MARYLAND STATE DEPARTMENT OF ASSESSMENTS & TAXATION 
                                 APPLICATION FOR EXEMPTION FOR DISABLED VETERANS  
 
            Application be filed with the Supervisor of Assessments at the appropriate office; a list of offices is attached. 
                                                                                              
 This form  seeks information for the purpose of a disabled veteran’s 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 General Provisions Article, §4-501. Consequently, you havethe                        statutory right to inspectyourfile   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. 
 
 Full Name of Titled Property Owner(s): _________________________________________________________________________  
 Address of Property: _______________________________________________________________________________________  
 County Account Number:                                                                     (Baltimore City)Ward____  Section ____ Block ____ Lot ______  
 Description of Property:                                                                                                                           ___________  
 I declare under the penalties of perjury, pursuant to Section 1-201, Tax Property Article, of the Annotated Code Maryland,of                                      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 Veteran:                                                                                       Date: ___________________________  
 Printed  Name:                                                                   ____     Social Security  Number: ____________________________  
 Mailing Address:                                                                                                                                            ____ 
 Daytime Phone:                                                              Email Address:                                                         _________
  
         Check to apply for a refund of any property tax paid for which you may be eligible under Tax Property Article 7-208.  
        Attach a copy of the Veteran’s Honorable  Discharge or a copy of DD-Form 214 as required by law. (Maryland 
         Annotated Code, Tax-Property Article, § 7-208)  
        Attach a copy of the veteran’s most recent rating decision by                             the U.S. Department of Veterans           Affairs (V.A.). 
         Document from the V.A. must indicate that the veteran’s final service-connected disability rating is 100% 
         permanent and total or 100% permanently unemployable. This document must include the disability rating’s 
         effective date and date of the V.A. rating’s decision.  
        Applicant must be a Maryland resident.  Attach copy of a current Maryland driver’s license, voter’s registration or 
         redacted previous year Maryland income taxes as proof of  residency. (If pending purchase, provide a contract of 
         sale)  
 
            IF V.A RATING DOCUMENT IS NOT AVAILABLE, THIS SECTION MUST BE COMPLETED BY THE V.A. 
 
 The United States Veterans Administration (V.A.) hereby certifies that the above-named veteran has been declared by the V.A. to 
 have a service-connected disability, which was not incurred through misconduct; that the said disability is __                                     % disabling.  Is 
 the disability permanent in character?                                      . Is the disability reasonably certain to continue for the life of the veteran?      _____ 
 Is the veteran 100% permanently unemployable?                               . Is the said veteran receiving disability payments as allowed for reasons 
 of _________%  disability, or               __% unemployability. 
  
 The character of the disability is as follows: ______________________________________________________________________ 
 ________________________________________________________________________________________________________ 
  Effective Date of Disability Rating:                            Date of V.A. Rating Decision: ____________________________                                     
 Adjudication/Service Officer Name:                                                  ____                                       Date: ________________ 
 Mailing Address:                                                                                                                            _________  
 Daytime Phone:                                                                            Email: _____________________________________  
  
                                              THIS APPLICATION IS NOT OPEN FOR PUBLIC INSPECTION  
                                                                  FOR ASSESSMENT OFFICE USE ONLY  
 Comments                                                                         ____________________________________________________________ 
                              Approved  [  ]            Re-Application  [  ]      Disapproved  [  ]                     Effective Date: ________________  
 Supervisor’s Signature:  ______                                                                              Date:                                               

   SDATRP_EX4B    Rev July 2023                                                                                                                    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 21502                                                      (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, 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: 3/23    

               SDATRP_EX-4A  March 2023                                                                                                                                  https://dat.maryland.gov