Addendum
State of Maryland Land Instrument Intake Sheet
Baltimore City County:
The addendum form should be used when one transaction involves more than two instruments.
Each instrument should be itemized in accordance with Section No. 1 of the Intake Sheet.
(Type or Print in Black Ink Only─All Copies Must Be Legible)
Amount of Fees Doc. 3 Doc. 4 Doc. 5 Doc. 6
Recording Charge $ $ $ $
5
Surcharge $ $ $ $
State Recordation Tax $ $ $ $
(Continued)
State Transfer Tax $ $ $ $
Fees
$ $ $ $ County Transfer Tax
$ $ $ $ Other
$
$ $ $
Other
Doc. 3 – Grantor(s) Names(s) Doc. 4 – Grantor(s) Names(s)
7
(Continued)
Doc. 5 – Grantor(s) Names(s) Doc. 6 – Grantor(s) Names(s)
Transferred
From
Doc. 3 – Owners(s) of Record, if Different from Grantor(s) Doc. 4 – Owners(s) of Record, if Different from Grantor(s)
Doc. 5 – Owners(s) of Record, if Different from Grantor(s) Doc. 6 – Owners(s) of Record, if Different from Grantor(s)
Doc. 3 – Grantee(s) Names(s) Doc. 4 – Grantee(s) Names(s)
8
(Continued)
Transferred
Doc. 5 – Grantee(s) Names(s) Doc. 6 – Grantee(s) Names(s)
To
Doc. 3 – Additional Names to be Indexed (Optional) Doc. 4 – Additional Names to be Indexed (Optional)
9
(Continued)
Doc. 5 – Additional Names to be Indexed (Optional) Doc. 6 – Additional Names to be Indexed (Optional)
Other Names
to be Indexed
Special Recording Instructions (if any)
Special Instructions
Distribution: White – Clerk’s Office Canary – SDAT
Pink – Office of Finance Goldenrod – Preparer
AOC-CC 301 (5/2007)
This form is fillable and can be
completed using your PC. You can
save the form to your PC for reuse
but the information you input will
not save (unless you have installed
Adobe Acrobat or Adobe Approval
software on your PC). For this
reason, you should print the form
once it is completed and make the
appropriate number of copies.
NOTE: As of 5/2007, the gray shading has been removed from the Intake Sheet to improve readability. The form is designed as an 8 1/2" 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 1/2" x 14" page size.
Submit 4 copies with the
Intake Sheet
