Account Number______________________District _____ Map_____ Block____
Parcel ______
Owner’s Name _________________________________________________________________
Location ______________________________________________________________________
______________________________________________________________________________
Name of Active Member(s) Residing on Farm _________________________________________
I (We),_______________________________________________________________
the active member(s) of __________________________________________________
which owns the farm located at__________________________________________________________________
and described as ________________________________________________________________
hereby attest that my (our) principal residence is located on this
property. I (we) attest that this property was our principal residence
prior to the transfer of the property to a Limited Liability Company
or Limited Liability Partnership or prior to the transfer to a partnership
if the partnership was subsequently converted to a Limited Liability
Company or Limited Liability Partnership. I (we) have or share the
authority to manage, control and operate the Limited Liability Company
or Limited Liability Partnership and share the assets and earnings
of the Limited Liability Company or Limited Liability Partnership.
I agree to provide information to the Department to verify the
continued qualification of the property for the Homestead Tax Credit
and Semi-Annual tax payments. I understand that if the controlling
interest of the Limited Liability Company or Limited Liability Partnership
is transferred to any other individuals, including immediate family
members, the property is disqualified from receiving the Homestead
Tax Credit and Semi-Annual tax payments.
I (we) declare, under the penalties of perjury, that this declaration
(including any accompanying forms and statements) has been examined
by me (us) and the information contained herein, to the best of
my (our) knowledge, information, and belief, is true, correct, and
complete.
Signature________________________________________________ Date___________
Rev. 6/1/2005
| This
form seeks information for the purposed
of an application by an Agricultural
Limited Liability Company for Homestead
Tax Credit. 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 State Government Article,
§10-624. Consequently, you have
the statutory right to inspect your
file 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.
Additionally, if your property would
be used by the State Department
of Assessments and Taxation as a
comparable for establishing the
value of another property in a hearing
before the Maryland Tax Court, the
requested information, or a portion
thereof, may have to be provided
to the owner of that other property. |
|