Fillable Form 130 - Request For Certification Of Tax Filings (Page 2 of 2) in pdf

MARYLAND

REQUEST FOR CERTIFICATION

FORM

OF TAX FILINGS INSTRUCTIONS

130

WHO MUST FILE

•

A photo ID and any 3 of the following 5 items from the most

recent Maryland tax return:

This form is only required for immigrants presenting foreign

Adjusted Gross Income (AGI)

documentation without valid accompanying United States

Citizenship and Immigration Services documentation in order to

Filing Status

obtain a driver’s license or identification card. It is not required

Number of Exemptions

for individuals who have an existing Maryland driver’s license or

Dollar amount of REFUND or BALANCE DUE

identification card.

Deduction Method, i.e. Standard or Itemized, and the

PURPOSE OF FORM

dollar amount; or,

The Maryland Highway Safety Act of 2013 expands the authority

•

Proof of identity acceptable to the MVA (see this link http://

of the Motor Vehicle Administration (“MVA”) to issue a driver’s

license, identification card, or moped operators permit to an

proof.htm for complete listing), the address from which the

individual who does not have lawful status, but requires that any

most recent year’s tax return was filed, and the ITIN or SSN.

such applicant who is not a current holder of an identification

NOTE: The name on the Social Security Card or ITIN letter

card under §12-301 of the Transportation Article, a moped

MUST match the name on the photo identification used to provide

operator’s permit under §16-104.2 of the Transportation Article,

proof of identity.

or a license to drive issued under the Transportation Article,

must provide documentary evidence that the applicant, for

If you have a different name on your Social Security Card from

each of the preceding 2 years, has filed a Maryland income

your photo ID, you must change your name with the Social

tax return or been claimed as a dependent by an individual

Security Administration (SSA) prior to coming to the the Maryland

who has filed a Maryland income tax return in order to be

Comptroller’s Office. The new name must match the name that the

issued such card, permit or license by the MVA. To obtain

SSA has on record. (For information on Social Security Numbers,

the required documentation, applicants must complete Form

please visit ).

130 and visit one of the Comptroller’s twelve branch offices to

If you have a different name on your ITIN letter from your photo

obtain a letter certifying proof of filing or that they were claimed

ID, you must change your name with the IRS prior to coming to

as a dependent on another taxpayer’s filing prior to making

the Comptroller of Maryland’s office. The new name must match

application to MVA.

the name that the IRS has on record. For information on ITINs

INSTRUCTIONS

please visit

This form must be filled out in its entirety and submitted in person

WHERE TO SUBMIT FORM 130

with acceptable proof of identification (see below) to any branch

office of the Comptroller of Maryland. Do not mail this form; it

You can submit Form 130 at any of the branch offices listed

must be submitted in person.

below. Offices are open Monday – Friday, 8:30 a.m. - 4:30 p.m.

You must schedule an appointment to submit this form at

Do not sign Form 130 until you are instructed to do so by a

a branch office. You may schedule an appointment online at

representative

the

Comptroller

Maryland,

Revenue

or by calling 410-260-7980.

Administration Division.

PROOF OF IDENTIFICATION

FOR ADDITIONAL INFORMATION OR SPECIAL ASSISTANCE

The following proof of identification is required:

Visit our Web site at

or call 410-260-7980 or toll-free 800-638-2937.

•

A photo ID and the original or copy of the ITIN letter from

the IRS or SSN card; or,

Maryland Relay Service (MRS) . . . . . . . . . . . . . . . . . . . . . 711

BRANCH OFFICES

Annapolis

Frederick

Towson

Revenue Administration Center

Courthouse/Multiservice Center

Hampton Plaza

110 Carroll St.

Rm. 2110

300 East Joppa Rd., Ste. PL 1A

Annapolis, MD 21411-0001

100 West Patrick Street

Towson, MD 21286-3020

Frederick, MD 21701-5646

Baltimore

Upper Marlboro

State Office Building

Hagerstown

Prince George’s County Courthouse

301 W. Preston St., Rm. 206

Professional Arts Building

14735 Main St., Rm. 083B

Baltimore, MD 21201-2384

1 South Potomac Street

Upper Marlboro, MD 20772-9978

Hagerstown, MD 21740-5512

Cumberland

Waldorf

112 Baltimore St., 2nd Fl

Landover

1036 St. Nicholas Dr., Suite 202

Cumberland, MD 21502-2302

Treetops Building

Waldorf, MD 20603-4757

8181 Professional Pl., Suite 101

Elkton

Wheaton

Landover, MD 20785-2226

Upper Chesapeake Corporate Center

Westfield Wheaton South Building

103 Chesapeake Blvd., Suite D

Salisbury

11002 Veirs Mill Road, Suite 408

Elkton, MD 21921-6313

Sea Gull Square

Wheaton, MD 20902-2574

1306 South Salisbury Blvd., Ste 182

Salisbury, MD 21801-6846

COM/RAD-035

Form 130 - Request For Certification Of Tax Filings Page 2

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