Maryland Personal Property Return

2011 Personal Property Return of Domestic & Foreign Entities

State of Maryland Department of Assessments and Taxation, Personal Property Division

SECTION I - Business Information

A. Is any business conducted in Maryland? Yes No   Date began:

B. Nature of business conducted in Maryland:

C. Does the business own, lease, or use personal property located in Maryland? Yes No

Name of Business:

Mailing Address:

Department ID Number:   Federal Employer ID Number:

Date of Incorporation or Formation:   State of Incorporation or Formation:

Federal Principal Business Code:   Trading As Name:

Corporations Only - Officers and Directors

President:

Vice-President:

Secretary:

Treasurer:

Directors:

SECTION II - Business Tangible Personal Property Located in Maryland

Exact Location (County):   Incorporated Town:

Street Address:

Zip Code:   Has this location changed from the 2010 return? Yes

Line Item 1 - Furniture, fixtures, tools, machinery and equipment not used for manufacturing/R&D

Description of B through G property:

Original cost by year of acquisition:

Line Item 2 - Commercial Inventory

Average Commercial Inventory:   Opening Inventory Date:   Amount:

Closing Inventory Date:   Amount:

Line Item 3 - Supplies

Line Item 4 - Manufacturing/R&D Inventory   Opening Inventory Date:   Amount:

Closing Inventory Date:   Amount:

Line Item 5 - Tools, machinery and equipment used for manufacturing or research and development

Original cost by year of acquisition:

Line Item 6 - Vehicles with interchangeable registrations / unregistered vehicles

Original cost by year of acquisition:

Line Item 7 - Non-farming livestock:

Line Item 8 - Other personal property:

Line Item 9 - Property owned by others and used/held by the business:

Line Item 10 - Property owned by business and used/held by others:

SECTION III - Certification and Additional Information

A. Total Gross Sales in Maryland during 2010:

Explain how business is conducted without personal property:

B. Fiscal year beginning and ending dates: to

C. First Maryland personal property return; succeeds an established business? Yes No   Name of business:

D. Own any fully depreciated and/or expensed personal property in Maryland? Yes No   Reported on this return? Yes No

E. Does submitted balance sheet/depreciation schedule reflect property outside Maryland? Yes No

F. Disposed or transferred assets in or out of Maryland during 2010? Yes No

SIGNATURE AND CONTACT INFORMATION

FORM 4A - Balance Sheet

Beginning of period:   End of period:

Assets, liabilities, and equity values may be attached as schedules if needed.