MARYLAND
FORM
010-1
ORDER FOR ADDITIONAL
VEHICLE IDENTIFICATION
CARDS BY HOLDER OF A
PUBLIC TRANSPORTATION;
PUBLIC STORAGE &
TRANSPORTATION;
OR INDIVIDUAL
TRANSPORTATION PERMIT
(DO NOT MAKE ORIGINAL APPLICATION FOR PERMIT ON THIS FORM)
COM/FED RLS 10-1 Rev. 09/19
Oce Use Only
Number ________________
VID ____________ YR ____
Date ___________________
Issued _________________
Approved _______________
Date ___________________
Approved _______________
Date ___________________
Section 1
A) Permit Number: PT __________________ ST__________________ IT__________________
B) Name as it appears on your permit: _______________________________________________
___________________________________________________________________________
C) Address: ____________________________________________________________________
____________________________________________________________________________________________________
_______________________________________________________ _______________________ _______________________________________ _________
City Zip code County State
Section 2 (FEE OF $10.00 PER IDENTIFICATION MUST ACCOMPANY THIS ORDER)
Number of ADDITIONAL vehicles requiring identication:
Total Vehicles: ________________ Total Fee Enclosed: $ ________________
Section 3
_________________________________________________________
_____________________________________ ________________________________
Signed Title Date
Mail This Form with Remittance To:
Comptroller of Maryland
Field Enforcement Division
Regulatory & Licensing Section
P. O. Box 2999
Annapolis, Maryland 21404-2999
For more information, contact:
Comptroller of
Maryland
Field Enforcement Division
Regulatory &
Licensing Section
P.O. Box 2999
Annapolis, Maryland
21404-2999
410-260-7314 or
800-MD-TAXES
ATT@
marylandtaxes.gov
www.marylandtaxes.gov
