MARYLAND STATE DEPARTMENT OF ASSESSMENTS AND TAXATION 
             DECLARATION OF ESTIMATED FRANCHISE TAX FOR 
              TELEPHONE, ELECTRIC, AND GAS COMPANIES 

                             FOR CALENDAR YEAR 2020

2020
                             PAYMENT VOUCHER   4                                MARYLAND
                                                                                FORM 29E
                             DUE  DECEMBER 15, 20        20 

                                        Enter Amount of Total 
Federal I.D. Number                     Estimated Tax for the Year  $ 

Department I. D. Number 
                             (Required) Enter Total Credit 
                                        Carryover for the Year      $ 

NAME                                    1. Amount of this Installment $

ADDRESS                                 2. Unused Credit Applied to
                                        this Installment            $ 

CITY OR TOWN         STATE   ZIP CODE   3. Amount of this Installment
                                        Payment                     $

PRINT NAME  OF OFFICER OR AGENT                                     E-MAIL ADDRESS

     SIGNATURE OF OFFICER OR AGENT                                     DATE 

                     TITLE                                      PHONE NUMBER 
             RETURN THIS PAYMENT VOUCHER WITH REMITTANCE TO: 
                        Department of Assessments and Taxation  
                                      Franchise Tax Unit 
                             301 West Preston Street 
                             Baltimore, Maryland 21201-2395 

Tax payments of $10,000 or more must be remitted by electronic funds transfer. [   ] 
If remittance is made through EFT, mark the box and return this payment voucher to the 
Department. 

Please use the bank account number as indicated in the ACH credit tax payment instructions 

        SDAT_TPS_FT-Form 29E December                       Revised: August 2018