Form Com/mft-046 - Application For Motor Fuel License
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8Comptroller of Maryland
P.O. Box 1751
Annapolis, MD 21401-1751
MATT Regulatory Division
410-260-7215
Motor Fuel Tax Office
1888-784-0142 or 0141
Application For Motor Fuel License
1. In accordance with Tax General Article, Title 9, Subtitle 3, Annotated Code of Maryland, application
is hereby made. (Please type or print.)
Federal Identification Number
Applicant’s legal name
Trade name
Social Security Number
Street address
City
State
9-digit zip code
MD Drivers License or Soundex Number from MD Vehicle Registration Card
(
)
Business telephone number
2. Type of ownership
Sole proprietorship
Non-MD corporation closed
Partnership
Unincorporated association
Non-profit corporation
Governmental
Maryland corporation regular
Fiduciary (estate or trust)
Cooperative
Maryland corporation closed
Non-MD corporation regular
Limited liability co. (LLC)
Have you qualified with the Department of Assessments and
3.
Taxation to do business in Maryland? .......................................................................
Yes
No
4.
If applicant is a corporation, partnership, or limited liability company provide names and titles for all of-
ficers, partners, or members and resident general agent and attorney-in-fact. Sole proprietors indicate
home address and telephone number if different than item 1.
Social Security
Telephone
Name
Number
Home address
Number
5.
Out-of-state applicant and LLC’s must complete this item:
Resident agent’s name
(Maryland) address
Resident agent’s telephone number
COM/MFT-046
Social Security Number or Federal ID Number of agent
Rev. 4/08
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Parent category: Financial