FORM MARYLAND CHANGE 2022 109-B OF ADDRESS FOR BUSINESSES Business Name Federal Identification number Trade Name Central Registration Number OLD ADDRESS Mailing Address - Line 1 Mailing Address - Line 2 (PO Box, Apt No., Suite No.) City or Town State ZIP Code Telephone number Fax number Email address NEW ADDRESS Current Mailing Address - Line 1 Current Mailing Address - Line 2 (PO Box, Apt No., Suite No.) City or Town State ZIP Code Telephone number Fax number Email address Please update my address information per the information above. I certify that the foregoing information is true, correct and accurate to the best of my knowledge. Print name Title (Owner, Partner or Officer) Signature Date COM/RAD 109-B 05/22 |
FORM MARYLAND CHANGE 2022 109-B OF ADDRESS FOR BUSINESSES General Information For more information You can use Form 109-B to notify the Comptroller of Maryland Visit www.marylandtaxes.gov or call Taxpayer Services that you have changed your business mailing address. If you Division at 410-260-7980 in Central Maryland or 1-800-638- have changed both your home and business mailing addresses, 2937 from elsewhere. For the hearing impaired: Maryland please submit Form 109-B along with Form 109-I. Relay Service 711. Filling out Form 109-B Mail to: • Please print using blue or black ink. COMPTROLLER OF MARYLAND • Enter OLD address information in the first section; enter REVENUE ADMINISTRATION DIVISION NEW address in the second section. TAXPAYER IDENTIFICATION PO BOX 549 • Be sure to include any apartment, room, or suite number ANNAPOLIS MD 21404 information using the common designators as shown below. Common Designators The most common unit designators are: Apartment APT Building BLDG Floor FL Suite STE Unit UNIT Room RM Department DEPT • Only enter P.O. Box information if your post office does not deliver mail to your street address. • Do not use “#” signs or other special characters, except the dash in the “ZIP code” field when a 9-digit (+4) ZIP is used. • Please remember to sign and date the form prior to submission. COM/RAD 109-B 05/22 |