Maryland Form 505 - Nonresident Income Tax Return - 2016
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1
2
32016
NONRESIDENT INCOME
MARYLAND
FORM
TAX RETURN
505
$
OR FISCAL YEAR BEGINNING
2016, ENDING
Social Security Number
Spouse's Social Security Number
First Name
Initial
Last Name
Spouse's First Name
Initial
Spouse's Last Name
Maryland County
Current Mailing Address Line 1 (Street No. and Street Name or PO Box)
City, Town or Taxing Area
Name of county and incorporated city, town or special taxing area in which you were
employed on the last day of the taxable period if you earned wages in Maryland. (See
Instruction 6).
Current Mailing Address Line 2 (Apt No., Suite No., Floor No.)
City or Town
State
ZIP Code
FIlINg STATuS See Instruction 1 to determine if you are required to file.
1.
Single (If you can be claimed on another person’s tax
4.
Head of household
CHECK
ONE
return, use Filing Status 6.)
5.
Qualifying widow(er) with dependent child
BOX
2.
Married filing joint return or spouse had no income
6.
Dependent taxpayer (Enter 0 in Exemption Box (A) -
3.
Married filing separately, Spouse's SSN
See Instruction 8.)
RESIDENCE INFORMATION See Instruction 9.
Enter 2-letter state code for your state of legal residence.
If PA resident, enter both County
and City, Borough or Township
Were you a resident of another state for the entire year of 2016? If no, attach explanation.
Yes
No
Are you or your spouse a member of the military?
Yes
No
Did you file a Maryland income tax return for 2015?
Yes
No
If “Yes,” was it a
Resident or a
Nonresident return?
Dates you resided in Maryland for 2016. If none, enter "NONE": FROM
TO
(MMDDYYYY).
Check here for Maryland taxes withheld in error. (See Instruction 4.)
EXEMPTIONS See Instruction 10. Check appropriate box(es). NOTE: If you are claiming dependents, you must attach the Dependents'
Information Form 502B to this form in order to receive the applicable exemption amount.
A.
Yourself
Spouse
See Instruction 10 A. $
Enter number checked
B.
65 or over
65 or over
Blind
Blind
Enter number checked
X $1,000
B. $
C.
Enter number from line 3 of Dependent Form 502B
See Instruction 10 C. $
D. Enter Total Exemptions (Add A, B and C.)
Total Amount
D. $
COM/RAD-022
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