Fill and Sign the Maryland Land Instrument Intake Sheet Form

      NOTE As of May, 2007, the gray shading has been removed from the Intake Sheet to improve readability. The form is designed as a 8.5 x 14” document. You may need to adjust your printer settings to accomplish this. The Clerk will only accept the Intake Sheet in full 8.5 x 14” page size. Submit and Original and four (4) copies to the Clerk. Addendum State of Maryland Land Instrument Intake Sheet Baltim o re City County:       The addendum f orm should be u sed when one t r ansacti o n involves more than t w o instruments. Each instrument should be it e m i zed in a c cordance w ith Se c ti o n No. 1 of the Intake Sheet. (Type or P r int i n Black Ink Onl y ─All Copies Must Be Le g ib l e) 5 A m ount of Fees Doc. 3 Doc. 4 Doc. 5 Doc. 6 (Continue d) Fees Recording Charge $       $       $       $       S u rc h ar g e $       $       $       $       State Recordation Tax $       $       $       $       State T rans f er Tax $       $       $       $       County Transfer Tax $       $       $       $       Other $       $       $       $       Other $       $       $       $       7 Doc. 3 – Grant o r(s) N a m es(s) Doc. 4 – Grant o r(s) N a m es(s) (Continue d) Trans f erred From                                     Doc. 5 – Grant o r(s) N a m es(s) Doc. 6 – Grant o r(s) N a m es(s)                                     Doc. 3 – O w ners ( s) of R e cord, i f D i ffere n t fr o m Grantor(s) Doc. 4 – O w ners ( s) of R e cord, i f D i ffere n t fr o m Grantor(s)                         Doc. 5 – O w ners ( s) of R e cord, i f D i ffere n t fr o m Grantor(s) Doc. 6 – O w ners ( s) of R e cord, i f D i ffere n t fr o m Grantor(s)                         8 Doc. 3 – Grantee(s) N a m es(s) Doc. 4 – Grantee(s) N a m es(s) (Continue d) Trans f erred To                                     Doc. 5 – Grantee(s) N a m es(s) Doc. 6 – Grantee(s) N a m es(s)                                     9 Doc. 3 – Add i tio n al N a m es to be I n dexed ( Optional) Doc. 4 – Add i tio n al N a m es to be I n dexed ( Optional) (Continue d ) O t her N a mes to be In d exed                         Doc. 5 – Add i tio n al N a m es to be I n dexed ( Optional) Doc. 6 – Add i tio n al N a m es to be I n dexed ( Optional)                         Special I n stru ct ions Special Record in g Instructions (if any)                         Distribution: White – Clerk ’ s Office Canary – SDAT Pink – Office of Fi n an c e Gold e nrod – Pr e parer AOC-CC 301 (5 / 2007)