Form At3-75 - Personal Property Return - 2004
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4PERSONAL PROPERTY RETURN
2004
STATE OF MARYLAND
___________
as of January 1, 2004
FORM
DEPARTMENT OF ASSESSMENTS & TAXATION
for
AT3-75
Personal Property Division
BANKS, SAVINGS BANKS, SAVINGS
301 West Preston Street
Date Received
AND LOANS, AND TRUST COMPANIES
Baltimore, Maryland 21201-2395
(410) 767-1170 Toll Free in Maryland 1-888-246-5941
DUE APRIL 15, 2004
web site:
$300 Filing Fee Required
Check here
Name of Bank, Savings Bank, Savings & Loan or Trust Co.
Department ID #
if this is
a change
of address
Mailing Address
Federal Employer ID #
City
State
Zip Code
Federal Principal Business Code
SECTION I
A. Date of incorporation_____________________________ State of incorporation__________________________________
B. Nature of business conducted in Maryland ________________________________________________________________
C. Does the entity do any part of its business in the State of Maryland?__________ Date began _______________________
(Yes or No)
D. If answer is Yes to question C above, complete this section:
IMPORTANT:
Show exact location of all personal property owned and used in the State of Maryland,
including county, city, town, and street address (P.O. boxes are not acceptable). This assures
proper distribution of assessments. If property is located in two or more jurisdictions,
provide breakdown by completing additional copies of Section II for each location.
(County)
Address, Number and Street
Zip Code
(Incorporated Town)
Is the property located inside the limits of an incorporated town?__________
(Yes or No)
E. Names and addresses of officers and names of directors (type or print):
OFFICERS
Names
Addresses
President
Vice-President
Secretary
Treasurer
DIRECTORS
Names
Names
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