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                                           Maryland State Department of Assessments & Taxation 
         2021 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline October 1, 2021
                                             Apply online:  http://www.taxcredits.sdat.maryland.gov/ 

APPLICANT DETAILS 
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        12. Zip Code

Check or mark each of the following statements that pertain to you: 
13. ☐    I WILL reside in the property on which I am applying for the tax credit on July 1, 2021 and for more than 6 months thereafter.

14. ☐    I DO NOT own any other dwelling or other real estate in the State of Maryland or elsewhere.

15. ☐    I DO NOT own or operate a business in the State of Maryland or elsewhere.

Please review the Instructions on how to proceed for each unmarked statement on Page 4 of 4. 

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 
       2021 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline October 1, 2021
                                           Apply online:  http://www.taxcredits.sdat.maryland.gov/ 

2020 WAGES & INCOME
                                                                                                            Spouse/Resident     Household 
                                                                                                                                          Office Use Only 
23. All accompanying schedules and documents MUST be                        Applicant                         Co-Owner          Member(s) 
submitted with this application. Do NOT send originals.
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, see instructions 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 2020 Form SSA-1099)                      $                                 $                 $           $ 
S.S.I Benefits for 2020 (Include Proof)                                   $                                 $                 $           $ 
Railroad Retirement (Include copy of 2020 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 2020                                           $                                 $                 $           $ 
24. Did you, and/or your spouse, file a Federal Income Tax Return for 2020?     ☐  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 of my 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 a later 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 

                 INFORMATION 

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                                         Maryland State Department of Assessments & Taxation 
             2021 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline October 1, 2021
                                      Apply online www.taxcredits.sdat.maryland.gov 
The State of Maryland provides a credit for the      If all four requirements are met, the amount of    The principal purpose for which this information 
real property tax bill for homeowners of all ages    tax credit due, if any, will be calculated on the  is sought is to determine your eligibility for a tax 
who qualify on the basis of gross household          basis of the gross household income for            credit. Failure to provide this information will 
income. For more information, please visit our       calendar year 2020.                                result in a denial of your application. Some of 
website at https://dat.maryland.gov/Pages/Tax-                                                          the information requested would be considered 
Credit-Programs.aspx                                 Limitations                                        a “Personal Record” as defined in State 
                                                     The lesser of $300,000 or the total assessed       Government Article, § 10-624 consequently, 
Eligibility                                          value minus any Homestead credit, shall be         you have the statutory right to inspect your file 
A new application must be filed every year if        used for calculating taxes eligible for credit.    and to file a written request to correct or amend 
applicant wishes to be considered for a tax                                                             any information you believe to be inaccurate or 
credit. Actual taxes eligible for this credit do not ***NEW: Important Filing Deadlines                 incomplete. Additionally, it is unlawful for any 
include fixed metropolitan charges which may         The deadline for filing an application is October  officer or employee of the state or any political 
appear on the tax bill for such services as          1, 2021. However, if applicant submits a           subdivision to divulge any income particulars 
sewer, water or improvement repayments, and          properly completed application before April        set forth in the application or any tax return 
do not include taxes for excess land acreage,        15th, 2021***, and that application is not         filed except in accordance with judicial 
other buildings or portions of buildings used for    subject to an audit by the department, applicant   legislative order. However, this information is 
business purposes. Property owners with large        will receive any credit due on the July 1, 2021    available to officers of the state, county or 
tracts of land will have the credit limited to the   tax bill. A properly completed application         municipality in their official capacity and to 
amount of taxes on land necessary for the            means that all questions are answered, the         taxing officials of any other state, or the federal 
residential dwelling and does not include            form is signed, copies of the entire federal       government, as provided by statute. 
excess acreage. The credit shall be limited to       income tax return, schedules and forms, 
the portion of the dwelling that is used only for    necessary Social Security form (SSA-1099),         INSTRUCTIONS FOR COMPLETING THE 
the applicant’s residential purposes.                Railroad Retirement Verification or Rate Letter                  APPLICATION 
An application may be subjected to an audit at       are all included and applicant has provided 
any time and applicant may be requested to           responses to any subsequent inquiries made          Please Print Clearly
submit additional verification or other evidence     by the department in a reasonable timeframe. If     Do Not Staple Documents
of income in order to substantiate the               the application is filed afterApril 15, 2021,***Do Not Send Original Documents
application for the property tax credit.             applicant should not expect to receive any tax 
                                                     credit on the July 1, 2021 tax bill, and is        Applicant Details 
Requirements                                         advised to pay the tax bill to receive the         Field 1: Name - Enter the full legal name of 
Applicant(s) must satisfy four (4) legal             discount for early payment.                        applicant (last name, first name, middle initial). 
requirements before eligibility can be                                                                  Applicant must own or have a legal interest in 
considered:                                          How Tax Credits are Granted                        the property. 
1.  The dwelling for which the application is        By submitting this application, the applicant will 
    being made, must be the applicant’s              receive one of the following:                      Field 2: Social Security Number - Enter 
    principal residence. Applicant resides or         Credit directly on the July property tax bill if applicant’s nine (9) digit social security number. 
    expects to reside for more than six (6)            the application is completed properly and is
    months of the tax year, including July 1,          not subjected to audit and is received before    Field 3: Date of Birth - Month, Day and Year 
    2021, unless unable to do so for reasons           April 15, 2021 *** or                            the applicant was born. 
    of illness, need of special care or the           A refund if the bill has already been paid; or
    property was recently purchased. An               Written denial stating the reason for            Field 4: Mailing Address - Enter the address 
    individual who permits, pursuant to a court        ineligibility.                                   the applicant would like mail sent to if it differs 
    order or separation agreement, a spouse,                                                            from the property address. Applicant must 
    former spouse or children of that person’s       County Supplemental Tax Credits                    include an explanation on a separate sheet of 
    family, to reside in a dwelling in which the     Supplemental tax credits are available to          paper. 
    individual has a legal interest, has met the     eligible homeowners in Anne Arundel Co., 
    residency requirement. A homeowner may           Baltimore City, Baltimore Co., Calvert Co.,        Field 5: Current Marital Status - Check or mark 
    claim credit for only one principal              Caroline Co., Carroll Co., Charles Co.,            which option best describes the applicant’s 
    residence.                                       Frederick Co., Garrett Co., Harford Co.,           current status: single; or provide the month and 
2.  Applicant must have legal interest in the        Howard Co., Kent Co., Montgomery Co., and          date for: married, separated, divorced 
    property. Land installment sales, contract       Washington Co. The supplemental tax credits        (finalized) or widowed. 
    purchases, holders of a life estate and          are administered by the State of Maryland 
    beneficiaries of certain trusts have             Homeowners’ Tax Credit Program. To apply for       Field 6:  Enter the full legal name of Spouse 
    sufficient legal interest.                       the state tax credit and/or county supplemental    and/or Residential Co-Owner (last name, first 
3.  Net worth, excluding the value of the            tax credit, applicants are only required to        name, middle initial). Residential Co-Owner 
    property for which the credit application is     submit this application form (Form HTC-1).         must own or have a legal interest in the 
    being made and the cash value of IRAs or         Some applicants may be eligible for a 
    qualified retirement savings plans, must         supplemental tax credit even though they may       property. If more space is needed, enter 
    not exceed $200,000, as of December 31,          be ineligible for a State credit based on          information on a separate sheet of paper and 
    2020.                                            income.                                            include with this application. 
4.  Combined gross household income cannot                                                              Field 7: Social Security Number - Enter 
                                                     Privacy and State Data System Security 
    exceed $60,000.                                                                                     Spouse and/or Residential Co-Owner(s) nine 
                                                     Notice 
                                                                                                        (9) digit social security number.

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                                         Maryland State Department of Assessments & Taxation 
            2021 Homeowners’ Property Tax Credit Application HTC-1 Form ● Filing Deadline October 1, 2021 
                                              Apply online www.taxcredits.sdat.maryland.gov 
Field 8: Date of Birth - Month, Day and Year     number and estimated value on a separate          Fields 22a. – 22d.: Applicant must provide the 
the Spouse and/or Residential Co-Owner(s)        sheet of paper and include with this application.  name(s) (last, first and middle initial) and 
was born.                                                                                          date(s) of birth (month, day and year) of all 
                                                 Field 15: If you own or operate a business in     persons living at the property who are over 
Field 9: Property Address - Physical location of  the State of Maryland or elsewhere, list the     eighteen (18) years of age and not claimed as 
applicant’s property for which the tax credit is name of business, type of business and            a dependent for IRS purposes, and are not co-
being applied.                                   principal office address on a separate sheet of   owner(s) of the property. The applicant must 
                                                 paper and include with this application. 
Field 10: City, Town or Post Office - State the                                                    also provide the household member’s gross 
                                                                                                   income from last year or how much they paid 
name of the city or town where the property is   Property Information 
located.                                         Field 16: Property Account Number - Every         for room and board and/or household 
                                                 county uses the property account number to        expenses. These fees must be “reasonable”. If 
Field 11: County - Provide the two (2) digit     identify the property. Baltimore City uses the    there are additional members, include a sheet 
code of the county where the property is         Ward, Section, Block, and Lot Number to           of paper with questions 22a. – 22d. completed. 
located.                                         identify properties in the City. This information Wages & Income 
        County          Code                     can be obtained from the applicant’s property     Field 23: Wages & Income - All resident co-
 Allegany            01                          tax bill, assessment notice or by clicking the    owners, including the applicant and applicant’s 
 Anne Arundel        02                          below link:                                       spouse, must report their gross income. 
 Baltimore City      03                          https://sdat.dat.maryland.gov/RealProperty/Pag    Income from all sources must be reported, 
 Baltimore County    04                          es/default.aspx                                   including taxable and non-taxable income. 
 Calvert             05 
 Caroline            06                          Field 17: This residence is a(n) - Check or       Income for this application is not limited to the 
 Carroll             07                          mark which residential building structure best    definition of gross income for federal or state 
 Cecil               08                          describes applicant’s home/primary residence.     income tax filing purposes. Social Security 
 Charles             09                          If none listed apply, please mark ‘Other’ and     benefits, worker’s compensation, deferred 
 Dorchester          10                          write-in structure.                               compensation, etc., must be reported. The full 
 Frederick           11                                                                            amount of an inheritance is income. All gifts in 
 Garrett             12                          Field 18: Property Use - Mark whether the         excess of $300 and expenses paid on 
 Harford             13                          property use is residential only or residential   applicant’s behalf by others must be reported 
 Howard              14                          and a portion being used for business, farming    as income. Losses from business, rental or 
 Kent                15                          or rental use. If any business, farming or rental other endeavors may not be used to reduce the 
 Montgomery          16                                                                            amount of gross income reported. Any 
 Prince George’s     17                          use, please provide the approximate 
 Queen Anne’s        18                          percentage of use.                                household occupant not being claimed as a 
 St. Mary’s          19                                                                            dependent and who is not paying reasonable 
 Somerset            20                          Field 19: Total number of apartments on the       fixed charges, such as room and board, must 
 Talbot              21                          property, including vacant apartments - State     report their total gross income(s) from the 
 Washington          22                          the total number of apartments on the             previous year.  
 Wicomico            23                          applicant’s property. This number should 
 Worcester           24                          include vacant apartments/rental units.           Field 24: If you filed a Federal Income Tax 
                                                                                                   Return for 2020, or if married and filed 
Field 12: Zip Code - List the postal code in     Field 20: Amount of rent received from tenants:   separately, include a photocopy of the 
which the applicant’s property is located.       Gross:  $____________ Net:  $____________         completed federal tax return(s), including all 
                                                 - If any portion of the applicant’s property is   accompanying schedules and other forms, 
Field 13: If you will not be residing in the     rented, state the total gross rent received and   when submitting this application. If income was 
property for which you are applying for the tax  the net gross rent received the previous year.    derived from a partnership or corporation, a 
credit on July 1, 2021 and for more than six (6)                                                   copy of the partnership return (Form 1065, 
months thereafter, please explain your reason    Household Members                                 including Schedule K-1) and/or a copy of the 
on a separate sheet of paper and include with    Field 21: If there are household members over     corporate return (Form 1120 or 1120S, 
this form.                                       eighteen (18) years of age who are not a          including Schedule K-1) must also be included.  
                                                 spouse or co-owner and who cannot be              Do not send original documents as we are 
Field 14: If you own any other dwelling or other claimed as applicant’s dependent for IRS          unable to return them.
real estate in the State of Maryland or          purposes, complete Field 22a-22d. If there are 
elsewhere, please list the real estate’s         none, move to Field 23.  
address(es), date acquired, property account 

                 HTC-1(v.1.0)                                                                      Page 3 of 4 






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