Maryland Form 510c - Composite Pass-Through Entity Income Tax Return - 2016 Page 2
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COMPOSITE PASS-
MARYLAND
FORM
THROUGH ENTITY
page 2
510C
INCOME TAX RETURN
NAME
FEIN
DIRECT DEPOSIT OF REFUND (See Instructions.) Be sure the account information is correct.
If this refund will go to an account outside of the United States, then to comply with banking rules, place a "Y" in this box
and see instructions.
For the direct deposit option, complete the following information clearly and legibly.
18a. Type of account: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18a.
Checking
Savings
18b. Routing Number (9-digits): . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18b.
18c. Account number: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18c.
SIGNATURE AND VERIFICATION
Check here
if you authorize your preparer to discuss this return with us.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements and to
the best of my knowledge and belief it is true, correct and complete. If prepared by a person other than taxpayer, the declaration is
based on all information of which the preparer has any knowledge.
Signature of general partner, officer or member
Date
Preparer's Name
Preparer's Signature
Title
Preparer's address and telephone number
Preparer’s PTIN (required by law)
Make checks payable to and mail to:
Comptroller Of Maryland
Revenue Administration Division
110 Carroll Street
Annapolis, Maryland 21411-0001
(Write Your Federal Employer Identification Number On Check
Using Blue Or Black Ink.)
CODE NUMBERS (3 digits per line)
COM/RAD-071
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