Form At3-28 - Personal Property Return - 2013
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1
2PERSONAL PROPERTY RETURN
2013
STATE OF MARYLAND
___________
FORM
as of January 1, 2013
DEPARTMENT OF ASSESSMENTS & TAXATION
AT3-28
Personal Property Division
for
301 West Preston Street
Date Received
FINANCIAL INSTITUTIONS
Baltimore, Maryland 21201-2395
DUE APRIL 15, 2013
(410) 767-1170 Toll Free in Maryland 1-888-246-5941
$300 Filing Fee Required
Check here
Name of Financial Institution
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/formation________________________ State of incorporation/formation_______________________
B. Nature of business conducted in Maryland (Credit, Finance, Loan, etc.) _________________________________________
C. Does the financial institution do any part of its business in the State of Maryland?__________ Date began _____________
(Yes or No)
D. Does the financial institution own personal property NOT used directly for the purposes for which the institution was
formed or which is leased, loaned or otherwise made available for the use of any person whose business is not
that of the institution?
YES ______
NO ______
E. Is this personal property in Maryland?
YES ______
NO ______
If the answer to either D or E above is NO, please complete the rest of this page, sign this return on
page 2 and submit with $300 filing fee.
If the answer to D and E above is Y S, please complete the rest of this return.
F.
Type or print names and addresses of officers and names of directors (corporations only):
OFFICERS
Names
Addresses
President
Vice-President
Secretary
Treasurer
DIRECTORS
Names
Names
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