Public Safety Tax Credit Application Public Safety Tax Credit Property Parcel Number (located on the City of Salisbury Property Tax Bill)* Fiscal YearJuly 1, 2022-June 30, 2023July 1, 2023-June 30, 2024July 1, 2024-June 30, 2025July 1, 2025-June 30, 2026July 1, 2026-June 30, 2027Name of Applicant for Tax Credit (one applicant only)* Name(s) of Property Owners* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone*Email* Please check the applicable Public Safety Officer designation (select only one) and provide supporting documentation with your application:* I am currently employed as a full-time Firefighter/EMT or Firefighter/Paramedic for the City of Salisbury Fire Department and have completed at least one year of full-time employment. I am currently employed as a full-time Police Officer for the City of Salisbury Police Department and have completed at least one year of full-time employment. I am currently serving as an active Volunteer member of the City of Salisbury Fire Department and have met the service requirements as outlined in Section 3.24.030 (B) of the Salisbury Municipal Code. I have received a service related disability. I have retired in good standing from full-time employment. I have served as a Volunteer member for more than twenty (20) years of active service and have become a Lifetime member in accordance with Chapter 2.16 – Fire Department of the City of Salisbury Municipal Code. Supporting documentation may include a copy of the current paystub, a letter of retirement or separation from the City, a letter evidencing the Volunteer status, etc.Do you own the property to which the credit will be applied?* Yes No Is the property the primary residence of the applicant?* Yes No Did you receive a real property tax credit permitted under Title 9 of the Tax-Property Article of the Annotated Code of Maryland?* Yes No I hereby certify that I have read the Salisbury Municipal Code Chapter 3.24 – Public Safety Officer Real Property Tax Credit and that I am eligible for the tax credit for the residential property described above. I understand that this is a tax credit applied to the City real property tax for certain real property owned by public safety officers. The tax credit may be granted in an amount up to $2,500, but may not exceed the amount of the real property tax imposed on the dwelling. I understand that this tax credit is available for a period of one taxable year and must be renewed. I understand I must re-apply each year to receive the tax credit. I understand that this application must be filed on or before April 1 immediately before the taxable year for which the credit is sought. I further understand that if the application is filed after April 1, the application shall be treated as an application for a tax credit for the next succeeding taxable year. I understand that the tax credit created by Chapter 3.24 shall terminate if any of the following occurs: A. The Public Safety Officer is no longer employed full-time by the public safety agency for a reason other than retirement or service related disability, or is no longer eligible under subsection 3.24.030B. for volunteer firefighters; or B. The Public Safety Officer no longer resides in the dwelling for which the tax credit was granted. I also understand that it is my responsibility to notify the City of Salisbury Finance Department if I no longer meet the eligibility requirement for the tax credit or no longer reside in or own the dwelling for which the tax credit was granted. IF I, RESIGN OR AM SEPARATED FROM EMPLOYMENT FOR A REASON OTHER THAN RETIREMENT OR SERVICE RELATED DISABILITY, I AM LIABLE FOR THE REAL PROPERTY TAXES I WOULD HAVE BEEN LIABLE FOR IN THE TAXABLE YEAR OF THE SEPARATION OF EMPLOYMENT, AS IF THE TAX CREDIT HAD NOT BEEN GRANTED, INCLUDING INTEREST AND PENALTIES ON THOSE TAXES. I declare under penalties of perjury provided for by the Tax-Property Article of the Annotated Code of Maryland, § 1-201, that all information above is true, correct, and complete to the best of my knowledge and belief. I give the City of Salisbury permission to take whatever action is necessary to verify my eligibility for the tax credit.* Agree Name First Last Co-Applicant (If Applicable) By signing your name below electronically, you are agreeing that your electronic signature is the legal equivalent of your manual signature* First Middle Last