Form 505 Fillable Maryland Nonresident Income Tax Return
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Qualifying widow(er) with dependent child (: 4) Unchecked (: 5) Unchecked (: 6) Unchecked (: checking) Unchecked (: MFJ) Unchecked (: MFS) Unchecked (: No) Unchecked (: savings) Unchecked (: Single) Unchecked (: Yes) Unchecked (1) FEDERAL (2) MARYLAND (3) NON MARYLAND (9 digit) (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (from worksheet in Instruction 14 ) (It is recommended that you include your Social Security (PA) Township (PA) (See inst 4 ) (See Instruction 23 ) Total (Sticky Note comment cbutler (Sticky Note comment cbutler (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Wages salaries tips etc 10 Rents royalties partnerships estates trusts etc (Circle appropriate item ) 11 Farm income or (loss) 11/21/2013 8:58:23 AM 11/21/2013 8:58:24 AM 11/21/2013 8:58:25 AM 110 Carroll Street Annapolis Maryland 21411 0001 12 Unemployment compensation (insurance) 13 Taxable amount of Social Security and Tier 1 Railroad Retirement benefits 14 Other income (including lottery or other gambling winnings) 15 Total income (Add lines 1 through 14 ) 16 Total adjustments to income from federal return (IRA alimony etc ) 17 Adjusted gross income (Subtract line 16 from 15 ) 18 Non Maryland loss and adjustments 19 Other (Enter code letter(s) from Instruction 12 ) 2 Taxable interest income 20 Total additions (Add lines 18 and 19 ) 2013 NAME SSN 21 Total federal adjusted gross income and Maryland additions (Add lines 17 (Column 1) and 20 ) 22 Taxable Military Income of Nonresident 23 Other (Enter code letter(s) from Instruction 13 ) 24 Total subtractions (Add lines 22 and 23 ) 25 Maryland adjusted gross income before subtraction of non Maryland income (Subtract line 24 from line 21 ) 26 Deduction amount (Multiply lines 26a or 26d by the AGI factor ) 26e 27 Net income (Subtract line 26 from line 25 ) 28 Total exemption amount (from EXEMPTIONS area page 1) See Instruction 10 29 Enter your AGI factor (from worksheet in Instruction 14) 3 Dividend income 30 Maryland exemption allowance (Multiply line 28 by line 29 ) 31 Taxable net income (Subtract line 30 from line 27 ) Figure tax on Form 505NR 32 a Maryland tax from line 16 of Form 505NR (Attach Form 505NR ) 32 b Special nonresident tax from line 17 of Form 505NR (Attach Form 505NR ) 32 c Total Maryland tax (Add lines 32a and 32b ) 33 Earned income credit from worksheet in Instruction 20 34 Poverty level credit from worksheet in Instruction 20 35 Other income tax credits for individuals from Part H line 8 of Form 502CR (Attach Form 502CR ) 36 Business tax credits You must file this form electronically to claim business tax credits on Form 500CR 37 Total credits (Add lines 33 through 36 ) 38 Maryland tax after credits (Subtract line 37 from line 32c ) If less than 0 enter 0 39 Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 21 ) 4 Taxable refunds credits or offsets of state and local income taxes 40 Contribution to Developmental Disabilities Waiting List Equity Fund (See Instruction 21 ) 41 Contribution to Maryland Cancer Fund (See Instruction 21 ) 42 Total Maryland income tax and contributions (Add lines 38 through 41 ) 43 Total Maryland tax withheld (Enter total from and attach your W 2 and 1099 forms if MD tax is withheld ) 44 2013 estimated tax payments amount applied from 2012 return payments made with Form 502E and Form MW506NRS 45 Refundable earned income credit from worksheet in Instruction 20 46 Nonresident tax paid by pass through entities (Attach Maryland Form 510 Schedule K 1 ) 47 Refundable income tax credits from Part I line 6 of Form 502CR (Attach Form 502CR See Instruction 22 ) 48 Total payments and credits (Add lines 43 through 47 ) 49 Balance due (If line 42 is more than line 48 subtract line 48 from line 42 ) 5 Alimony received 50 Overpayment (If line 42 is less than line 48 subtract line 42 from line 48 ) 51 Amount of overpayment TO BE APPLIED TO 2014 ESTIMATED TAX 52 Amount of overpayment TO BE REFUNDED TO YOU (Subtract line 51 from line 50 ) See line 55 53 Interest charges from Form 502UP 54 TOTAL AMOUNT DUE (Add line 49 and line 53 ) IF $1 OR MORE PAY IN FULL WITH THIS RETURN 55 For the direct deposit option complete the following information clearly and legibly: 55a Type of account: 55b Routing number 55c Account 6 Business income or (loss) 65 or over 65 or over 7 Capital gain or (loss) 8 Other gains or (losses) (from federal Form 4797) 9 Taxable amount of pensions IRA distributions and annuities a person other than taxpayer the declaration is based on all information of which the preparer has any knowledge A Yourself Spouse A Enter No Checked See Instruction 10 A $ ADDITIONS TO INCOME (See Instruction 12 ) Dollars Address and telephone number of preparer Advise dates you resided within Maryland for 2013 If none enter NONE Are you or your spouse a member of the military? Yes No ATTACH attach the Dependents' Information Form 502B to this form in order to receive the applicable exemption amount B Enter No Checked X $1 000 B $ Black Blind Blind C Enter No from line 3 of Dependent Form 502B See Instruction 10 C $ Cents CHECK Check here CHECK ONE BOX Checking City or Town CODE NUMBERS (3 digits per box) COM/RAD 022 13 49 Comptroller of Maryland Revenue Administration Division County City Borough or D Enter Total Exemptions (Add A B and C ) Total Amount D $ Daytime telephone no Home telephone no DEDUCTION METHOD See Instruction 15 (All taxpayers must select one method and check the appropriate box ) Dependent taxpayer (Enter 0 in Exemption Box (A) See Instruction 8 ) Did you file a Maryland income tax return for 2012? Yes No DIRECT DEPOSIT OF REFUND (See Instruction 23 ) Please be sure the account information is correct For Splitting Direct Deposit see Form 588 Dollars Cents Enter 2 letter state code for your state of legal residence EXEMPTIONS See Instruction 10 Check appropriate box(es) NOTE: If you are claiming dependents you must FILING STATUS 1 FROM TO Head of household If no attach explanation if this refund will go to an account outside the United States If checked see Instruction 23 If Yes was it a Resident or a Nonresident return? if you agree to receive your 1099G Income Tax Refund state if you are required to file if you authorize your if you authorize your preparer to discuss this return with us Check here in error INCOME (LOSS) INCOME (LOSS) INCOME AND ADJUSTMENTS INFORMATION (See Instruction 11 ) Initial ITEMIZED DEDUCTION METHOD (Complete lines 26b c and d ) Last Name Make checks payable and mail to: Marked set by cbutler) Marked set by cbutler) Married filing joint return or spouse had no income 5 Married filing separately Maryland MARYLAND NONRESIDENT INCOME MARYLAND TAX COMPUTATION COMPLETE FORM 505NR BEFORE CONTINUING ment electronically Under penalties of perjury I declare that I have examined this return including accompanying MONEY Net itemized deductions (Subtract line 26c from line 26b ) NONRESIDENT INCOME number Number on check using blue or black ink ) on top of OR FISCAL YEAR BEGINNING 2013 ENDING or for late filing ORDER PAGE 2 paid preparer not to file electronically Check here Place Please Preparer s PTIN (required by law) Signature of preparer other than taxpayer Present Address (No and street) Print Using Blue REFUND RESIDENCE INFORMATION See Instruction 9 Savings schedules and statements and to the best of my knowledge and belief it is true correct and complete If prepared by See Instruction 1 to determine 2 Single (If you can be claimed on another person s tax return use Filing Status 6 ) 4 Social Security Number Spouse s signature Date Spouse's First Name Spouse's Social Security number STANDARD DEDUCTION METHOD (Enter amount on line 26a ) staple State State and local income taxes (See Instruction 16 ) statements SUBTRACTIONS FROM INCOME (See Instruction 13 ) TAX RETURN taxes To comply with banking rules please check here Total federal itemized deductions (from line 29 federal Schedule A) wage and Were you a resident for the entire year of 2013? Yes No with ONE withheld Your First Name Your signature Date your W 2 ZIP code