FORM        STOP PAYMENT REQUEST
            Revenue Administration Division
106         Refund Unit

Tax year                                 MD refund check dated                         Amount 
                                                                                       $            .
Primary Taxpayer’s printed name                                Primary Taxpayer’s SSN

Primary Taxpayer’s signature*

Secondary Taxpayer’s printed name                              Secondary Taxpayer’s SSN

Secondary Taxpayer’s signature*

Current Mailing Address - Street/P.O. Box

Current Mailing Address - City                                 State                   Zip   Code +4

Daytime Contact Number

* Signatures are matched to our master files. Electronic filers; attach a copy of your State issued
identification for verification. On jointly filed returns, both taxpayers must sign this request.

Please place a stop  payment on the above  referenced  refund  check  and issue  a replacement 
check at the provided mailing address.
Submit Forms to the Refund Unit via Email, Fax or Mail:
        Email:  RADREFUND@marylandtaxes.gov 
        Fax:    410-260-7890  
        Mail:   Comptroller of Maryland
                Revenue Administration Division 
                Attn:  Refund Unit 
                P.O. Box 1829 
                Annapolis, MD 21404-1829

COM/RAD-106     09/20