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Maryland Taxes
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Filing for an Extension Request
Please supply the following information:
Business Type
Corporation
Limited Liability Company
S-Corporation
Partnership
Business Trust
This application is for the taxable year
ending
on:
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year:
FEIN
Business Name
Address
City or Town
State
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
DC
Zipcode
 
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