Trade Name Application - Maryland Department Of Assessments And Taxation

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State of Maryland
Department of Assessments and Taxation
Charter Division
TRADE NAME APPLICATION
1) Only one trade name may appear on this line
TRADE NAME: __________________________________________________________________
_______________________________________________________________________________
2) STREET ADDRESS(ES) WHERE NAME IS USED:___________________________________
_______________________________________________________________________________
CITY:____________________________________STATE:________________ZIP:_______________
P.O. Box address is not acceptable anywhere on this form.
3) FULL LEGAL NAME OF OWNER OF BUSINESS OR INDIVIDUAL USING THE TRADE NAME:
_______________________________________________________________________________
If more than one owner, attach an additional sheet listing each owner with their address. Be sure each
owner signs this form.
4) If the owner is an individual or general partnership, does it have a personal property account
(an “L” number)? Check one box
YES
NO
If YES, WHAT IS THAT NUMBER? ___ ___ ___ ___ ___ ___ ___ ___
If NO, see instruction 4 under How To Complete Trade Name Application.
5) ADDRESS OF OWNER: _______________________________________________________
_______________________________________________________________________________
CITY:____________________________STATE:_______________________ZIP:___________
6) DESCRIPTION OF BUSINESS:_________________________________________________
_______________________________________________________________________________
I affirm and acknowledge under penalties of perjury that the foregoing is true and correct
to the best of my knowledge.
7)
______________________________________
_______________________________
SIGNATURE OF OWNER
SIGNATURE OF OWNER
______________________________________
_______________________________
SIGNATURE OF OWNER
SIGNATURE OF OWNER

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