Form Com/st-212 - Purchases For Resale Refund By Fax - Comptroller Of Maryland
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1
2Comptroller of Maryland
Compliance Division
301 West Preston Street
Baltimore, Maryland 21201-2383
Purchases for Resale
Refund by Fax
410-333-7744 from Central Maryland or 1-800-351-3313 from elsewhere in the state
For expedited refunds of sales and use taxes paid by licensed Maryland retailers who remit
Maryland taxes or retailers licensed and remitting taxes in other states who make no sales in Maryland
Maryland Sales and Use
Purchaser
Tax Registration Number
(Required)
_
Trade name
FEIN Number
or
Mailing address
_
_
Social Security
Number
City
State
ZIP code
Home State Sales Tax Registration Number
State
(If no Maryland Sales and Use Tax Number)
The undersigned hereby requests the comptroller to refund Maryland sales and use taxes paid
on purchases of goods intended for resale as tangible personal property in the total amount of
$
(attach invoices or complete the schedule below).
Purchase date
Name and address of seller
Description of goods
Maryland tax paid
Total
$
I HEREBY CERTIFY under the penalties of perjury (1) that I have examined the
For Office Use Only
information set forth in this application including any accompanying schedules or
statements and that said information is true, accurate and complete to the best of my
Claim code____________________
knowledge and belief and (2) that, if applying as an out-of-state vendor, I have not
made sales in Maryland at shows, through the mails or otherwise within the last year.
Claim number__________________
Signature
Amount approved_______________
Approved by___________________
Print name
Date
Telephone number
Questions about your refund? Call 410-767-1538
For the deaf or hard-of-hearing: TTY users call via Maryland Relay
COM/ST-212 (Rev. 8/01)
at 711 in Maryland or 1-800-735-2258 from anywhere.
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