Montgomery County, Maryland Division of Treasury

Finance.propertytaxcredits@montgomerycountymd.gov

27 Courthouse Square, Suite 200, Rockville, MD 20850

240-777-0311

APPLICATION FORM PROPERTY TAX CREDIT FIRE SPRINKLER SYSTEMS

If you wish to submit a paper version of this form you can download it here.

IN ORDER TO RECEIVE THE TAX CREDIT, THE FOLLOWING INFORMATION MUST BE COMPLETED, AND ALL OF THE REQUIRED ITEMS MUST BE SUBMITTED ALONG WITH THE APPLICATION.

Property Owner Phone Number

Property Tax Account Number

Is the property a single family home? a townhouse? or a condominium?

Single family home

Townhouse

Condominium

Is the property new construction or newly reconstructed?

Yes

6. Date that the fire sprinkler was installed (Month/Year):

At the time it was installed, was the property required to have the fire sprinkler system?

Yes

REQUIRED ITEMS

A. Written documentation that includes the date in which the fire sprinkler system was installed.

B. A copy of the license or permit under which the fire sprinkler system was installed.

C. A copy of the bill for the installation of the fire sprinkler system along with a paid receipt for the installation.

D. A copy of the post-installation inspection report.

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Property Owner Signature

First Name

Last Name

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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.

FOR OFFICE USE ONLY

A. TOTAL APPROVED COST OF INSTALLING THE FIRE SPRINKLER SYSTEM: ______________________________

B. AMOUNT OF GENERAL COUNTY TAX: _____________________ x 50% = ______________________________

C. FIRE SPRINKLER TAX CREDIT (Equals the lesser of A or B): _______________________________________