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Space Reserved for Circuit Court Clerk Recording Validation State of Maryland Land Instrument Intake Sheet Baltimore City County Finance Office Use Only Transfer and Recordation Tax Consideration Purchase Price/Consideration Any New Mortgage Transfer Tax Consideration Balance of Existing Mortgage Other Full Cash Value and Tax Calculations X Less Exemption Amount Total Transfer Tax per 500 TOTAL DUE Amount of Fees Doc. 1 Doc. 2 Recording Charge Description of Property SDAT requires submission of all applicable information. A maximum of 40 characters will be indexed in accordance with the priority cited in Real Property Article Section 3-104 g 3 i. NOTE As of 5/2007 the gray shading has been removed from the Intake Sheet to improve readability. The Intake Sheet is designed as an 8 1/2 x 14 document. You may need to adjust your printer settings to accomplish this. The Clerk will only accept the Intake Sheet in full 8 1/2 x 14 page size. Information provided is for the use of the Clerk s Office State Department of Assessments and Taxation and County Finance Office Only. Type or Print in Black Ink Only All Copies Must Be Legible Type s of Instruments Check Box if addendum Intake Form is Attached* Mortgage Lease Unimproved Sale Arms-Length 2 Deed Deed of Trust Conveyance Type Check Box Tax Exemptions if applicable Cite or Explain Authority Other Multiple Accounts Not an ArmsLength Sale 9 Recordation State Transfer County Transfer Consideration Amount This form is fillable and can be completed using your PC. You can save the form to your PC for reuse but the information you input will not save unless you have installed Adobe Acrobat or Adobe Approval software on your PC. For this reason you should print the form once it is completed and make the appropriate number of copies - at least 4 copies. State Recordation Tax Agent Surcharge Fees District Property Tax ID No* 1 Tax Bill C. B. Credit Ag. Tax/Other Grantor Liber/Folio Subdivision Name Map Lot 3a Block 3b Parcel No* Sect/AR 3c Plat Ref* Var. LOG SqFt/Acreage 4 Location/Address of Property Being Conveyed 2 Other Property Identifiers if applicable Residential or Non-Residential Partial Conveyance Yes No Water Meter Account No* Fee Simple or Ground Rent Amount Description/Amt. of SqFt/Acreage Transferred Doc* 1 Grantor s Name s Doc* 1 Owner s of Record if Different from Grantor s Doc* 2 Grantee s Name s Transferred From To New Owner s Grantee Mailing Address Doc* 1 Additional Names to be Indexed Optional Other Names to Be Indexed Instrument Submitted By or Contact Person Contact/Mail Return to Contact Person Name Firm Hold for Pickup Address Phone Return Address Provided IMPORTANT BOTH THE ORIGINAL DEED AND A PHOTOCOPY MUST ACCOMPANY EACH TRANSFER Will the property being conveyed be the grantee s principal residence Does transfer include personal property If yes identify RESET FORM Assessment Was property surveyed If yes attach copy of survey if recorded no copy required. Terminal Verification Transfer Number Year Land Buildings Total Assessment Use Only Do Not Write Below This Line Agricultural Verification Whole Part Date Received Deed Reference Geo.