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1 $ OR FISCAL YEAR BEGINNING, ENDING Federal Employer Identification Number ( digits) Applied for Date (MMDDYY) Print Using Blue or Black Ink Only STAPLE CHECK HERE Date of Organization or Incorporation (MMDDYY) Business Activity Code No ( digits) Name Current Mailing Line (Street No and Street Name or PO Box) Current Mailing Line (Apt No, Suite No, Floor No) Do not write in this space City or town State ZIP Code + ME YE TYPE OF ENTITY - Check the applicable box S Corporation Partnership Limited Liability Company Business Trust CHECK HERE - Check applicable box(es) Name or address has changed First filing of the entity Inactive entity Final Return This tax year's beginning and ending dates are different from last year's due to an acquisition or consolidation Number of members: a Individual (including fiduciary) residents of Maryland c Nonresident entities b Individual (including fiduciary) nonresidents d Others e Total Total distributive or per federal return (Form 0 or 0S) - Unistate entities or multistate entities with no nonresident members also enter this amount on line ALLOCATION OF INCOME (To be completed by multistate pass-through entities with nonresident members - unistate entities, and multistate entities with no nonresidents, go to line ) a Non-Maryland income (for entities using separate accounting) Subtract this amount from line and enter the difference on line a b Maryland apportionment factor from computation worksheet on Page (for entities using the apportionment method) Multiply line by this factor and enter the result on line (If factor is zero, enter 00000) b allocable to Maryland NOTE: Complete lines through only if there is an entry on line b or line c Tax is calculated only for nonresident individual or nonresident entity members (Investment partnerships see Specific Instructions) Percentage of ownership by individual nonresident members shown on line b (or profit/loss percentage, if applicable) If 00%, leave blank and enter the amount from line on line for nonresident individual members (Multiply line by the percentage on line ) Nonresident individual tax (Multiply line by %) Special nonresident tax (Multiply line by %) Total Maryland tax on individual members (Add lines and ) 0 Percentage of ownership by nonresident entities shown on line c (or profit/loss Amended Return percentage, if applicable) If 00%, leave blank and enter the amount from line on line 0 for nonresident entity members (Multiply line by percentage on line 0) CODE NUMBERS ( digits per line)
2 page Nonresident entity tax (Multiply line by %) Total nonresident tax (Add lines and ) Distributable cash flow limitation from worksheet See instructions If worksheet used, check here Nonresident tax due (Enter the lesser of line or line ) a Estimated pass-through entity nonresident tax paid with Form D and MW0NRS a b Pass-through entity nonresident tax paid with an extension request (Form E) b c Credit for nonresident tax paid on behalf of the pass-through entity by another pass-through entity (Attach Maryland Schedule K- ()) c d Total payments and credits (Add lines a through c) d Balance of tax due (If line exceeds line d, enter the difference) Interest and/or penalty from Form 00UP or late payment interest TOTAL Total balance due (Add lines and ) Pay in full with this return NOTE: The total tax paid from lines d and is to be reported either on the composite return or on the returns of the nonresident members Nonresident entity and fiduciary members cannot file a composite return nor be included in the composite return filed by nonresident individual members (See instructions) Complete line 0 only if there are no nonresident members (Lines b and c are both zero) 0 Amount TO BE REFUNDED (Enter the amount from line d if the amount on line is zero) 0 ADDITIONAL INATION REQUIRED of principal place of business in Maryland (if other than indicated on page ): at which tax records are located (if other than indicated on page ): Telephone number of pass-through entity tax department: State of organization or incorporation: Has the Internal Revenue Service made adjustments (for a tax year in which a Maryland return was required) that were not previously reported to the Maryland Revenue Administration Division? Yes No If "yes", indicate tax year(s) here: and submit an amended return(s) together with a copy of the IRS adjustment report(s) under separate cover Did the pass-through entity file employer withholding tax returns/forms with the Maryland Revenue Administration Division for the last calendar year? Yes No Is this entity a multistate corporation that is a member of a unitary group? Yes No Is this entity a multistate manufacturing corporation with more than employees? Yes No SIGNATURE AND VERIFICATION Check here if you authorize your preparer to discuss this return with us Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements and to the best of my knowledge and belief it is true, correct and complete If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any knowledge Signature of general partner, officer or member Date Preparer's Name Preparer's Signature Title Preparer's address and telephone number Make checks payable to and mail to: Comptroller Of Maryland Revenue Administration Division 0 Carroll Street Annapolis, Maryland -000 (Write Your Federal Employer Identification Number On Check Using Blue Or Black Ink) Preparer s PTIN (required by law)
3 page Schedule A - COMPUTATION OF APPORTIONMENT FACTOR (Applies only to multistate pass-through entities See instructions) NOTE: Special apportionment formulas are required for rental/ leasing, transportation, financial institutions and manufacturing companies See instructions A Receipts a Gross receipts or sales less returns and allowances b Dividends c Interest d Gross rents e Gross royalties f Capital gain net income g Other income (Attach schedule) h Total receipts (Add lines A(a) through A(g), for Columns and ) B Receipts Enter the same factor shown on line A, Column Disregard this line if special apportionment formula is used Property a Inventory b Machinery and equipment c Buildings d Land e Other tangible assets (Attach schedule) f Rent expense capitalized (multiply by eight) g Total property (Add lines a through f, for Columns and ) Payroll a Compensation of officers b Other salaries and wages c Total payroll (Add lines a and b, for Columns and ) Column TOTALS WITHIN MARYLAND Column TOTALS WITHIN AND WITHOUT MARYLAND Total of factors (Add entries in Column ) Maryland apportionment factor Divide line by four for three-factor formula, or by the number of factors used if special apportionment formula required (If factor is zero, enter on line b, page ) Column DECIMAL FACTOR (Column Column rounded to six places)
4 MEMBERS' INATION PART I INDIVIDUAL MEMBERS INATION Enter the information in Social Security Number order 0 Social Security Number and name of member Check here if Maryland: Non- (See Instructions) SUBTOTAL from additional Form Schedule B for individual members (See Instructions) (See Instructions) Form 00CR and/or 0S to your members
5 MEMBERS' INATION PART II FIDUCIARY MEMBERS INATION Enter the information in Federal Employer Identification Number order Federal Employer Identification Number and name of estate or trust 0 Check here if Maryland: Non- (See Instructions) SUBTOTAL from additional Form Schedule B for fiduciary members (See Instructions) (See Instructions) Form 00CR and/or 0S to your members
6 MEMBERS' INATION PART III MEMBERS INATION (INCLUDING S CORPORATIONS) Enter the information in Federal Employer Identification Number order Federal Employer Identification Number and name of Pass- Through Entity 0 Is Member a Nonresident Entity YES NO (See Instructions) SUBTOTAL from additional Form Schedule B for PTE members (See Instructions) (See Instructions) Form 00CR and/or 0S to your members
7 MEMBERS' INATION PART IV CORPORATION MEMBERS INATION (EXCLUDING S CORPORATIONS) Enter the information in Federal Employer Identification Number order Federal Employer Identification Number and name of Corporation 0 Is Member a Nonresident Entity YES NO (See Instructions) SUBTOTAL from additional Form Schedule B for corporate members (See Instructions) (See Instructions) Form 00CR and/or 0S to your members
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