Annual Report and Personal Property Return
20__
16
STATE OF MARYLAND, DEPARTMENT OF ASSESSMENTS AND TAXATION, PERSONAL PROPERTY DIVISION
301 West Preston Street, Room 801, Baltimore, Maryland 21201-2395 • • (410) 767-1170 • (888) 246-5941 within Maryland
ID #
Filing
ID #
Filing
Form 1
Type of Business
Prefi
Fee
Type of Business
Prefi
Fee
Domestic Stock Corporation
(D)
$300
Domestic Limited Liability Company
(W)
$300
Page 1 of 4
Foreign Stock Corporation
(F)
$300
Foreign Limited Liability Company
(Z)
$300
Domestic Non-Stock Corporation (D)
- 0 -
Domestic Limited Partnership
(M)
$300
CHECK
Foreign Non-Stock Corporation (F)
- 0 -
Foreign Limited Partnership
(P)
$300
Date Received
ONE
Foreign Insurance Corporation (F)
$300
Domestic Limited Liability Partnership
(A)
$300
by Department
Foreign Interstate Corporation (F)
- 0 -
Foreign Limited Liability Partnership
(E)
$300
SDAT Certified Family Farm
(A,D,M,W)
$100
Domestic Statutory Trust
(B)
$300
Real Estate Investment Trust (D)
$300
Foreign Statutory Trust
(S)
$300
Name of Business
Mailing Address
Check here
if this is a
change of
address
Email Address
DEPARTMENT ID NUMBER
FEDERAL EMPLOYER IDENTIFICATION NUMBER
_
ID#
PREFIX
DATE OF INCORPORATION OR FORMATION
STATE OF INCORPORATION OR FORMATION
FEDERAL PRINCIPAL BUSINESS CODE
TRADING AS NAME
I
SECTION
A. Is any business conducted in Maryland? ___________ Date began: ____________________________
(Yes or No)
B. Nature of business conducted in Maryland: ________________________________________________
II
C. Does the business own, lease or use personal property located in Maryland? ______________ If No, skip SECTION
.
(Yes or No)
ONLY CORPORATIONS COMPLETE ITEM D
D. Names and addresses of officers and names of directors (type or print):
OFFICERS
Names
Addresses
President_____________________________________________
____________________________________________________
Vice-President ________________________________________
____________________________________________________
Secretary ____________________________________________
____________________________________________________
Treasurer ____________________________________________
____________________________________________________
DIRECTORS
Names
Names
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
10/14