Form Com/att-010-2 - Order For Additional Vehicle Identification Cards By Holder Of A Public Transportation; Public Storage & Transportation; Or Individual Transportation Permit

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Comptroller of Maryland
FOR OFFICE USE ONLY
MATT Regulatory Division
Number
Alcohol and Tobacco Tax
VID
YR
Louis L. Goldstein Treasury Building
Date
P.O. Box 2999
Annapolis, Maryland 21404-2999
Issued
Order for Additional Vehicle Identification Cards
Approved
by Holder of a Public Transportation; Public Storage & Transportation;
Date
or Individual Transportation Permit
Approved
(DO NOT MAKE ORIGINAL APPLICATION FOR PERMIT ON THIS FORM)
Date
Section 1.
A) Permit Number:
PT
ST
IT
B) Name as it appears on your permit:
C) Address:
(street & number)
(city)
(zip code)
(county)
(state)
Section 2.
(FEE OF $10.00 PER IDENTIFICATION MUST ACCOMPANY THIS ORDER)
Number of ADDITIONAL vehicles requiring identification:
Tractors:
Straight Trucks:
Total Vehicles:
Total Fee Enclosed: $
Section 3.
(Signed)
(Title)
(Date)
Mail This Form With Remittance To:
Comptroller of Maryland, Alcohol and Tobacco Tax Office, P. O. Box 2999
Louis L. Goldstein Treasury Building, Annapolis, Maryland 21404-2999
COM/ATT-010-2
Rev. 7/07

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