MARYLAND AFFORDABLE HOUSING LAND TRUST REGISTRATION Name of the Trust: Affordable Housing Land Trust. Address: Name of Resident Agent: Address of Resident Agent: Name of Organizer or Manager: (Must be a tax-exempt organization under 501(c) (2) (3) or (4) or an instrumentality of the State or a political subdivision). Address of Organizer or Manager: Officers of the Trust: I certify that I am authorized by the organizer or manager to create this Affordable Housing Land Trust. Print Name Relationship to Organizer or Manager (Officer, Director, Trustee, Administrator etc.) Signed Date I hereby consent to act as resident agent of the Affordable Housing Trust Print Name Signed Date SDAT: 2018 American LegalNet, Inc. www.FormsWorkFlow.com Instructions for the filing an Affordable Housing Land Trust form 1.There is no fee to file the Affordable Housing Land Trust form. 2.The resident agent must be an adult individual who lives in MD or a MD corporation. Theaddress of the resident agent cannot be a PO box. 3.Mail completed forms to:State Department of Assessments and Taxation Charter Division: Affordable Housing Land Trust 301 W. Preston Street; 8th Floor, Baltimore, MD 21201-2395 4.The completed form may be delivered to the Charter Division in-person at 301 W. PrestonSt. 8th Floor. This service is available Monday thru Friday 8:30AM - 4:30PM. 5.The cost for a certified copy of this document is $21 plus $1 per page. Copies cannot befaxed or emailed. Make checks payable to State Department of Assessments andTaxation. 6.Contact the Charter Division at 410-767-1350 or email: sdat.charterhelp@maryland.gov SDAT: 2018 American LegalNet, Inc. www.FormsWorkFlow.com