New User Registration

* Denotes required field which must be completed for successful registration.

Account Information

* LogonID

LogonID must be 5 - 30 characters.

* Password

Your password must be a minimum of 14 characters and must contain at least one upper case letter, lower case letters, at least one number, and at least one of the following special characters: ! @ # $ % ^ & *

* Re-enter Password

Contact Information

* First Name

* Last Name

* Email

* Phone Number

Phone Extension

Security Information

You will be asked the following information if you forget your password.

* Birth Year

What is the year of your birth?

* Security Question 1

* Security Answer 1

* Security Question 2

* Security Answer 2

Business Information

* Would you like to associate business information with this account?

Yes

* Would you like to associate bank information with this business?

Yes

* Business Name

* Federal Employer Identification Number (FEIN)

Bank Information

* Checking Or Savings

Checking

Savings

* Name Of Bank

* Routing Number

* Account Number

* Re-enter Account Number

Statement of Authenticity and Responsibility

I certify under the penalty of perjury that I am the person listed above registering for on-line services with the Comptroller of Maryland and that the information I have entered is true, correct and complete. I understand and accept that I am responsible for the password I have chosen and do hereby hold harmless the Comptroller of Maryland, its employees, agents and assigns from any liability resulting from unauthorized access to my records.

Please review the information below:

Once you submit this registration you will be unable to change your LogonID.

LogonID:

First Name:

Last Name:

Birth Year:

Email Address:

Phone Number: