Maryland Form 129 - Request For Copy Of Tax Return

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REQUEST FOR COPY OF TAX RETURN
MARYLAND
FORM
129
1. PRINT name and mailing address of taxpayer(s) as shown on the tax form for the requested year(s)
1a. Check here if you are requesting W-2’s only
1b. Tax year(s) requested
2. PRINT current mailing address (Notary required if different from Line 1)
2a. Taxpayer’s Social Security number as
shown on the tax form
2b. Spouse’s Social Security number as shown
on the tax form
3. Mail copies to (Notary required if different from Line 1)
Requester’s telephone number
Signature of taxpayer/or Requester
Signature of spouse
Date
NOTARy CeRTIfICATe Of ACkNOWleDgMeNT (If ReQUIReD, See INSTRUCTIONS)
_____________________________________
State of ___________________
Notary Public
County of ___________________
[SeAl]
On this, the ________ day of __________, 20____, before me a notary public, the
undersigned taxpayer(s),
____________________________________________________________________ ,
personally appeared known to me (or satisfactorily proven) to be the person(s) whose
name(s) is/are subscribed to the within instrument, and acknowledged that he/she
executed the same for the purposes therein contained.
In witness hereof, I hereunto set my hand and official seal.
Phone: 410-260-7951
Mail to: Comptroller of Maryland
Revenue Administration Division
Central Files
110 Carroll Street
Annapolis, MD 21411
OFFICE USE ONLY
Tax year(s)
Taxpayer’s signature(s) verified by:
Researcher’s initials
Reviewed by:
Date
Date Copies released
COM/RAD-029
06/17

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