Form AT 3-75 Annual Report and Personal Property Return of Banks, Savings Banks, Savings&loans and Trust Companies - Maryland

Form AT3-75 or the "Annual Report And Personal Property Return Of Banks, Savings Banks, Savings&loans And Trust Companies" is a form issued by the Maryland Department of Assessments and Taxation .

Download a fillable PDF version of the Form AT3-75 down below or find it on the Maryland Department of Assessments and Taxation Forms website.

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Enter the Year
17
STATE OF MARYLAND
ANNUAL REPORT AND
20____
PERSONAL PROPERTY RETURN OF
DEPARTMENT OF ASSESSEMENTS & TAXATION
FORM
BANKS, SAVINGS BANKS, SAVINGS &
Personal Property Division
AT3-75
301 West Preston St., Room 801
LOANS AND TRUST COMPANIES
Baltimore, Maryland 21201-2395
st
Date Received
AS OF JANUARY 1
www.dat.maryland.gov sdat.persprop@Maryland.gov
th
(410) 767-1170
DUE APRIL 15
Toll Free in Maryland 1-888-246-5941
$300 Filing Fee Required
Maryland Department ID Number
Name of Bank, Savings Bank, Savings & Loan or Trust Co.
____ ____ ____ ____ ____ ____ ____ ____
Check here
Federal Employer ID Number
Mailing Address
if this is
a change
of address
____ ____ ____ ____ ____ ____ ____ ____ ____
Federal Principal Business Code
City
State
Zip Code
______ ______ ______ ______ ______ ______
SECTION I
A. Date of incorporation/formation ___________________ State of incorporation/formation _________________________
B. Nature of business conducted in Maryland (Credit, finance, Loan, etc.) ________________________________________
C. Does the entity do any part of its business in the state of Maryland? __________
Date began __________________
(Yes or No)
D. If answer is Yes to question C above, complete this section:
IMPORTANT:
Show exact location of all personal property owned and used in the State of Maryland, including county, city,
town, and street address (P.O. boxes are not acceptable). This assures proper distribution of assessments. If
property is located in two or more jurisdictions, provide breakdown by completing additional copies of Section
II for each location.
(County)
Address, Number and Street
Zip Code
(Incorporated Town)
________
Is the property located inside the limits of an incorporated town?
(Yes or No)
E. Names and addresses of officers and names of directors (type or print):
OFFICERS
Names
Addresses
President
___________________________________
______________________________________
______________________________________
Vice President
___________________________________
Secretary
___________________________________
______________________________________
______________________________________
Treasurer
___________________________________
DIRECTORS
SECTION II
Names
Names
1a.
Furniture, fixtures, tools, machinery and equipment. (Computer hardware and canned software should
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
12/16
Enter the Year
17
STATE OF MARYLAND
ANNUAL REPORT AND
20____
PERSONAL PROPERTY RETURN OF
DEPARTMENT OF ASSESSEMENTS & TAXATION
FORM
BANKS, SAVINGS BANKS, SAVINGS &
Personal Property Division
AT3-75
301 West Preston St., Room 801
LOANS AND TRUST COMPANIES
Baltimore, Maryland 21201-2395
st
Date Received
AS OF JANUARY 1
www.dat.maryland.gov sdat.persprop@Maryland.gov
th
(410) 767-1170
DUE APRIL 15
Toll Free in Maryland 1-888-246-5941
$300 Filing Fee Required
Maryland Department ID Number
Name of Bank, Savings Bank, Savings & Loan or Trust Co.
____ ____ ____ ____ ____ ____ ____ ____
Check here
Federal Employer ID Number
Mailing Address
if this is
a change
of address
____ ____ ____ ____ ____ ____ ____ ____ ____
Federal Principal Business Code
City
State
Zip Code
______ ______ ______ ______ ______ ______
SECTION I
A. Date of incorporation/formation ___________________ State of incorporation/formation _________________________
B. Nature of business conducted in Maryland (Credit, finance, Loan, etc.) ________________________________________
C. Does the entity do any part of its business in the state of Maryland? __________
Date began __________________
(Yes or No)
D. If answer is Yes to question C above, complete this section:
IMPORTANT:
Show exact location of all personal property owned and used in the State of Maryland, including county, city,
town, and street address (P.O. boxes are not acceptable). This assures proper distribution of assessments. If
property is located in two or more jurisdictions, provide breakdown by completing additional copies of Section
II for each location.
(County)
Address, Number and Street
Zip Code
(Incorporated Town)
________
Is the property located inside the limits of an incorporated town?
(Yes or No)
E. Names and addresses of officers and names of directors (type or print):
OFFICERS
Names
Addresses
President
___________________________________
______________________________________
______________________________________
Vice President
___________________________________
Secretary
___________________________________
______________________________________
______________________________________
Treasurer
___________________________________
DIRECTORS
SECTION II
Names
Names
1a.
Furniture, fixtures, tools, machinery and equipment. (Computer hardware and canned software should
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
___________________________________
_______________________________________
12/16
BANK, SAVINGS BANK, SAVINGS & LOAN AND TRUST COMPANY
17
20____
TANGIBLE PERSONAL PROPERTY
LOCATED IN MARYLAND
FORM
(EACH QUESTION MUST BE ANSWERED)
AT3-75
ROUND CENTS TO THE NEAREST WHOLE DOLLAR
Page 2
SECTION II.
Furniture, fixtures, tools, machinery and equipment. (Computer hardware and canned software should be reported on 1b
1a.
and 1c.) Report the original cost of the property by year of acquisition and category of property as described in the Depreciation
Rate Chart on page 4. Include all fully depreciated property and property expensed under I.R.S. rules.
Columns C, E, F and G require an explanation of the type of property being reported. Use the lines provided below. If additional
space is needed, supply a supplemental schedule. Failure to explain the type of property will result in the property being treated
as Category A property. Category B and D are to be reported on lines 1b and 1c.
ORIGINAL COST BY YEAR OF AQUISITION
Year Acquired
A
B
C
D
E
F
G
Total Cost
2016
0
2015
0
2014
0
2013
0
2012
0
2011
0
2010
0
2009
& prior
0
TOTAL COST COLUMNS A-G
0
DESCRIBE C, E, F, & G PROPERTY HERE:
1b.
Computer hardware and canned software used in the processing of loans or deposits, but not used in word processing.
Report property’s original cost by year of acquisition.
Hardware
Canned Software
B
D
B
D
Year Acquired
Year Acquired
2016
2016
2015
2015
& prior
2014
& prior
2014
0
0
0
0
Total
Total
All other computer hardware and canned software not reported in 1b above. Report property’s original cost by year
1c.
of acquisition.
Canned Software
Hardware
B
D
Year Acquired
Year Acquired
B
D
2016
2016
2015
2015
& prior
& prior
2014
2014
0
0
0
0
Total
Total
17
20____
2.
Supplies (for example, office supplies) . . . . . . . . . . . . . . . . . . Average Cost $_________________________
FORM
3.
Vehicles with Interchangeable Registrations (dealer, recycler, finance company, special mobile equipment,
AT3-75
and transporter plates) and unregistered vehicles should be reported here.
Year
Year
Page 3
Original Cost
Original Cost
Acquired
Acquired
2014
2016
0
2013
Total Cost $ ____________________
2015
& prior
4.
Other personal property (not included in any item above) . . . . . . . . . . . . . . . . . . . . . . .Total Cost $ ___________________
File separate schedule giving a description of property, original cost and the date of acquisition.
5.
Property owned by others and used or held by the entity as lessee or otherwise . . . . Total Cost $ ___________________
File separate schedule showing names and addresses of owners, lease number, description of property, installation date and
separate cost in each case.
6.
Property owned by the entity but used or held by others as lessee or otherwise . . . Total Cost $ ___________________
File separate schedule showing names and addresses of lessees, lease number, description of property, installation date and
original cost by year of acquisition for each location. Schedule should group leases by county where the property is located.
SECTION III
This Section must be completed if question C on page 1 is answered Yes.
A. Total Gross Revenue, or amount of business transacted in Maryland during the prior year . . $ ________________________
If the entity operates in Maryland and does not report any personal property, explain how the business is conducted without
personal property. If the entity is using the personal property of another business, provide the name and address of that
business.
B. If the entity operates on a fiscal year, state beginning and ending dates: ________________________________________
C. If this entity succeeds an established bank, savings bank, savings & loan or trust, provide name of former entity:
__________________________________________________________________________________________________
D. Does the entity own any fully depreciated and/or expensed personal property located in Maryland?
(Yes or No)________________ If yes, is that property reported on this return? (Yes or No)_______________________
E. Does the submitted balance sheet or depreciation schedule reflect personal property located outside of Maryland?
(Yes or No)________________ If yes, reconcile it with this return.
F. Has the entity disposed of assets or transferred assets in or out of Maryland during the prior calendar year?
(Yes or No)________________ If yes, complete Form 4C (Disposal and Transfer Reconciliation)
PLEASE READ “IMPORTANT REMINDERS” ON PAGE 4 BEFORE SIGNING
I declare under the penalties of perjury that this return, including any accompanying schedules and statements, has been examined by
me and to the best of my knowledge and belief is a true, correct and complete return.
Print or type name of corporate office or principal of entity
Title
Name of firm, other than taxpayer preparing this return
Signature of Corporate Officer or Principal
Date
Signature of preparer
Date
Preparer’s phone number
Business phone number
Email address
Email address

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