Form Htc-60 - Homeowners' Property Tax Credit Application - 2011

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FORM
State of Maryland
2011
HTC-60
Department of Assessments and Taxation
Homeowners’ Property Tax Credit Application
Please Read Instructions Before Completing This Application Answer Every Question Or Mark It None
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1.
Mr.
Last Name
First Name and Middle Initial
2.
Your Social Security Number
3. Your Birth Date
4. Daytime Telephone No.
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Mrs.
n
(
)
Ms.
5.
Full Name of Spouse or Co-Owner living in the property
6.
His/Her Social Security Number
7. His/Her Birth Date
8.
Property Address (Number and Street, or Rural Route)
City, Town, or Post Office
County
Zip Code
9.
Mailing Address if Different from Above (Attach explanation why)
City, Town, or Post Office
County
Zip Code
n
n
n
n
n
10.
Marital Status
Single
Married
(
Separated
Divorced
Widowed
If so, date ____________________ )
Incorporated Town,
11.
Furnish the Following
Ward
Sect
Block
Lot
if Any
from Your Tax Bill or
_________________________________
Assessment Notice
Property Account No. (except Balto. City)
For Baltimore City Only
TURN OVER TO OTHER SIDE TO COMPLETE AND SIGN THE APPLICATION
DO NOT WRITE BELOW - OFFICE USE ONLY
Deed
Name Code
Co. Code
Mun. Code
Account Number
Applicant’s Name
Premise Address
Md Entry
HOLD
Applicant’s Birth Date
MO
/ YR
n
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STATUS
HARMLESS
Total Assessment 2011/2012
Appl. #
Social Security #1
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USE
________________________________
Homestead Credit
Homesite & Dwelling
Social Security #2
Property Description
HTC11

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