Form 502 Fillable Maryland Resident Income Tax Return

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(9 digits) (All taxpayers must select one method and check the appropriate box ) (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (See Instruction 13 (See Instruction 22 ) Total (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Sticky Note comment CBUTLER (Subtract line 46 from line 45 ) See line 50 REFUND (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) (The only characters allowed in this field are: P M D PM and Blank ) 1 Adjusted gross income from your federal return 10 Pension exclusion from worksheet in Instruction 13 10/30/2013 1:11:33 PM 10/30/2013 1:11:34 PM 10/30/2013 1:11:35 PM 10/30/2013 1:11:36 PM 10/30/2013 1:11:37 PM 10/30/2013 1:11:38 PM 10/30/2013 1:11:39 PM 10/30/2013 1:11:40 PM 10/30/2013 1:11:42 PM 10/30/2013 1:11:43 PM 10/30/2013 1:11:44 PM 10/30/2013 1:11:46 PM 10/30/2013 1:11:47 PM 11 Taxable Social Security and RR benefits (Tier I II and supplemental) included in line 1 above 110 Carroll Street Annapolis Maryland 21411 0001 12 Income received during period of nonresidence (See Instruction 26 ) 13 Subtractions from attached Form 502SU 14 Two income subtraction from worksheet in Instruction 13 15 Total subtractions from Maryland income (Add lines 8 through 14 ) 16 Maryland adjusted gross income (Subtract line 15 from line 7 ) 16 17 Deduction amount (Part year residents see Instruction 26 (l and m) ) 17a Total federal itemized deductions (from line 29 federal Schedule A) 17b State and local income taxes (See Instruction 14 ) 18 Net income (Subtract line 17 from line 16 ) 18 19 Exemption amount from Exemptions area above (See Instruction 10 ) 19 1a Wages salaries and/or tips 1b Earned income 1c Capital Gain or (loss) 1d Taxable Pension IRA Annuities 1e Check here if the 2 Tax exempt interest on state and local obligations (bonds) other than Maryland 20 Taxable net income (Subtract line 19 from line 18 ) 20 2014 ENDING 2014 estimated tax payments amount applied from 2013 return payment made 2014 place a P in the box 21 Amount from line 20 (taxable net income) GO TO TAX TABLE in the Resident instructions Enter the tax on line 22 21 22 Maryland tax (from Tax Table or Computation Worksheet Schedules I or II) 22 23 Earned income credit ( of federal earned income credit See Instruction 18 ) 24 Poverty level credit (See Instruction 18 ) 25 Other income tax credits for individuals from Part H line 8 of Form 502CR (Attach Form 502CR ) 25 26 Business tax credits You must file this form electronically to claim business tax credits on Form 500CR 27 Total credits (Add lines 23 through 26 ) 27 28 Maryland tax after credits (Subtract line 27 from line 22 ) If less than 0 enter 0 28 3 State retirement pickup 30 Local earned income credit (from Local Earned Income Credit Worksheet in Instruction 19 ) 30 31 Local poverty level credit (from Local Poverty Level Credit Worksheet in Instruction 19 ) 31 32 Total credits (Add lines 30 and 31 ) 32 33 Local tax after credits (Subtract line 32 from line 29 ) If less than 0 enter 0 33 34 Total Maryland and local tax (Add lines 28 and 33 ) 34 35 Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 20 ) 36 Contribution to Developmental Disabilities Services and Support Fund (See Instruction 20 ) 37 Contribution to Maryland Cancer Fund (See Instruction 20 ) 38 Total Maryland income tax local income tax and contributions (Add lines 34 through 37 ) 38 4 Lump sum distributions (from worksheet in Instruction 12 ) 41 Refundable earned income credit (from worksheet in Instruction 21) 42 Refundable income tax credits from Part I line 6 of Form 502CR (Attach Form 502CR See Instruction 21 ) 42 43 Total payments and credits (Add lines 39 through 42 ) 43 44 Balance due (If line 38 is more than line 43 subtract line 43 from line 38 See Instruction 22 ) 45 Overpayment (If line 38 is less than line 43 subtract line 38 from line 43 ) 46 Amount of overpayment TO BE APPLIED TO 2015 ESTIMATED TAX 48 Interest charges from Form 502UP 49 TOTAL AMOUNT DUE (Add lines 44 and 48 ) IF $1 OR MORE PAY IN FULL WITH THIS RETURN 5 Other additions (Enter code letter(s) from Instruction 12 ) 50a Type of account: 50b Routing Number 50c Account 6 Total additions to Maryland income (Add lines 2 through 5 ) 65 or over 7 Total federal adjusted gross income and Maryland additions (Add lines 1 and 6 ) 7 8 Taxable refunds credits or offsets of state and local income taxes included in line 1 above 9 Child and dependent care expenses ADDITIONS Address of preparer Amount of overpayment TO BE REFUNDED TO YOU amount of your Blind Blind Enter number checked by your local tax rate 0 or use the Local Tax Worksheet 29 C Enter number from line 3 of Dependent Form 502B CHECK Check here Checking City or Town City Town or Taxing Area CODE NUMBERS (3 digits per box) Comptroller of Maryland Revenue Administration Division D Enter Total Exemptions (Add A B and C ) Dates of Maryland Residence day of the taxable period (See Instruction 6 ) Daytime telephone no Home telephone no DEDUCTION METHOD Dependent taxpayer (Enter 0 in Exemption Box (A) DIRECT DEPOSIT OF REFUND (See Instruction 22 ) Be sure the account information is correct For Splitting Direct Deposit see Form 588 To comply with banking rules check here Enter amount here: EXEMPTIONS FILING STATUS See Instruction 1 to determine if you are required to file CHECK ONE BOX FROM INCOME Head of household if you agree to receive your 1099G Income Tax Refund statement electronically if you authorize your paid preparer if you authorize your preparer to discuss this return with us Check here If you began or ended legal in this box INCOME Initial Ink Only Instruction Instruction investment income is based on all information of which the preparer has any knowledge is more than $3 350 ITEMIZED DEDUCTION METHOD (Complete lines 17a and 17b ) Last Name LOCAL TA X COMPUTATION Local tax (See Instruction 19 for tax rates and worksheet ) Multiply line 21 M in the box (See Instruction 26 ) Make checks payable and mail to: Mar yland County Marked set by CBUTLER) Marked set by CBUTLER) Marked set by CBUTLER) Marked set by CBUTLER) Marked set by CBUTLER) Marked set by CBUTLER) Marked set by CBUTLER) Married filing joint return or spouse had no income See Instruction 7 ) Married filing separately MARYL AND TA X COMPUTATION MILITARY: If you or your spouse has MO DAY YEAR Name of county and incorporated city town or NAME SSN non Maryland military income place an not to file electronically Check here Number on top of your W 2 wage and tax or Black OR FISCAL YEAR BEGINNING or for late filing or MONEY ORDER Other state of residence: Page 2 PART YEAR RESIDENT Place Place an M or P Preparer s PTIN (required by law) Signature of preparer other than taxpayer Present Address (No and street) Print Using Qualifying widow(er) with dependent child residence in Maryland in Savings See Instruction 10 See Instruction 10 Check appropriate box(es) NOTE: If you are claiming dependents you must attach See Instruction 26 Single (If you can be claimed on another person s 5 Social Security Number special taxing area in which you resided on the last Spouse Enter number checked Spouse s signature Date Spouse's First Name Spouse's Social Security Number STANDARD DEDUCTION METHOD (Enter amount on line 17 ) staple State statements and ATTACH HERE with Subtract line 17b from line 17a and enter amount on line 17 SUBTRACTIONS tax return use Filing Status 6 ) Telephone number of preparer the best of my knowledge and belief it is true correct and complete If prepared by a person other than taxpayer the declaration Social Security Number on check ) the Dependents' Information Form 502B to this form to receive the applicable exemption amount this refund will go to an account outside the United States If checked see Instruction 22 For the direct deposit option complete the following information clearly and legibly Total Amount D $ Total Maryland and local tax withheld (Enter total from your W 2 and 1099 forms if MD tax is Under penalties of perjury I declare that I have examined this return including accompanying schedules and statements and to (It is recommended that you include your with an extension request and Form MW506NRS withheld and attach ) X $1 000 Your First Name Your signature Date Yourself ZIP code

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