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

COM/RAD-072 Rev. 10-10 FORM EFTC omptroller 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 _____City State ZIP code Telephone numberSecondary EFT contact person _____Address _____City State ZIP code Telephone number_____ Signature of owner, partner, or officer Title DateCHOOSE ONLY ONE OF THE TWO PAYMENT OPTIONS BELOWThis section to be completed only if you choose the ACH DEBIT OPTIONIf ACH Debit is chosen, you authorize the Comptroller of Maryland t

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.

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