Form At3-75 - Annual Report And Personal Property Return

STATE OF MARYLAND

ANNUAL REPORT AND

2016

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

Date Received

AS OF JANUARY 1

sdat.persprop@Maryland.gov

(410) 767-1170 Toll Free in Maryland 1-888-246-5941

DUE APRIL 15

$300 Filing Fee Required

Name of Bank, Savings Bank, Savings & Loan or Trust Co.

Department ID #

____ ____ ____ ____ ____ ____ ____ ____

Check here

Mailing Address

Federal Employer ID #

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 office and names of directors (type or print):

OFFICERS

Names

Addresses

President

___________________________________

_______________________________________

Vice President

___________________________________

_______________________________________

Secretary

___________________________________

_______________________________________

Treasurer

___________________________________

_______________________________________

DIRECTORS

SECTION II

Names

Addresses

1a.

Furniture, fixtures, tools, machinery and equipment. (Computer hardware and canned software should

___________________________________

_______________________________________

___________________________________

_______________________________________

___________________________________

_______________________________________

___________________________________

_______________________________________

Form At3-75 - Annual Report And Personal Property Return - 2016

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