons                  ⮚  A refund if the bill has already been paid; or                Field 4:  Mailing Address  - Enter the address  
     of illness, need of special care or the                   ⮚  Written denial  stating the reason for                        the applicant would like mail sent to if it differs  
     property was recently purchased. An                          ineligibility.                                                from the property address. Applicant must  
     individual who permits, pursuant to a court                                                                                include an explanation on a separate sheet of  
     order      orseparation agreement,         a spouse,      County Supplemental Tax Credits                                  paper. 
     former spouse, or children of that person’s  Supplemental tax credits are available to 
     family,  to reside in a dwelling in which the             eligible homeowners  in Anne Arundel  Co.,                       Field 5: Current Marital Status - Check or mark 
     individual  has  a legal  interest,  has  met  the        Baltimore City, Baltimore Co., Calvert Co.,                      which option best describes the applicant’s  
     residency requirement. A homeowner may  Caroline Co., Carroll Co., Charles Co.,                                            current  status:  single; or      provide the month and 
     claim credit for only one principal                       Frederick Co., Garrett Co., Harford Co.,  
     residence. must have legal i                              Howard Co.,         The    supplemental   tax  credits           date for: married, separated,       divorced 
                                                                                  Kent Co., Montgomery Co., and 
2.   Applicant                          nterest in the         Washington Co.                                                   (finalized) or widowed. 
     property. Land installment sales, contract                are administered by the State of Maryland                                           the full legal name of Spouse 
     purchases, holders of a life estate and                   Homeowners’  Tax  Credit  Program.  To apply  for                Field 6:  Enter                                
                                                               the state tax credit and/or county supplemental                  and/or Residential Co-Owner (last name, first  
     beneficiaries of certain trusts have                                                                                                                                         
     sufficient  legal  interest.                              tax credit, applicants are only required to                      name, middle initial). Residential Co-Owner 
3.   Net  worth,  excluding the value of      the              submit this application form (Form HTC-1).                       must  own or  have a legal  interest  in the 
     property for which the credit application is              Some applicants  may  be eligible for  a                         property. If more space is needed, enter  
     being made and the cash value of IRAs or                  supplemental  tax  credit  even though they  may                 information on a separate sheet of paper and  
     qualified retirement  savings  plans,  must               be ineligible for  a state credit  based on income.   include with this application.  
     not exceed $200,000, as of December 31, 
     2022.                                                     Privacy and State Data System Security                           Field 7:  Social Security Number - Enter  
4.   Combined gross  household income cannot                   Notice                                                           Spouse and/or Residential Co-Owner(s) nine  
     exceed $60,000.                                           The principal purpose for which this information                 (9) digit  social  security  number. 
                                                                  is sought is      to determine your  eligibility  for  a tax  

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                                          Maryland State Department of Assessments & Taxation 
            2023 Homeowners’ Property Tax Credit Application HTC-                                1 Form ● Filing Deadline                 October 1, 2023 
                                      Apply online:  http://www.taxcredits.sdat.maryland.gov/  

Field 8:  Date of Birth - Month, Day, and Year           number and estimated value on a separate                    purposes, complete Field 22a-22d. If there are 
the Spouse and/or Residential Co-Owner(s)                sheet of paper and include with this application.           none, move to Field 23.       
was born.  
                                                         Field 15:  If you own or operate a business in              Fields 22a. –    22d.:  Applicant must provide the 
Field 9: Property Address - Physical location of         the State of Maryland or elsewhere, list the                name(s) (last, first, and middle initial) and 
applicant’s property for which the tax credit is         name of business, type of business and                      date(s)  of birth (month, day, and year) of all  
being applied.                                           principal office address on a separate sheet of             persons  living at  the property  who are over  
                                                         paper and include with this application.                    eighteen (18)  years of      age and not  claimed as  
Field 10: City, Town, or Post Office  - State the                                                                    a dependent for IRS purposes and are not co-
name of the city or town where the property is           Property Information                                        owner(s) of the property. The applicant must 
located.                                                 Field 16: Property Account Number - Every                   also provide the household member’s  gross 
                                                         county uses the property account number to                  income from last year or how  much they paid  
Field 11: County - Provide the  two (2)  digit           identify the property. Baltimore City uses the              for room and board and/or household 
code of the county where the property is                 Ward, Section, Block, and Lot 
                                                                                                                     expenses. These fees must be “reasonable”. If 
                                                                                                                                                                            
located.                                                 identify properties in the City. This Numberinformationto   there are additional members, include a sheet  
       County                        Code                can be obtained from the applicant’s property               of paper with questions 22a.   –22d. completed.  
Allegany                         01                      tax  bill,  assessment  notice or  by  clicking the 
Anne Arundel                     02                      below link:                                                 Wages & Income 
Baltimore City                   03                      https://sdat.dat.maryland.gov/RealProperty/Pag              Field 23:  Wages       & Income - All resident co-
Baltimore County                 04                      es/default.aspx                                             owners,  including the applicant  and applicant’s  
Calvert                          05                                                                                  spouse,  must  report  their  gross  income.  
Caroline                         06                      Field 17: This residence is a(n) - Check or                 Income from all sources must be reported, 
Carroll                          07                      mark  which residential  building structure best            including taxable and non-taxable income. 
Cecil                            08                      describes applicant’s home/primary residence.               Income for this application is not limited to the 
Charles                          09                      If none listed apply, please mark ‘Other’ and               definition of                                         
Dorchester                       10                      write-in structure.                                         income tax     gross income for  federal     stateor  
                                  
Frederick                        11                                                                                                filing purposes. Social Security 
                                                                                                                     benefits, worker’s compensation, deferred 
Garrett                          12                      Field 18: Property Use - Mark whether the 
                                                                                                                     compensation, etc., must be reported. The full 
Harford                          13                      property use is residential only or residential                                                                    
Howard                           14                      and a portion being used for  business,  farming            amount   ofan inheritance is   income. All gifts in 
Kent                             15                      or  rental  use.      anyIf  business,  farming or  rental  excess of $300 and expenses paid on 
Montgomery                       16                                                                                  applicant’s behalf by others must be reported 
Prince George’s                  17                      use, please provide the approximate                                                                             
Queen Anne’s                     18                      percentage of  use.                                         as income. Losses from business, rental or 
                                                                                                                     other endeavors may not be used to reduce the 
St. Mary’s                       19                                                                                  amount of      gross  income reported.  Any  
                                                                      Total number of apartments on the 
Somerset                         20                      Field 19:                                                                           not being claimed as a 
Talbot                           21                      property if applicable, including vacant                    household occupant                             
Washington                       22                      apartments - State the total number of                      dependent  and  who is  not  paying reasonable 
Wicomico                         23                      apartments on the applicant’s property. This                fixed charges,  such as  room  and board,  must  
Worcester                        24                      number should include vacant                                report  their  total  gross  income(s)  from  the 
                                                         apartments/rental units.                                    previous year.   
Field 12:  Zip Code - List the postal code in 
which the applicant’s property is located.               Field 20: Amount of rent received from tenants              Field 24: If you filed or will file a Federal 
                                                         if applicable:  Gross:  $____________                       Income Tax Return for 2022, or if married and  
Field 13:      If you will  not  be residing in the      Net:  $____________ If  any portion of the                  filed or will file  separately, include a photocopy 
property  for  which you are applying for  the tax       applicant’s property is rented, state the total             of the completed 2022 federal tax return(s),  
credit  on July      1, 2023, and for more than six (6)  gross  rent  received and the net  gross  rent              including all                                
                                                                                                                                    accompanying schedules and 
months thereafter, please explain your reason                                                                        other forms, when submitting this application. If  
                                                         received the previous year.                                 income was derived from a partnership or  
on a separate sheet of paper  and include with                                                                       corporation, a copy of the partnership return 
this application.                                        Household Members                                           (Form  1065,  including Schedule K-1) and/or a 
                                                         Field 21: 
                                                                      If there are household members over            copy of the corporate return (Form 1120 or  
Field 14: 
              If you own any other dwelling or other     eighteen (18)  years of      age who are not a              1120S,  including Schedule K    -1) must also be 
real estate in the State of Maryland or                  spouse or co-owner and who cannot be                        included.   
elsewhere, please list the real estate’s                 claimed as applicant’s  dependent for IRS  
address(es), date acquired, property account                                                                         Do not send original  documents as we are 
                                                                                                                     unable to return them. 

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                 Maryland State Department of Assessments & Taxation 
2023 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline  October 1, 2023 
     Apply online:  http://www.taxcredits.sdat.maryland.gov/  

                                                       HTC-1 (v.1.0)  






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