Fillable Form 751: KEG REGISTRATION BOOKLET ORDER FORM MARYLAND (Comptroller of Maryland)

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Form 751: KEG REGISTRATION BOOKLET ORDER FORM MARYLAND (Comptroller of Maryland)

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COM/FED RLS 751 Rev. 09/19
KEG REGISTRATION
BOOKLET ORDER FORM
MARYLAND
FORM
751
Licensee’s Name Date
T/A: Telephone No.
License address MD Central Registration No.
Mailing address if dierent
City State Zip Code
Political Subdivision (County or Baltimore City)
No. of books requested: _______________ Estimated number of kegs: _____________
25 labels per book
One copy to be kept by retailer.
Signature of Licensee__________________________________________
Contact information:
Comptroller of Maryland
Field Enforcement Division
Regulatory & Licensing Section
P
. O. Box 2999
Annapolis, Maryland 21404-2999
410-260-7314 or 800-MD-TAXES
Fax 410-974-3201
ATT@marylandtaxes.gov
www.marylandtaxes.gov
Oce Use Only
Order Filled by _____________
Date Filled ________________
Oce Use Only
Beginning Book No. _________
Ending Book No. ___________
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Form 751: KEG REGISTRATION BOOKLET ORDER FORM MARYLAND (Comptroller of Maryland)

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Completed 14 August 2020

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