2 12
STATE OF MARYLAND
Personal Property Return
DEPARTMENT OF ASSESSMENTS AND TAXATION
As of January 1, 2012
PERSONAL PROPERTY DIVISION
301 West Preston Street, Room 801
Due April 16, 2012
Baltimore, Maryland 21201-2395
Form 1
(410) 767-1170 · (888) 246-5941 within Maryland
Page 1 of 4
ID #
Filing
ID #
Filing
Type of Business
Prefix
Fee
Type of Business
Prefix
Fee
Domestic Stock Corporation
(D)
$300
Domestic Limited Liability Company
(W)
$300
Date Received
Foreign Stock Corporation
(F)
$300
Foreign Limited Liability Company
(Z)
$300
by Department
Domestic Non-Stock Corporation (D)
- 0 -
Domestic Limited Partnership
(M)
$300
CHECK
Foreign Non-Stock Corporation (F)
- 0 -
Foreign Limited Partnership
(P)
$300
ONE
Foreign Insurance Corporation (F)
$300
Domestic Limited Liability Partnership
(A)
$300
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
Make
Address
Name of
Corrections
Business
Here
Mailing
Address
Check here
if this is a
change of
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
Please check here if you do not want
personal property forms mailed to you next year.
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
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
____________________________________________________
This form was printed from the DAT web site.