Maryland Income Tax Subtraction Form (Page 3 of 3) in pdf

Maryland Income Tax Subtraction Form Page 3

FOR COAST GUARD AUXILIARY DUTIES

CONFIDENTIALITY NOTICE – PRIVACY ACT OF 1974:

The disclosure of this material is subject to

the provisions contained in the Privacy Act of 1974. This Act, with certain exceptions, prohibits the disclosure,

distribution, dissemination, or copying of any material containing the home address, home telephone number, spouse’s

names, and social security numbers, except for official business. Violations my result in disciplinary action by the Coast

Guard and / or civilian criminal sanctions.

The State of Maryland now allows an individual tax deduction to members of the Coast Guard Auxiliary who perform

certain duties each year which cumulatively total a certain number of points under a system which has been approved by the

Auxiliary and the Comptroller of the State of Maryland. In order for the member to obtain this tax benefit, the Comptroller

requires The Auxiliary to submit certain information concerning the member along with the certification of the member’s having

accumulated the requisite number of points.

The member’s Social Security Number is part of this required information. No use shall be made by the Auxiliary for

any other purpose than its submission to the State of Maryland for the sole purpose of identifying the member applying

for the tax benefit.

If you desire to take advantage of this benefit, you must agree to submit your social security number with the material to

be sent to the State of Maryland.

PLEASE NOTE: For certification by the Auxiliary Length of Service Coordinator, mail your completed form along with

a stamped self-addressed envelope to : Anthony Wisniewski, P.O. Box 5739, Annapolis, MD 21403.

Maryland Income Tax Subtraction Form Page 3