Trade Name Application - Maryland State Department Of Assessments And Taxation printable pdf download

Trade Name Application - Maryland State Department Of Assessments And Taxation

State of Maryland

State Department of Assessments and Taxation

Charter Division

TRADE NAME APPLICATION

FILING FEE: $25.00

EXPEDITED FEE: ADDITIONAL $50.00 | TOTAL EXPEDITED SERVICE: $75.00

(Make checks payable to Department of Assessments and Taxation)

Prior to registering the business name of a home improvement company with the Maryland State Department of

Assessments and Taxation, an applicant is advised to contact the Commission at 410-230-6171 to ensure a

specific name is available.

1) TRADE NAME:

(Only one trade name may appear on this line)

2) STREET ADDRESS(ES) WHERE NAME IS USED:

CITY:

STATE:

ZIP:

Post office box number is only accepted when part of the physical address.

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 his/her address. Be sure each owner signs this form.

4) If the owner is an individual or general partnership, do they have a personal property

account (an “L” number)? Circle one:

YES

IF YES, WHAT IS THAT NUMBER? _____________________________

IF NO, see item 4 of the Trade Name Application Instructions.

5) ADDRESS OF OWNER:

CITY:

STATE:__________________ZIP:

Post office box number is only accepted when part of the physical address.

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

____________________________________________

___________________________________________

)

SIGNATURE OF OWNER (AUTHORIZED TITLE)

SIGNATURE OF OWNER (AUTHORIZED TITLE

___________________________________________

SIGNATURE OF OWNER (AUTHORIZED TITLE)

30l West Preston Street- Room 801 - Baltimore, Maryland 21201

Phone: (410) 767-1350 - TTY Users call Maryland Relay 1-800-735-2258 - Toll Free in MD: 1-888-246-5941

Website:

Rev: 2/2016

Trade Name Application - Maryland State Department Of Assessments And Taxation