Fillable Form 130: OF TAX FILINGS REQUEST FOR CERTIFICATION (Comptroller of Maryland)

Fill Online, Printable, Fillable, Blank Form 130: OF TAX FILINGS REQUEST FOR CERTIFICATION (Comptroller of Maryland) Form

Use Fill to complete blank online COMPTROLLER OF MARYLAND (MD) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Form 130: OF TAX FILINGS REQUEST FOR CERTIFICATION (Comptroller of Maryland)

On average this form takes 9 minutes to complete

The Form 130: OF TAX FILINGS REQUEST FOR CERTIFICATION (Comptroller of Maryland) form is 1 page long and contains:

  • 0 signatures
  • 6 check-boxes
  • 32 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Comptroller of Maryland

BROWSE COMPTROLLER OF MARYLAND (MD) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
COM/RAD-035 10/19
□
□
□
□
□ □
□ □
□ □
___________________________________________ __________________________
__________________________________________ __________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________
______________________________________ ________________________ ___________________
______________________________________ ________________________ ___________________
_________________________________________ __________________________________________
__________________________________________
MARYLAND
REQUEST FOR CERTIFICATION
FORM
OF TAX FILINGS
130
Applicant’s Information
OFFICE USE ONLY
Tax year(s)
/
Request:
Approved
Denied
Control Number Assigned
ITIN
SSN
Type of
photo ID
Print using black or blue ink only.
Last name Sux First name M.I.
Current mailing address
City State ZIP code +4 Applicant’s ITIN or SSN
1. Did you le a Maryland tax return during one or both of the previous two years?
If yes, complete 1a and 1b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
1a. Name as shown on return(s), if different from above:
Name Tax year
Name Tax year
1b. Mailing address as shown on return(s), if different from above:
Street City State ZIP code +4 Tax year
Street City State ZIP code +4 Tax year
2. Did you le federal Form 4868 (Application for Automatic Extension of Time to File U.S.
Individual Income Tax Return) or Maryland Form extension to le personal income tax return
for the most recent tax year? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
3. Were you claimed as a dependent on a Maryland tax return during one or both
of the previous two years? If “Yes”, complete 3a. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No
3a. Name(s) and ITIN(s)/SSN(s) of taxpayer(s) claiming you as a dependent and tax year(s) you were claimed as a dependent.
Name of Taxpayer ITIN/SSN Tax year(s)
Name of Taxpayer ITIN/SSN Tax year(s)
*** THIS FORM MUST BE SIGNED IN THE PRESENCE OF A REPRESENTATIVE OF THE ***
COMPTROLLER OF MARYLAND.
SIGNATURE and VERIFICATION: I understand that taxpayer information is confidential and authorize the Comptroller of
Maryland to release the requested information to the Maryland Motor Vehicle Administration in accordance with the Maryland
Highway Safety Act of 2013. And further, I certify that to the best of my knowledge all information provided on this form is true,
correct and complete.
Signature of applicant Date
Telephone number Email address
(123) 654-9874
COM/RAD-035 10/19
MARYLAND
REQUEST FOR CERTIFICATION
FORM
OF TAX FILINGS INSTRUCTIONS
130
WHO MUST FILE
This form is only required for immigrants presenting foreign
documentation without valid accompanying United States
Citizenship and Immigration Services documentation in order to
obtain a driver’s license or identication card. It is not required
for individuals who have an existing Maryland driver’s license or
identication card.
PURPOSE OF FORM
The Maryland Highway Safety Act of 2013 expands the authority
of the Motor Vehicle Administration (“MVA”) to issue a driver’s
license, identication card, or moped operators permit to an
individual who does not have lawful status, but requires that any
such applicant who is not a current holder of an identication
card under §12-301 of the Transportation Article, a moped
operator’s permit under §16-104.2 of the Transportation Article,
or a license to drive issued under the Transportation Article,
must provide documentary evidence that the applicant, for
each of the preceding 2 years, has led a Maryland income
tax return or been claimed as a dependent by an individual
who has led a Maryland income tax return in order to be
issued such card, permit or license by the MVA. To obtain
the required documentation, applicants must complete Form
130 and visit one of the Comptroller’s twelve branch oces to
obtain a letter certifying proof of ling or that they were claimed
as a dependent on another taxpayer’s ling prior to making
application to MVA.
INSTRUCTIONS
This form must be lled out in its entirety and submitted in person
with acceptable proof of identication (see below) to any branch
oce of the Comptroller of Maryland. Do not mail this form; it
must be submitted in person.
Do not sign Form 130 until you are instructed to do so by a
representative of the Comptroller of Maryland, Revenue
Administration Division.
PROOF OF IDENTIFICATION
The following proof of identication is required:
• A photo ID and the original or copy of the ITIN letter from
the IRS or SSN card; or,
• A photo ID and any 3 of the following 5 items from the most
recent Maryland tax return:
- Adjusted Gross Income (AGI)
- Filing Status
- Number of Exemptions
- Dollar amount of REFUND or BALANCE DUE
- Deduction Method, i.e. Standard or Itemized, and the
dollar amount; or,
• Proof of identity acceptable to the MVA (see this link http://
www.mva.maryland.gov/driver-services/Apply/sources-of-
proof.htm for complete listing), the address from which the
most recent year’s tax return was led, and the ITIN or SSN.
NOTE:
The name on the Social Security Card or ITIN letter
MUST match the name on the photo identication used to provide
proof of identity.
If you have a dierent name on your Social Security Card from
your photo ID, you must change your name with the Social
Security Administration (SSA) prior to coming to the the Maryland
Comptroller’s Oce. The new name must match the name that the
SSA has on record. (For information on Social Security Numbers,
visit http://www.socialsecurity.gov/ssnumber/).
If you have a dierent name on your ITIN letter from your photo
ID, you must change your name with the IRS prior to coming to
the Comptroller of Maryland’s oce. The new name must match
the name that the IRS has on record. For information on ITINs
visit www.irs.gov.
WHERE TO SUBMIT FORM 130
You can submit Form 130 at any of the branch oces listed
below. Oces are open Monday – Friday, 8:30 a.m. - 4:30 p.m.
You must schedule an appointment to submit this form at
a branch oce. You may schedule an appointment online at
www.marylandtaxes.gov or by calling 410-260-7980.
FOR ADDITIONAL INFORMATION OR SPECIAL ASSISTANCE
Visit our Web site at www.marylandtaxes.gov
or call 410-260-7980 or toll-free 800-638-2937.
Maryland Relay Service (MRS)
. . . . . . . . . . . . . . . . . . . . . 711
BRANCH OFFICES
Annapolis
60 West Street
Suite 102
Annapolis, MD 21404-2434
Baltimore
State Oce Building
301 W. Preston St., Rm. 206
Baltimore, MD 21201-2326
Cumberland
3 Pershing St., Ste 101
Cumberland, MD 21502-3042
Elkton
Upper Chesapeake Corporate Center
103 Chesapeake Blvd., Suite D
Elkton, MD 21921-6391
Frederick
Courthouse/Multiservice Center
100 West Patrick Street, Rm. 2603
Frederick, MD 21701-5578
Greenbelt
Triangle Centre
6401 Golden Triangle Drive, Suite 100
Greenbelt, MD 20770-3201
Hagerstown
Crystal Building
1850 Dual Hwy., Suite 201
Hagerstown, MD 21740-6686
Salisbury
Sea Gull Square
1306 South Salisbury Blvd., Unit 182
Salisbury, MD 21801-6846
Towson
Hampton Plaza
300 East Joppa Rd., Ste. Plaza Level 1-A
Towson, MD 21286-3020
Upper Marlboro
Prince George’s County Courthouse
14735 Main St., Rm. 083B
Upper Marlboro, MD 20772-3051
Waldorf
1036 St. Nicholas Dr., Unit 202
Waldorf, MD 20603-4760
Wheaton
Westeld Wheaton South Building
11002 Veirs Mill Road, Suite 408
Wheaton, MD 20902-5919
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Form 130: OF TAX FILINGS REQUEST FOR CERTIFICATION (Comptroller of Maryland)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 August 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document