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

PLEASE COMPLETE OTHER SIDE OF APPLICATION FIRST

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12a. Do you own any other dwelling or other real estate in the State of Maryland or elsewhere?

Yes

If yes, please attach to this application a separate list of where the properties are located, their property account numbers and their use.

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12b. Do you own or operate a business?

Yes

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13.

Will you reside in the property on which you are applying for the tax credit on July 1, 2000 and for more than 6 months thereafter?

Yes

If no, explain: _________________________________________________________________________________________________________________________

14.

List the names of all residents over 18 years of age in your household who are

not co-owners and who cannot be claimed as your dependents for IRS purposes.

(If more space is needed, attach a separate list). If none, write NONE.

Name

Relationship

15.

Report here the amount of reasonable fixed charges for room and board, rent or

expenses paid by the persons listed in item 14. If none is paid, write NONE and

per

(week/month)

then list the total gross incomes of such residents in item 18, Column 3 (All Others).

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16.

Is any portion of the property for which this application is being made used for:

a) farming,

b) a business and/or

c) a rental purpose?

Yes

If yes, then circle which use (a, b, c) and indicate what percentage of the dwelling is used for your own residential purposes: ___________________________%

17.

a.) Total number of apartments in the property, including vacant apts.___________________________________

b.) Amount of rent received during 1999 from tenants:

Gross ______________

Net ________________

18.

SOURCES OF INCOME IN 1999

(1)

(2)

(3)

APPLICANT

SPOUSE OR

ALL

OFFICE

When a document is requested, please DO NOT send the original, send a

RESIDENT

OTHERS

USE

copy. If no Social Security, Railroad Retirement or other pension benefits

were received, then you must enter zero (0) in the appropriate space

CO-OWNERS

ONLY

Wages, Salary, Tips, Bonuses, Commissions, Fees......................................................

Interest (Includes both taxable and non-taxable) .........................................................

Dividends (Includes non-taxable distributions)............................................................

Capital Gains (Includes non-taxed Gains) ....................................................................

Rental Profits (Net) ......................................................................................................

Business Profits (Net)..................................................................................................

Room & Board (See instructions for line 15) ...............................................................

Unemployment Insurance; Workers’ Compensation (Circle which)..............................

Alimony; Support Money; Public Assistance Grants (Circle which)..............................

Social Security (Attach a copy of 1999 Form SSA-1099); S.S.I. Benefits (Circle which).....

Railroad Retirement (Attach a copy of 1999 Form RRB-1099 and RRB-1099R) .........

Other Federal Pensions (Not including VA Benefits) per year .......................................

Veterans’ Benefits per year...........................................................................................

Other Pensions, Annuities, and IRAs per year (If a rollover, see instructions for Line 18) ..

Deferred Compensation (Attach a W-2 Statement) .....................................................

Gifts over $300; Expenses Paid by Others; Inheritances (Circle which)........................

All other income (Indicate Source)...............................................................................

TOTAL INCOME, CALENDAR YEAR 1999

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19.

Did or will you and/or your spouse, file a Federal Income Tax Return for 1999?

Yes

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.

20.

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. 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, 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

Spouse’s or Resident Co-owner’s Signature

______________________________________________________________________

_____________

_____________________________________________

Name of Preparer Other Than Applicant

Date

Telephone