Form Com/mft-047 - Application For Special Fuel Tax Exemption Certificate
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1
2Comptroller of Maryland
MATT Regulatory Division
Motor Fuel Tax
P.O. Box 1751
Annapolis, Maryland 21404-1751
410-260-7215
1-888-784-0142 or 0141
Application for Special Fuel Tax Exemption Certificate
Special fuel, as defined in §9-101 of the Tax-General Article, is any fuel, other than gasoline,
that is usable as fuel in a compression or spark-ignited internal combustion engine.
1.
Legal name of applicant
Federal Identification Number
Trade name
Social Security Number
Business address
(
)
City
State
9-digit zip code
County
Telephone number
2. Type of ownership
Sole proprietor
Maryland corp. (closed)
Governmental
Partnership
Non-Maryland corp. (regular)
Fiduciary
Non-profit corp.
Non-Maryland corp. (closed)
Cooperative
Maryland corp. (regular)
Unincorporated association
Limited Liability Co. (LLC)
3. Type of Business
4. Total number of highway vehicles you own or operate that use special fuel __________ fuel type__________
5. Total number of non-highway equipment pieces using special fuel __________ fuel type __________
6.
If applicant is a corporation, partnership or limited liability company, information requested below must be
provided for all officers, partners, or members. Sole proprietors indicate home address and telephone number
if different than Item 1.
Name
Social Security Number
Home address
Home telephone
7. Out-of-state applicants and limited liability companies must list following information for Maryland resident agent:
Name and Maryland address ________________________________________
________________________________________
________________________________________
Maryland telephone number _________________ Federal EIN or Social Security number_________________
COM/MFT-047 Rev. 3/08
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