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 at settlement.

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  

Print Name Here                                                                      Phone 

Address 
                           THIS APPLICATION IS NOT OPEN FOR PUBLIC INSPECTION 
                                            (FOR ASSESSMENT OFFICE USE ONLY) 
Comments: 

New Application  [   ]               Re-Application  [   ]                     Code No. 

Approved  [   ]                      Disapproved  [   ]                        Effective 

Land                                 Improvements                              Total 

Supervisor’s Signature                                                         Date 

                SDATRP_EX-6   January 2019                                           http:/dat.maryland.gov

                                                                            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)314-4510 (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,  ui S te 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: 8/20/18