Vacant Commercial Structures Tax Credit Application Form
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1VACANT COMMERCIAL STRUCTURES TAX CREDIT APPLICATION FORM
Frederick County and The City of Frederick, Maryland
In order for applicants to receive the vacant commercial structures tax credit, please submit this application and all backup
th
for the tax credit to be applied on the following Fiscal Year’s tax bill (mailed July 1). Please
documentation before April 30
submit this form to State Department of Assessment & Taxation located at 5310 Spectrum Drive, Frederick, MD 21703.
I. APPLICANT
Name of Applicant: ______________________________________
Phone: ____________________
Address: _____________________________________________________________________________________
Property Location: ______________________________________________________________________________
Square Footage of Rehabilitated Area:________
Total Square Footage of Property: ______
Vacant Square Footage of Property: _______
Date Vacated: ______
Zoning of Property: ______
Date of Original Construction: ______ Date Rehabilitation Began: _____Date Rehabilitation Completed: _______
□ Y □ N
Are pedestrian and vehicular connections to adjacent commercial properties provided?
(If no, please attach
documentation from Planning Department determining that such connections were not feasible).
I hereby make oath that I am the present owner of the above property and that the above information is true and correct to the
best of my knowledge and information.
Signature: ______________________________________________
Date: ______________
II. COMMERCIAL REAL ESTATE BROKER
I certify that the above property is located in Frederick (please indicate) □ County / □ City and had been vacant for a period not
less than 18 of the previous 24 months prior to the lease or sale of the property, and was actively listed for sale or lease.
Firm:_________________________
Broker:_________________________
Date:_______________
III.
STATE DEPARTMENT OF ASSESSMENT AND TAXATION
First full year the improvements were added to the assessment roll: ____________________
Increase in assessment attributable to reconstruction and improvements to above referenced property:
Amount $______________
Account No. _______________________________________
_________________________________
______________
Supervisor of Assessments
Date
IV.
CITY OF FREDERICK
Fiscal Year of
Assessment
Tax Rate
Percent of
Amount of
Tax Credit
Increase
Exemption*
Exemption
________
__________ X
$______
X ___________
= $_________
___________________________ __________
____________________________
______________
Director, Economic Development Date
Mayor, The City of Frederick
Date
V.
FREDERICK COUNTY
Fiscal Year of
Assessment
Tax Rate
Percent of
Amount of
Tax Credit
Increase
Exemption*
Exemption
________
________ X
$______
X ___________
= $_________
____________________________
________
______________ _______ _
___________
Frederick County Finance Director
Date
County Executive, Frederick County
Date
* This is the _____ year that the applicant has applied for the Vacant Commercial Structures Tax Credit.
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