Maryland Stop Payment Request

Stop Payment Request
Tax Year 2024 Form 106 Stop Pay Request
FORM

106

STOP PAYMENT REQUEST
Revenue Administration Division
Refund Unit

Note: For Paper Checks Only

Tax year

Maryland refund check dated

Primary Taxpayer’s printed name

Amount

Primary Taxpayer’s Identification Number

Primary Taxpayer’s signature*
Secondary Taxpayer’s printed name

Secondary Taxpayer’s Identification Number

Secondary Taxpayer’s signature*

Current Mailing Address - Street/PO Box
Current Mailing Address - City

State

Zip Code + 4

Daytime Contact Number

*Signatures are matched to our master files. On jointly filed returns, both taxpayers must sign this request
Business filers filing this form must include the signature of a corporate officer or the tax preparer.
Electronic filers should attach a copy of state issued identification for verification.

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:	 [email protected]
Fax:	

410-260-7890

Mail: 	 Comptroller of Maryland
Revenue Administration Division
Attn: Refund Unit
PO Box 1829
Annapolis, Maryland 21404-1829

COM/RAD-106	08/24	

FORM

106

STOP PAYMENT REQUEST INSTRUCTIONS
Revenue Administration Division
Refund Unit

Form 106 allows a business or individual to request a stop payment on a
refund check issued by the Comptroller of Maryland.
SPECIFIC INSTRUCTIONS

• Use a separate Form 106 for each type of payment.
• Enter the tax year for which the refund check was issued.
• Enter the date the refund check was issued as written on the
check.
• Enter the exact amount of the refund check.
• Individuals: Enter first name and last name of the primary
taxpayer as it appears on the refund check.
• Businesses: Enter the name of the business as it appears on
the refund check.
• Individuals: Enter the primary taxpayer’s Social Security number (SSN)/
Individual Taxpayer Identification Number (ITIN).
• Businesses: Enter your federal Employer Identification Number
(FEIN).
• Individuals: Enter the signature of the primary taxpayer.
• Businesses: Enter the signature of the duly authorized
corporate officer.
• Individuals: Enter the secondary taxpayer’s printed name as it
appears on the refund check if applicable.
• Enter the secondary taxpayer’s SSN/ITIN if applicable.
• Enter current mailing address.
For a foreign address:
» Enter street number and street name or PO Box on
“Current Mailing Address - Line 1” line.
» Enter city or town; province, state, or county; and postal
code on “Current Mailing Address - Line 2” line.
» Enter the name of the country on the “City or Town” line.
» Leave the “State” line and “ZIP Code” line blank.
• Enter the current daytime contact number.

COM/RAD-106	08/24