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STATE of MARYLAND
DEPARTMENT of ASSESSMENTS and TAXATION
DESIGNATED PROPERTY REPRESENTATIVE FORM
OWNERS
NAME______________________________________________________
ACCOUNT NO.:________________________________________________________
PROPERTY REPRESENTATIVE__________________________________________
REPRESENTATIVE’S ADDRESS________________________________________________________
_______________________________________________________________________
I HEREBY AUTHORIZE THE ABOVE PROPERTY REPRESENTATIVE
TO SERVE AS MY AGENT FOR THE PURPOSE OF
REPRESENTING ME IN THE APPEAL OF THE ASSESSMENT
FOR THE TAX YEAR __________.
I UNDERSTAND THAT ALL FURTHER CORRESPONDENCE
REGARDING THIS APPEAL WILL BE SENT TO MY
PROPERTY REPRESENTATIVE.
SIGNED:_______________________________
_____________________
PROPERTY OWNER
PHONE
NUMBER
DATE:_________________________________
This form
seeks information for the purpose of a authorizing
a representative to assist in the assessment
appeal process on the indicated property.
Failure to provide this information will
result in denial of our request. 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 purpose
of 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
.
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