Application for Historic Preservation Tax Credit
Owner’s Name
Owner’s Mailing Address
Address where the work was completed
Daytime Telephone Number
Cell Phone number
Email Address
Property Tax Account Number
I. The property is listed in the Master Plan for Historic Preservation as:
Site Name or Historic District:
Have you applied for or did this project receive a Historic Area Work
Permit?
If so, please enclose a copy of your approval memo from the Historic
Preservation Office or the Department of Permitting Services.
Did you apply for or did this project receive a Maryland state or federal
historic preservation tax credit?
If so, please include a copy of your complete application.
II. In accordance with Chapter 52, Article VI, of the Montgomery County
Code, I request a credit to my county property taxes for the following
work:
Restoration and preservation work at an individually
designated historic site or an historic resource within an historic district
that was the subject of an approved Historic Area Work Permit (HAWP) and
qualifies under Chapter 52, Article VI.
Ordinary Maintenance on a historic site or historic resource
within an historic district where the amount expended exceeds $1,000.
III. I have read the enclosed guidance on how to apply and the PDF Helpful
Guidance and Tips for Complete Tax Credit Packages; have completed two
copies of my application package including all attachments; and have
completed and signed the Receipts Transmittal Form. (initials
and date)