Form At3-75 - Annual Report And Personal Property Return - 2017
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1
2
3Enter the Year
17
STATE OF MARYLAND
ANNUAL REPORT AND
20____
PERSONAL PROPERTY RETURN OF
DEPARTMENT OF ASSESSEMENTS & TAXATION
FORM
BANKS, SAVINGS BANKS, SAVINGS &
Personal Property Division
AT3-75
301 West Preston St., Room 801
LOANS AND TRUST COMPANIES
Baltimore, Maryland 21201-2395
st
Date Received
AS OF JANUARY 1
sdat.persprop@Maryland.gov
th
(410) 767-1170
DUE APRIL 15
Toll Free in Maryland 1-888-246-5941
$300 Filing Fee Required
Maryland Department ID Number
Name of Bank, Savings Bank, Savings & Loan or Trust Co.
____ ____ ____ ____ ____ ____ ____ ____
Check here
Federal Employer ID Number
Mailing Address
if this is
a change
of address
____ ____ ____ ____ ____ ____ ____ ____ ____
Federal Principal Business Code
City
State
Zip Code
______ ______ ______ ______ ______ ______
SECTION I
A. Date of incorporation/formation ___________________ State of incorporation/formation _________________________
B. Nature of business conducted in Maryland (Credit, finance, Loan, etc.) ________________________________________
C. Does the entity do any part of its business in the state of Maryland? __________
Date began __________________
(Yes or No)
D. If answer is Yes to question C above, complete this section:
IMPORTANT:
Show exact location of all personal property owned and used in the State of Maryland, including county, city,
town, and street address (P.O. boxes are not acceptable). This assures proper distribution of assessments. If
property is located in two or more jurisdictions, provide breakdown by completing additional copies of Section
II for each location.
(County)
Address, Number and Street
Zip Code
(Incorporated Town)
________
Is the property located inside the limits of an incorporated town?
(Yes or No)
E. Names and addresses of officers and names of directors (type or print):
OFFICERS
Names
Addresses
President
___________________________________
______________________________________
______________________________________
Vice President
___________________________________
Secretary
___________________________________
______________________________________
______________________________________
Treasurer
___________________________________
DIRECTORS
SECTION II
Names
Names
1a.
Furniture, fixtures, tools, machinery and equipment. (Computer hardware and canned software should
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
12/16
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