Maryland Form 505 - Nonresident Income Tax Return - 2016 Page 3

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2016

NONRESIDENT INCOME

MARYLAND

FORM

TAX RETURN

505

Page 3

Name

SSN

34. Other income tax credits for individuals from Part K, line 11 of Form 502CR (Attach Form 502CR.) . . . . . . . . . . .34.

You must file this form electronically to claim business tax credits on Form 500CR

35. Business tax credits . . . . . . . . . . . . . . . . . . . . . .

36. Total credits (Add lines 33 through 35.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36.

37. Maryland tax after credits (Subtract line 36 from line 32c.) If less than 0, enter 0. . . . . . . . . . . . . . . . . . . . . . . . 37.

38. Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 21.) . . . . . . . . . . . . . . . . . . . .

38.

39. Contribution to Developmental Disabilities Services and Support Fund (See Instruction 21.) . . . . . . . . . . . . . . .

39.

40. Contribution to Maryland Cancer Fund (See Instruction 21.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

40.

41. Contribution to Fair Campaign Financing Fund (See Instruction 21.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

41.

42. Total Maryland income tax and contributions (Add lines 37 through 41.) . . . . . . . . . . . . . . . . . . . . . . . . . . .42.

43. Total Maryland tax withheld (Enter total from and attach your W-2 and 1099 forms if MD tax is withheld.)

43.

44. 2016 estimated tax payments, amount applied from 2015 return, payments made with Form 502E and Form

MW506NRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

44.

45. Nonresident tax paid by pass-through entities (Attach Maryland Schedule K-1 (510)) . . . . . . . . . . . . . . . .

45.

46. Refundable income tax credits from Part M, line 6 of Form 502CR (Attach Form 502CR. See Instruction 22.) . . .46.

47. Total payments and credits (Add lines 43 through 46.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47.

48. Balance due (If line 42 is more than line 47, subtract line 47 from line 42.) . . . . . . . . . . . . . . . . . . . . . . . . . .

48.

49. Overpayment (If line 42 is less than line 47, subtract line 42 from line 47.) . . . . . . . . . . . . . . . . . . . . . . . . . .

49.

50. Amount of overpayment TO BE APPlIED TO 2017 ESTIMATED TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50.

51. Amount of overpayment TO BE REFuNDED TO YOu (Subtract line 50 from line 49.) See line 54 . . REFuND

51.

52. Interest charges from Form 502UP

or for late filing

(See Instruction 23.) Total .

52.

53. TOTAl AMOuNT DuE (Add line 48 and line 52.) IF $1 OR MORE, PAY IN Full WITH THIS RETuRN.

Include Form IND PV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53.

DIRECT DEPOSIT OF REFuND (See Instruction 23.) Be sure the account information is correct. For Splitting Direct Deposit, see Form 588. If

this refund will go to an account outside of the United States, then to comply with banking rules, place a "Y" in this box

and see

Instruction 23.

54. For the direct deposit option, complete the following information, clearly and legibly:

54a. Type of account:

Checking

Savings

54b. Routing number (9-digit)

54c. Account number

Check here

if you authorize your preparer to discuss this return with us. Check here

if you authorize your paid preparer not to file

electronically. Check here

if you agree to receive your 1099G Income Tax Refund statement electronically (See Instructions). Under penalties

of perjury, I declare that I have examined this return, including accompanying schedules and statements and to the best of my knowledge and belief

it is true, correct and complete. If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any

knowledge.

Your signature

Date

Signature of preparer other than taxpayer

Spouse’s signature

Date

Street address of preparer

Daytime telephone no.

City, State, ZIP

Home telephone no.

Telephone number of preparer

Preparer's PTIN (Required by law)