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Montgomery County Maryland Division of Treasury, Finance Department

Finance.propertytaxcredits@montgomerycountymd.gov

27 Courthouse Square, Suite 200, Rockville, MD 20850

240-777-0311

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PROPERTY TAX ANNUAL CONFIRMATION FOR PREVIOUSLY APPROVED ACCOUNT

SPOUSE OF FALLEN LAW ENFORCEMENT OFFICER OR RESCUE WORKER

I hereby certify under oath and affirmation, subject to the penalties provided by law, that the information and responses in this application are true and correct to the best of my knowledge, information, and belief.

SIGNATURE OF SURVIVING SPOUSE

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