Rental

2. Property Owner Name*

   Please enter the Property Owner Name, as recognized by the Maryland State Department of Assessment and Taxation (SDAT.)

4. Address

   Please provide the address mentioned in the letter you received from the city.

6. City
7. State
8. Zip Code
10. Status of Property

    1. Owner-occupied
    2. Tenant Occupied (must register home.)
    3. Vacant
    4. Unimproved Parcel (home has been demolished)
    5. Other (please give more detail below.)

    Let us know the current status of the property referenced in the letter you received.

12. Other Notes

    If you answered 'Other' above, please use this field to explain.

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14. 1. Receive an email copy of this form.
15. Email address

    This field is not part of the form submission.

16. Submit Submit and Print

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