MARYLAND         SALES AND USE TAX                                                                                    2022
             FORM
                        REFUND APPLICATION
       SUT205

FEIN Number or SSN of owner, officer or agent responsible for taxes                    For Office Use Only
                                                                    Claim Code  ___ Claim No.  _________
Sales and Use Tax Registration Number                               Amount approved  _________________   Liabilities  _______________________
                                                                    Check issued   ____________________ Amount credited  _________________
                                                                    Approved by  _____________________  Approved by  ____________________
Legal Business Name                                                              Trade name if different

 Number and street

 City / town                                                                     State                            ZIP code +4

Telephone number                                                      Email

The undersigned hereby requests the comptroller to refund sales and use tax in the amount of $                               , less 
discount previously taken, if applicable, of                                 for a net refund of $                . This sum is the 
amount of sales and use tax that has been improperly paid, or collected and subsequently refunded, by the undersigned for the 
reasons described below:
 ________________________________________________________________________________________________________
 ________________________________________________________________________________________________________
 ________________________________________________________________________________________________________
                    Name                                                                                          Date       Amount of 
(List the names of the persons to whom you paid the                 Date of Amount of  Amount of                  of tax     tax refund/
tax. If you are a vendor who has refunded or credited               sale    sale                   tax            refund/    credit*
       tax to customers, list the customers’ names.)                                                              credit*

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If additional space is required, attach additional sheets and provide the information using the same format. *Complete if you are a 
vendor who has refunded or credited tax to a customer.
NOTE: To expedite this application, non-returnable copies of records supporting the refund request should accompany this form. 
These records should include, when appropriate, sales and purchase invoices or journals, resale certificates and cancelled checks 
corresponding to entries in this application. If it is impractical to forward copies of all supporting documents, the records must be 
made readily available for review by an employee of the Compliance Division, if requested.
I HEREBY CERTIFY under the penalties of perjury that I have examined the information set forth in this application including any 
accompanying schedules or statements and that said information is true, accurate and complete to the best of my knowledge and 
belief.

                        Signature                                                                       Print name

                        Date                                                                            Title
Direct inquiries and mail application to:                                   For more information email questions to:
             Comptroller of Maryland                                        CDSTREFUNDS@marylandtaxes.gov
             Compliance Division                                            or call 410-767-1530.
             301 West Preston Street, Room 303                              Maryland Relay (MRS) at 711
             Baltimore, Maryland 21201-2383
       COM/SUT205       05/22