Property Tax Credit - Renewable Energy Application Form - Division Of Treasury, Montgomery County
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2DIVISION OF TREASURY
255 ROCKVILLE PIKE, SUITE L-15
ROCKVILLE, MARYLAND 20850
240-777-8931
APPLICATION FORM
PROPERTY TAX CREDIT – RENEWABLE ENERGY
Montgomery County Code, Section 52-18R
Property Owner: _________________________________________________________________________
Property Address: _________________________________________________________________________
Property Tax Account Number: _________________
Is the Property Owner-Occupied? ________________
SECTION 1: RENEWABLE ENERGY DEVICES
Effective November 8, 2011:
The Property Tax Credit for Solar and Geothermal
Energy Devices has been suspended. Tax Credits will not be granted for solar or
geothermal devices for any application received after November 8, 2012.
SECTION 2: ENERGY CONSERVATION DEVICES
An Energy Conservation Device is defined as: a device that reduces the demands for conventional fuels or increases the efficiency of these
fuels, but does not include a standard household appliance. Examples of Energy Conservation devices are provided on Page 2 of this application.
Energy Conservation Device
Use of Device for Energy Conservation
Device Cost
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5
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REQUIRED ITEMS: The following items must be completed with this application in order to receive a tax credit for Energy Conservation Devices:
1) A copy of a receipt detailing the entire cost of each energy conservation device must be submitted with this application. 2) The Tax Credit
Applicant must sign the certification below.
I hereby certify under oath and affirmation, subject to the penalties provided by law, that all of the Energy Conservation Devices for
which I am seeking a tax credit have been used for the purposes stated in the definition of Energy Conservation Devices noted.
APPLICATION DATE
SIGNATURE OF APPLICANT
FOR OFFICE USE ONLY
The Department of Permitting Services (DPS) certifies that the Renewable Energy Device listed in Section 1 (if applicable), is a solar
or geothermal energy device that has been properly installed____________________________________ (DPS authorized signature)
TOTAL AMOUNT OF TAX CREDIT – RENEWABLE ENERGY DEVICE (50% OF ELIGIBLE COSTS): _________________
(Limited to $5,000 for a heating system, or $1,500 for a hot water supply system)
TOTAL AMOUNT OF TAX CREDIT – ENERGY CONSERVATION DEVICE (Limit $250 per property): _________________
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