TO BE FILED IN DUPLICATE MARYLAND TAX COURT Various Appeals Petition 301 W. Preston Street, Suite 1513 Baltimore, Maryland 21201 410-767-4830 (Toll Free: 1-866-223-6075) internet: http://taxcourt.maryland.gov ___________________________________________ Petitioner * * vs. ___________________________________ Respondent * * * * CASE NO.____________________ SSN. ________________________ (Income Tax Appeals only) PETITION OF APPEAL 1. This is an appeal from: (please check one) ______ An Assessment ______ An Allowance/Disallowance of a Claim for Refund of Tax ______ Denial of Claim for Property Tax Credit ______ Other: _____________________________ 2. Type of Tax Being Appealed: ______ Income/Withholding Tax ______ Sales/Use Tax ______ Transfer/Recordation Tax ______ Other: _______________ 3. 5. The amount in controversy is: ________________________ 4. The tax year(s) involved: ____________ The date of the assessment notice or action complained of was _____________________________________ 6. Please set out the reason(s) you believe that the action taken against you was illegal or erroneous. Any additional questions to be reviewed by the Court should also be provided. Continue on the back if necessary. _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ _______________________________________________________________________________________________ Signature__________________________________ (Capacity) Date: _____________________ Name, Mailing Address and Telephone: (Please Print or Type) _____________________________________________________________________ _____________________________________________________________________ PLEASE NOTE: If the petitioner is an individual this petition should be signed by said petitioner or an attorney. If petitioner is a partnership, it should be signed by an attorney for the partnership or by any partner. If petitioner is a corporation, it should be signed by the corporation's attorney or by any officer of the corporation. The person signing should designate the capacity in which he/she signs. In any instance, the attorney must be duly admitted to practice before the Court of Appeals. For the Hearing Impaired: MRS 1-800-735-2258 American LegalNet, Inc. www.FormsWorkFlow.com