Form 130 "Request for Certification of Tax Filings" - Maryland

What Is Form 130?

This is a legal form that was released by the Comptroller of Maryland - a government authority operating within Maryland. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2017;
  • The latest edition provided by the Comptroller of Maryland;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form 130 by clicking the link below or browse more documents and templates provided by the Comptroller of Maryland.

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Download Form 130 "Request for Certification of Tax Filings" - Maryland

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REQUEST FOR CERTIFICATION
MARYLAND
OFFICE USE ONLY
FORM
OF TAX FILINGS
130
Tax year(s)
Request:
/
Approved
Control Number Assigned
Denied
Type of
ITIN
SSN
photo ID
Applicant’s Information
Please print in black or blue ink.
Last name
Suffix
First name
M.I.
Current mailing address
City
State
ZIP code
Applicant’s ITIN or SSN
1. Did you file 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
Tax year
___________________________________________________________________________________________________
Street
City
State
ZIP code
Tax year
2. Did you file federal Form 4868 (Application for Automatic Extension of Time to File U.S.
Individual Income Tax Return) or Maryland Form 502E (Maryland Application for Extension
to File 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
COM/RAD-035
Rev (06/17)
REQUEST FOR CERTIFICATION
MARYLAND
OFFICE USE ONLY
FORM
OF TAX FILINGS
130
Tax year(s)
Request:
/
Approved
Control Number Assigned
Denied
Type of
ITIN
SSN
photo ID
Applicant’s Information
Please print in black or blue ink.
Last name
Suffix
First name
M.I.
Current mailing address
City
State
ZIP code
Applicant’s ITIN or SSN
1. Did you file 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
Tax year
___________________________________________________________________________________________________
Street
City
State
ZIP code
Tax year
2. Did you file federal Form 4868 (Application for Automatic Extension of Time to File U.S.
Individual Income Tax Return) or Maryland Form 502E (Maryland Application for Extension
to File 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
COM/RAD-035
Rev (06/17)
REQUEST FOR CERTIFICATION
MARYLAND
FORM
OF TAX FILINGS INSTRUCTIONS
130
WHO MUST FILE
A photo ID and any 3 of the following 5 items from the most
recent Maryland tax return:
This form is only required for immigrants presenting foreign
-
Adjusted Gross Income (AGI)
documentation without valid accompanying United States
Citizenship and Immigration Services documentation in order to
-
Filing Status
obtain a driver’s license or identification card. It is not required
-
Number of Exemptions
for individuals who have an existing Maryland driver’s license or
-
Dollar amount of REFUND or BALANCE DUE
identification card.
-
Deduction Method, i.e. Standard or Itemized, and the
PURPOSE OF FORM
dollar amount; or,
The Maryland Highway Safety Act of 2013 expands the authority
Proof of identity acceptable to the MVA (see this link http://
of the Motor Vehicle Administration (“MVA”) to issue a driver’s
www.mva.maryland.gov/driver-services/Apply/sources-of-
license, identification card, or moped operators permit to an
proof.htm for complete listing), the address from which the
individual who does not have lawful status, but requires that any
most recent year’s tax return was filed, and the ITIN or SSN.
such applicant who is not a current holder of an identification
NOTE: The name on the Social Security Card or ITIN letter
card under §12-301 of the Transportation Article, a moped
MUST match the name on the photo identification used to provide
operator’s permit under §16-104.2 of the Transportation Article,
proof of identity.
or a license to drive issued under the Transportation Article,
must provide documentary evidence that the applicant, for
If you have a different name on your Social Security Card from
each of the preceding 2 years, has filed a Maryland income
your photo ID, you must change your name with the Social
tax return or been claimed as a dependent by an individual
Security Administration (SSA) prior to coming to the the Maryland
who has filed a Maryland income tax return in order to be
Comptroller’s Office. The new name must match the name that the
issued such card, permit or license by the MVA. To obtain
SSA has on record. (For information on Social Security Numbers,
the required documentation, applicants must complete Form
please visit http://www.socialsecurity.gov/ssnumber/).
130 and visit one of the Comptroller’s twelve branch offices to
If you have a different name on your ITIN letter from your photo
obtain a letter certifying proof of filing or that they were claimed
ID, you must change your name with the IRS prior to coming to
as a dependent on another taxpayer’s filing prior to making
the Comptroller of Maryland’s office. The new name must match
application to MVA.
the name that the IRS has on record. For information on ITINs
INSTRUCTIONS
please visit www.irs.gov.
This form must be filled out in its entirety and submitted in person
WHERE TO SUBMIT FORM 130
with acceptable proof of identification (see below) to any branch
office of the Comptroller of Maryland. Do not mail this form; it
You can submit Form 130 at any of the branch offices listed
must be submitted in person.
below. Offices are open Monday – Friday, 8:30 a.m. - 4:30 p.m.
You must schedule an appointment to submit this form at
Do not sign Form 130 until you are instructed to do so by a
a branch office. You may schedule an appointment online at
representative
of
the
Comptroller
of
Maryland,
Revenue
www.marylandtaxes.gov or by calling 410-260-7980.
Administration Division.
PROOF OF IDENTIFICATION
FOR ADDITIONAL INFORMATION OR SPECIAL ASSISTANCE
The following proof of identification is required:
Visit our Web site at www.marylandtaxes.gov
or call 410-260-7980 or toll-free 800-638-2937.
A photo ID and the original or copy of the ITIN letter from
the IRS or SSN card; or,
Maryland Relay Service (MRS) . . . . . . . . . . . . . . . . . . . . . 711
BRANCH OFFICES
Annapolis
Frederick
Towson
Revenue Administration Center
Courthouse/Multiservice Center
Hampton Plaza
110 Carroll St.
100 West Patrick Street, Rm. 2603
300 East Joppa Rd., Ste. PL 1A
Annapolis, MD 21411-0001
Frederick, MD 21701-5646
Towson, MD 21286-3020
Baltimore
Hagerstown
Upper Marlboro
State Office Building
Crystal Building
Prince George’s County Courthouse
301 W. Preston St., Rm. 206
1850 Dual Hwy., Suite 201
14735 Main St., Rm. 083B
Baltimore, MD 21201-2384
Hagerstown, MD 21740-6686
Upper Marlboro, MD 20772-9978
Cumberland
Greenbelt
Waldorf
3 Pershing St., Ste 101
6401 Golden Triangle Drive, Suite 100
1036 St. Nicholas Dr., Suite 202
Cumberland, MD 21502-3042
Greenbelt, MD 20770
Waldorf, MD 20603-4757
Elkton
Salisbury
Wheaton
Upper Chesapeake Corporate Center
Sea Gull Square
Westfield Wheaton South Building
103 Chesapeake Blvd., Suite D
1306 South Salisbury Blvd., Ste 182
11002 Veirs Mill Road, Suite 408
Elkton, MD 21921-6313
Salisbury, MD 21801-6846
Wheaton, MD 20902-2574
COM/RAD-035
Rev (06/17)
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