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FORM EFT Please Complete: Tax Type: Check type(s ...

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COM/RAD-072 Rev. 10-10FORM EFTComptroller of MarylandAuthorization Agreement forElectronic Funds Transfers New Revision: Effective Date __________Please allow 10 business days for revisionsTax Type: Check type(s ) Withholding Corporation Income Tax (Pass Through Entities are not eligible) Sales & Use Tax motor fuel TaxesACONTACTPERSON(S)BACHDEBITCACHCREDI TThis section must be completed by all taxpayersPrimary EFT contact person ________________________________________ ________________________________________ _Address ________________________________________ ________________________________________ ________________________________________ ________________________________________ _____________________________________Cit y State ZIP code Telephone numberSecondary EFT contact person _____________________________________

COM/RAD-072 Rev. 10-10. Tax Type: Businesses may use electronic funds . transfers (EFT) to file and pay Maryland withholding, sales and use, motor fuel and corporate income taxes.

  Electronic, Motor, Fuel, Motor fuel

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