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                              ANNUAL REPORT AND PERSONAL PROPERTY RETURN                                                                                       2020 
        MARYLAND STATE DEPARTMENT OF ASSESSMENTS AND TAXATION, TAXPAYER SERVICES DIVISION                                                               FORM 5 
                         Personal Property Division: P.O. Box 17052, Baltimore, Maryland 21297-1052                                                     Due April 15th 
                                                                                                                                            Date Received by Department 
  [   ] PLEASE CHECK HERE IF THIS IS AN AMENDED RETURN 
                 BANKS, SAVINGS BANKS, SAVINGS & LOANS  AND TRUST COMPANIES  
  
  SECTION I                                                                      
  NAME OF  BUSINESS                                                                                                                                                     

  MAILING  ADDRESS                                                                                                                                                      
  [ ] Check here if this is a change of mailing 
  address 

  *DEPARTMENT ID  NUMBER  
  Letter prefix followed by 8-digits  
  *Required to ensure correct account is credited  
  FEDERAL EMPLOYER ID #  
  (9-digit number assigned by the IRS)  

  FEDERAL PRINCIPAL BUSINESS CODE  
  (If known, the 6-digit number on file with the IRS)                                                                                                                   

  NATURE OF BUSINESS (CREDIT, FINANCE, LOAN,                                     ETC)                                                                                

  EMAIL ADDRESS                                                                                                                                                        

      Include an email address above to receive important reminders from the Department of Assessments and Taxation 

  SECTION II  
        A.    CORPORATE OFFICERS (names and mailing addresses) 

                                                                                             OFFICERS  
  
  President                                                                                                                                                          

  Vice President                                                                                                                                                     

  Secretary                                                                                                                                                          

  Treasurer                                                                                                                                                          

        B.    DIRECTORS (names only) 
                                                                                            DIRECTORS  

        *REQUIRED INFORMATION FOR CERTAIN CORPORATIONS-MD  CODE TAX PROPERTY §11-101- PLEASE SEE INSTRUCTIONS                
 
        *Total Number of Directors    _______                                                                       *Total Number of Female Directors   ______ 
 
              TPS_BPP Form 5 2020      Revised  1/1/2020                                                                   Page 1 of 5 http://dat.maryland.gov 



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                                                                                                                                2020 
DEPARTMENT ID NUMBER  _________________________________________  
                                                                                                                                FORM 5 
SECTION III  

A. Does the entity do any  part of its business in the State of Maryland?                         [       ] Yes  [       ] No  

B. Does the business own, lease, or use personal property located in Maryland?                    [     ] Yes  [       ] No  

        If you answered yes, to A but do not own, lease,       or use personal property in Maryland, proceed to section VI after 
     the signature section IV  below.  

        If you answered yes to B, YOU MUST COMPLETE               SECTION V after the signature section IV. 

SECTION IV  ALL ENTITIES COMPLETE 

          By signing this form below, you declare, under the penalty of perjury, and pursuant to Tax-Property Article § 1-
201 of the Annotated Code of Maryland, that this Annual Report, including any accompanying forms, schedules, and/or 
statements, has been examined by you and, to the best of your knowledge and belief, is a true, correct,  and complete 
Annual Report for  the Entity listed in Section 1.  

                                                                            Title 
Print or type name of corporate office ror principal of entity 

X Signature of Corporate Officer   or Principal                Date        Business phone number and Email address   

Name of firm or individual, other than taxpayer preparing this return 

Signature   preparerof                     Date           Preparer’s phone number and Email address  

PLEASE BE SURE TO SIGN THIS ANNUAL REPORT/PERSONAL PROPERTY RETURN IN ALL                                       SECTIONS TO        
AVOID REJECTION BY THE DEPARTMENT. 

                                  Mail the signed, completed return and $300        filing fee to  :    
                                  Maryland State Department of Assessments  and Taxation 
                                           Business Personal Property Division 
                                                          P.O. Box 17052    
                                                Baltimore Maryland 21297-1052 

  If you have questions contact   the Business       Personal Property Division 
Phone: 410-767-1170, 888-246-5941 within Maryland 
Email: SDAT.PersProp@Maryland.gov  

               TPS_BPP Form 5  2019   Revised  / /1 1 20                                   Page 2 of 5   http://dat.maryland.gov



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                                                                                                                                                   DEPARTMENT ID NUMBER__________________________  
SECTION V - TANGIBLE PERSONAL PROPERTY LOCATED IN MARYLAND                                                                                                                                                     2020 
                                                                                                                                                                                                          FORM 5 
IMPORTANT: Show exact location of                all personal property owned and                   used in the State of Maryland,      including county, city, town, and street address (P.O. boxes are 
not acceptable). Thisassures proper  distribution of assessments.  If property is located in two or more jurisdictions,                                provide breakdown by completing               additional   
copies of Section V for each location. 
Address__________________________________________________________________________________________________________   
                                                                               Street    Name & Number, City/Town, Zip Code and County 
1a. Furniture, fixtures, tools, machinery and equipment.                                 (Computer hardware and canned software should be reported on 1b                        and 1c.)  Report the original 
cost of the property   by year   of acquisition and                   category of   property as   described in   the Depreciation      Rate Chart on page 4. Include all fully depreciated property 
and property expensed under I.R.S.rules.              Columns C,     E, F and G              require an   explanation of   the type    of property being       reported. Use  the lines       provided  below. If  
additional  space   is needed,        supply a supplemental schedule.                     Failure      to explain    the type of property will   result     in the   property being treated as          Category  A 
property. Category B and D are to be reported on lines 1b and 1c   
                                                                        (ROUND CENTS TO THE NEAREST WHOLE DOLLAR)  

                                                                        ORIGINAL COST BY YEAR OF AQUISITION 
                      Year Acquired                  A                              B                     C                D                E                    F              G                   Total Cost 
                      2019                                                                                                                                                                                0
                      2018                                                                                                                                                                                0
                      2017                                                                                                                                                                                0
                      2016                                                                                                                                                                                0
                      2015                                                                                                                                                                                0
                      2014                                                                                                                                                                                0
                      2013                                                                                                                                                                                0
                      2012         & prior                                                                                                                                                                0
                      Totals                                          0                  0                  0                 0                  0                   0                  0                 0

Describe C, E, F & G Property Here:  ___________________________________________________________________________ 

______________________________________________________________________________________________________________________ 

1b. Computer hardware and canned software used in the processing of loans or deposits, but not used inword                                                                processing.  Report 
property’s original cost by year of acquisition. 
                                     HARDWARE                                                                                                    CANNED SOFTWARE  
                                           B                                   D                                             Year Acquired                         B                          D 
    Year Acquired 
2019                                                                                                                     2019   
2018                                                                                                                     2018   
2017 & prior                                                                                                             201 7& prior  

Total                                                0                                       0                               Total                                       0                               0

1c. All other computer hardware and canned software not reported in 1b above. Report property’s original cost                                                                by year          of    acquisition. 

                                     HARDWARE                                                                                             CANNED SOFTWARE  
    Year Acquired                          B                                   D                                         Year Acquired                   B                              D 

2019                                                                                                                 2019   
2018                                                                                                                 2018   
2017 & prior                                                                                                         2017 & prior 

Total                                                0                                       0                       Total                                           0                                  0

                      TPS_BPP Form 5  2019   Revised 1/1/20                                                                                      Page 3 of 5   http://dat.maryland.gov



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DEPARTMENT ID  NUMBER                                                                                                                                                                      
                                                                                                                                                                                   2020 
                                                                                                                                                                               FORM 5  
SECTION V (continued)  

2. Supplies (for example, office      supplies)                         . . . . . . . . . . . . Average Cost   $ 

3. Vehicles with Interchangeable Registrations (dealer, recycler, finance company, special mobile equipment, and transporter plates) and 
unregistered vehicles should be reported here. 

           Year Acquired                   Original Cost           Year Acquired                                   Original Cost  
                 2019                                                                           2017    

                 2018                                                201 6& prior  

4. Other personal property (not included in any item above) . . . . . . . . . . . . . . . . . . . . . .                           .Total Cost $ 
File separate schedule giving a description of property, original cost and the date   of acquisition.  

5. Property owned   by others and used   or held   by the entity as lessee   or otherwise         . . . . Total                            Cost   $ 
File separate schedule showing names and addresses of owners, lease number, description of property, installation  date and separate cost in 
each case.  

6. Property owned by the entity but used or held   by others   as lessee   or otherwise .     . . Total Cost                                    $ 
File separate schedule showing names and addresses of lessees, lease number, description of property, installation date and original cost by year 
of acquisition for each location. Schedule should group leases by  county where the property is located. 

SECTION VI   This Section must be completed if question A in Section III is answered Yes. 

A. Total Gross Revenue, or amount of business transacted in Maryland during the prior year..   $                                                                           If the  entity 
operates   inMaryland and does   not   report any   personal     property,                            explain  how the business   is conducted without personal property.   If the entity is 
using the personal property   of another business,        provide                             the name and  address   of that    business. 

B. If the entity operates on a fiscal year, state beginning and ending dates: 

C.   If this entity succeeds an established    bank,      savings                               bank, savings & loan   or trust, provide name   of former entity: 

D. Does the entity  own  any    fully depreciated   and/or   expensed                             personal  property   located   in Maryland? 
(Yes or    No)                  If yes, is that property reported on this return?  (Yes or  No) 

E. Has the entity disposed   of assets or transferred      assets in   or out   of Maryland                            during the prior calendar   year? 
(Yes   No)or                     If yes, complete Form SD1, Supplemental Detail.   

                                PLEASE READ “FORM 5 IMPORTANT REMINDERS” ON NEXT PAGE BEFORE SIGNING BELOW 
          I declare under the penalties of perjury that this return, including any accompanying schedules and statements, has been examined by 
me and to the best of my knowledge and belief is  a true, correct and complete return. 

Print or type name of corporate office ror principal   of entity                                                       Title 

X Signature of Corporate Officer   or Principal                                                     Date        Business phone   number  and Email  address 

Name   of firm   or individual, other than taxpayer preparing  this                           return 

Signature   of preparer                                              Date                                       Preparer’s phone number and Email address 

                    TPS_BPP Form 5  2019   Revised 1/1/20                                                                                  Page 4 of 5   http://dat.maryland.gov



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                               PERSONAL PROPERTY ANNUAL REPORTY/RETURN FORM 5 REMINDERS 

This form is similar to the Form 1; if you have questions concerning completion of this form, please refer to the instructions                                                        for 
Form 1 located on our website, http://dat.maryland.gov and proceed to theForms & Applications link. This return shall include 
personal property owned by the entity as of January                              1st, regardless of any fiscal         year used by the entity. 

PLEASE USE THE MARYLAND DEPARTMENT IDENTIFICATION NUMBER ASSIGNED TO YOUR ENTITY. If the ID 
number is not known, please usehttps://egov.maryland.gov/BusinessExpress/EntitySearch. To ensure proper posting to your 
account, please include your Department ID Number on your return and in all communications with the Department. 

Laws relating to personal property are contained in the Tax-Property                                  Article of the Annotated Code of Maryland. Please see 
TP Article § 7-221.1, exempted computer hardware and software used in                                         the processing of loans or deposits. 

All information on pages  2 and 3 of this report and supporting schedules are held confidential by the Department and are not 
available for public inspection. Page 1   is a public record. Tax-Property Article §2-212. 

If you discontinued business prior to January 1st, notify the Department immediately, stating to whom                                                and the date all 
personal property was sold. If the business is sold,                          after January 1st and before July 1st, submit statement of sale,                      including 
value of personal property, date of sale, and the name and address of the buyer on or before October 1st. Complete Form 21, 
Report of Sale or Transfer, located on our website, https://dat.maryland.gov/Pages/sdatforms.aspx#BPP 

This return must be signed by an officer of the entity. Make check for the $300 filing fee payable to Department of 
Assessments and Taxation and note the Department ID Number                                       on the check. 

Personal Property Extensions must be requested                         on the Internet           by April     15th; paper extensions             are no longer accepted. Visit 
http://pprextensions.dat.maryland.gov/  

If you have questions contact the Business Personal Property Division   
Phone: 410-767-1170, 888-246-5941 within Maryland   
Email: SDAT.PersProp@Maryland.gov   
                                                                                     PENALTY CLAUSES  
                                               DO NOT PAY PENALTIES  AT THE TIME OF FILING THE RETURN  
    •    LATE FILING PENALTIES.             An entity   which files an annual       return postmarked after   the due date   of April 15th, will receive an initial penalty   of 1/10 of 
         one percent of the county assessment, plus interest at the rate of two percent of the initial penalty amount for each 30 days  or part thereof that the 
         return is late. Interest is calculated at 2% of the initial penalty for each 30 days or fraction of a 30-day period that the report is not submitted. 

    •    DO NOT PREPAY AN ANTICIPATED PENALTY. THE DEPARTMENT WILL BILL THE ENTITY FOR                                              ANY LATE FILING PENALTY         OWED. 

    •    Entities which fail   to file this report will receive     estimated    assessments which    will   be twice the estimated   value   of the personal property owned.         In 
         addition, failure     to file this report will result   in forfeiture   of the Maryland charter   or the right     to do business   in Maryland. 

                                                              DEPRECIATION RATE CHART FOR RETURNS  

STANDARD DEPRECIATION RATE                                                                       CATEGORY D 30% per annum** 
CATEGORY A 10%      per annum*                                                                   Data processing equipment, canned software. 
All property not specifically listed   below. 
                                                                                                 CATEGORY E 33 1/3% per annum* 
SPECIAL DEPRECIATION RATES (Use of the rates listed below                     apply only to      Blinds, carpets, drapes, shades. The following applies     to equipment rental 
the items specifically listed. Use Category A      for other assets.)                            companies only: rental stereo and radio equipment, rental televisions, rental 
                                                                                                 video cassette recorders and rental video tapes. 
CATEGORY B 20% per annum* 
Mainframe computers originally costing $500,000 or            more.                              CATEGORY F 50%        per annum* 
                                                                                                 Pinball machines, rental tuxedos, rental uniforms, video games. 
CATEGORY C 20% per annum* 
Autos (unlicensed), bowling alley equipment, brain scanners,           carwash                   CATEGORY G 5% per annum* 
equipment, fax machines, contractor’s heavy equipment (tractors, bulldozers),                    Boats, ships, vessels, (over 100     feet). 
hotel, motel, hospital and nursing home furniture and fixtures (room                andlobby),  
MRI equipment, mobile telephones, model home furnishings, music boxes,                           LONG-LIVED ASSETS 
outdoor Christmas decorations, outdoor theater equipment, photocopy                              Property determined by the Department to have an expected life in excess of 10 
equipment, radio and T.V. transmitting equipment,       rental pagers,        rental soda        years at the time of acquisition shall be depreciated at   an annual rate as 
fountain equipment, self-service laundry equipment, stevedore equipment,   -                     specified by the Department. 
theater seats, trucks (unlicensed), vending machines (cigarette,       candy, soft 
drink), x-ray equipment.                                                                                      * Subject to a minimum assessment of 25% of the original           cost. 
                                                                                                              ** Subject to a minimum assessment of 10% of the original  cost. 

                    TPS_BPP Form 5  2019   Revised 1/1/20                                                                      Page 5 of 5   http://dat.maryland.gov






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