Maryland State Department of Assessments & Taxation Ground Rent Registry of Residential Properties Subject to Ground Leases (Please Read Instructions Before Completing this Form) REPORTING BY THE LEASE HOLDER OF THE REDEMPTION OF A REGISTERED RESIDENTIAL GROUND LEASE 1. SDAT Real Property Tax Identification Number of the Property Subject to the Ground Lease:1-A County Code Identification Number (See Instructions) 1-B 2.Premise Address of the Property Subject to the Ground Lease: Street Address City State Zip3.Name of County or Baltimore City where the Property is Located: County Name4.Deed Reference Information for the New Deed Recording the Redemption of the Ground Lease: Book Page Clerk222s Initials Year Recorded5.Name and Address of Person or Entity Reporting the Redemption: Name Street Address City State Zip 6. Date this Form was Prepared:/ /20 7. See Instructions for the mailing address to submit this form reporting the redemption of a ground lease. For Baltimore City Only County Code 03 Ward Section Block Lot Office Use Only American LegalNet, Inc. www.FormsWorkFlow.com INSTRUCTIONS FOR REPORTING BY THE LEASE HOLDER OF THE REDEMPTION OF AGROUND LEASE FOR A PREVIOUSLY FILED GROUND RENT REGISTRATION NOTE: REAL PROPERTY ARTICLE, 247 8 226 706, REQUIRES THAT A GROUND LEASE HOLDERPROMPTLY NOTIFY THIS DEPARTMENT OF THE REDEMPTION OF A GROUND LEASE REPORTED IN A PREVIOUSLY FILED REGISTRATION. THIS FORM LISTS THE INFORMATION WHICH MUST BEREPORTED IN ADDITON TO SOME OTHER ITEMS OF INFORMATION, WHICH HAVE TO BE REPORTEDIN ORDER TO INDEX THE REDEMPTION WITH THE EARLIER REGISTRATION. ITEM 1 226 REAL PROPERTY TAX IDENTIFICATION NUMBER OF THE PROPERTY SUBJECT TO THE GROUND LEASE: The identification number is composed of the two digit county code where the property is located, followed by an account number up to 14 characters in length. This information can be obtained for a property from an assessment notice or by going to the Department222s website for Real Property. If using the Department222s website, the account number displayed must be preceded by the two digit county/city code listed below. Item 1-A is used for all Maryland jurisdictions with the exception of Baltimore City properties. Item 1-B is to be used exclusively for Baltimore City properties only. This item is required. Allegany - 01 Calvert - 05 Charles - 09 Harfor d - 13 Pr ince George222s - 17 Talbot - 21 Anne Arundel - 02 Caroline - 06 Dorchester - 10 Howard - 14 Queen Anne222s - 18 Washington - 22 Baltimore City - 03 Carroll - 07 Frederick - 11 Kent - 15 St. Mary222s - 19 Wicomico - 23 Baltimore Co. - 04 Cecil - 08 G arrett - 12 Montgomery - 16 Somerset - 20 Worcester - 24 ITEM 2 226 PREMISE ADDRESS: Enter the correct street number and full address of the property subject to the ground lease. This item is required. ITEM 3 226 COUNTY NAME: Enter the name of the County or Baltimore City where the property is located. This item is required. ITEM 4 226 NEW DEED INFORMATION: Provide the specific Book and Page references along with the clerk222s initials and the year the deed was recorded for the new deed recording the redemption of the ground lease. This item is required. ITEM 5226 NAME AND ADDRESS OF PERSON OR ENTITY REPORTING THE REDEMPTION: Enter the full and complete name and address for the peron or entity reporting the redemption. This item is required. ITEM 6 226 DATE THIS FORM WAS PREPARED: The filer should enter the date this change form was prepared for submission to the Department. This item is required. ITEM 7 226 MAILING ADDRESS: The completed form(s) or CD submission should be mailed to the Department of Assessments and Taxation, 301 W Preston Street, 8th Floor, Baltimore, MD 21201. There is no fee for submitting a change to a previously filed residential ground rent registration. American LegalNet, Inc. www.FormsWorkFlow.com