Form 502INJ Fillable Injured Spouse Claim Form
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ALLOCATION BETWEEN SPOUSES Enter the amounts from An Injured Spouse Claim Form must be submitted for each INJURED SPOUSE in the upper left corner of the TAXPAYER INFORMATION The spouse s name and Social (: 1) Unchecked (: 2) Unchecked (Attach to the FRONT of your return ) (checkbox) Unchecked (checkbox) Unchecked (such as income tax refunds etc ) should be divided (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) 1 Additions 6 20 1 Filed a joint return with the spouse owing the debt; 1 Wages 2 Other income 2 Received income (such as wages interest etc ); 2 Subtractions 15 7 3 Adjustments to income 3 Deductions 17 10A 10B 3 Made payments (such as withholding and estimated tax payments); and 4 An overpayment all or part of which was or will be applied to the following debts owed by the other spouse: past due state or 4 Exemptions (Enter 5 Earned income and/or 502 505 505NR 502INJ 502INJ line 9 shows that you are claiming business 6 Withholding taxes 39 43 7 Refundable earned 8 Estimated taxes 40 44 46 9 Other credits 25 26 42 35 36 47 A Income items from Federal Forms 1040 1040A A Items in this section should be transferred from your joint Additions Allocate individual Maryland addition additions are attributable Joint additions should be Address of preparer Adjustments to income Allocate adjustments to Administration Division will allocate the deductions Administration Division will allocate these items Allocation Between Spouses (See instructions ) ALLOCATION ITEMS JOINT INJURED SPOUSE OTHER SPOUSE also call 1 800 638 2937 or from Central Maryland 410 2607951 amount Any portion of the joint refund due to you will be issued directly from the intercepting agency if the refund has already been and tax statements and you want your refund issued in your name only area) as 1 and 1 ) Each spouse must claim the exemptions Attach this form to the front of your tax return Write B Items from Maryland been filed between spouses business income is attributable check here Check this box only if you are divorced or separated from the spouse with whom you filed the joint return claimed on your joint Maryland return The Revenue columns to allocate these items as follows: com or by emailing TAXFORMS@comp state md us You may COM/RAD 070 credit amount for you credits must be allocated to the spouse to whom the Current home address of injured spouse Daytime phone number Deductions Enter the deduction amount (itemized or divided equally between spouses Division will allocate the refundable earned income Earned Income and poverty level credits Enter the earned income credit and/or poverty level credit as Enter the names and Social Security Number(s) exactly as shown on the tax return for which you are filing this form The spouse s equally between spouses Estimated tax payments Each spouse should claim exemption for the child or dependent Joint subtractions Exemptions Exemptions must be allocated in whole federal tax return federal taxes past due child support or other state debt that has been referred to the Central Collection Unit First name initial and last name shown first on the return First name initial and last name shown second on the return Form 502INJ may be obtained online at www marylandtaxes FORM INSTRUCTIONS form must be submitted with your Maryland tax return he or she would be entitled to if separate returns had his or her own estimated tax payments If you are If injured spouse If prepared by a person other than taxpayer the declaration is based on all information of which the preparer has any knowledge income income credit 41 45 income to the spouse to whom the adjustment belongs intercepted Is the address on your joint return different from the address shown above? Items in this section should be transferred from your joint joint Maryland return The Revenue Administration Line numbers from Form MARYLAND INJURED SPOUSE CLAIM Maryland tax return modifications to the spouse to whom the must be claimed by the spouse who is claiming the must be shown first on the Injured Spouse Claim Form name and Social Security Number shown first on that tax return must also be shown first below Note: You must file your return electronically if Form number from exemptions numbers only (e g 3 exemptions cannot be allocated or 1040EZ Other credits Each spouse should claim his or her Other income Allocate all other income to the spouse own credit for taxes paid to another state Business tax own Maryland withholding taxes as shown on the wage poverty level credit 23 24 33 34 Print using blue or black ink only refundable earned income credit as claimed on your Refundable earned income credit Enter the Requirements: To file an injured spouse claim the injured spouse must have: return returns Revenue Administration Division will allocate them for Security Number (SSN) shown first on the original tax return Signature of injured spouse Date Signature of paid preparer Date Social Security Number shown first Social Security Number shown second standard) in the first column The Revenue State Street City State ZIP code Subtractions Allocate individual Maryland subtractions tax credits from Form 500CR Taxpayer Information as shown on joint tax return The Comptroller s Office will calculate the amount that may be due to you based on the above information You will be notified of the The subtraction for child and dependent care expenses to the spouse to whom the subtractions are attributable unable to allocate joint payments the Under penalties of perjury I declare that I have examined this form and to the best of my knowledge it is true correct and complete ventures such as interest investments etc should be Wages Allocate wages to the spouse who earned the who earned the income Income from joint accounts or Withholding taxes Each spouse must claim his or her year that you claim to be an injured spouse An injured spouse your joint return in the first column Use the second and third ZIP code