Form Rtc-60 - Renters' Tax Credit Application - 2017
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1
22017
State of Maryland
FORM
Department of Assessments and Taxation
RTC-60
Renters’ Tax Credit Application
1.
n
Mr.
Last Name
First Name and Middle Initial
2.
Your Social Security Number
3. Your Birth Date
4. Daytime Telephone No.
Mrs.
n
Ms.
(
)
n
5.
Enter Spouse’s or Co-tenant’s Full Name (Circle Which)
6.
His/Her Social Security Number
7. His/Her Birth Date
8.
Present Address (Number and Street, Rural Route)
Apartment No.
City, Town, or Post Office
County
Zip Code
9.
Address in 2016 if Different from Above
City, Town, or Post Office
County
Zip Code
10.
Mailing Address if Different from Present Address
City, Town, or Post Office
State
Zip Code
n
n
Yes
No
11.
Did you reside in public housing in 2016?
n
n
n
n
n
12.
Marital Status
Single
Married
(
Separated
Divorced
Widowed
If so, date ____________________ )
13.
Check one of the following which describes your rented residence:
n
n
n
n
Apartment Building Unit
Single Family House
Mobile Home Pad
Other (Specify)
n
n
n
n
14.
Applicant Status:
Age 60 or Over
Totally Disabled (Submit proof)
Surviving Spouse
Under Age 60 with Dependent Child
15a.
Enter the name and address of the management company or person to whom you paid rent for at least six months in 2016. List any other landlord on a separate sheet of paper.
Name of Management Company or Landlord.
Address of Management Company or Landlord
15b.
Enter the name and address of the current management company or person to whom you are now paying rent.
Name of Management Company or Landlord.
Address of Management Company or Landlord
n
n
16.
Do you rent from a person related to you (including In-Laws)?
Yes
No
If yes, attach a photocopy of your lease.
Relationship______________________________________________________
n
n
16a.
Do you own any real estate in the State of Maryland or elsewhere?
Yes
No
TURN OVER TO OTHER SIDE TO COMPLETE AND SIGN THE APPLICATION
DO NOT WRITE BELOW - OFFICE USE ONLY
APPL. #___________________
RTC17
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