Form 515 - Maryland Tax Return - 2006

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FOR NONRESIDENTS EMPLOYED IN MARYLAND WHO RESIDE IN JURISDICTIONS
FORM
2006
515
OF DELAWARE, NEW YORK AND PENNSYLVANIA THAT IMPOSE A LOCAL INCOME
OR EARNINGS TAX ON MARYLAND RESIDENTS
MARYLAND TAX RETURN
NONRESIDENT
$
LOCAL TAX
(OR FISCAL YEAR BEGINNING
2006, ENDING
)
SOCIAL SECURITY #
SPOUSE’S SOCIAL SECURITY #
Your First Name
Initial
Last Name
Spouse’s First Name
Initial
Last Name
PRESENT ADDRESS (No. and street)
City or Town
State
Zip Code
Name of county and incorporated city, town or special taxing
Maryland
City, town or taxing area
county
area in which you were a resident on the last day of the taxable
period. (See Instruction 6)
RESIDENCE INFORMATION
YOUR FILING STATUS
See Instruction 2 to determine if you are required to file.
Single
1.
Enter your state of legal residence.
(If you can be claimed on another person’s tax return, use Filing Status 6.)
_________________________________
If not a resident for a full year, give dates.
2.
Married filing joint return or spouse had no income
FROM _____________________ TO _____________________
3.
Married filing separately
In what local taxing jurisdiction did you reside on the last day of the tax period?
SPOUSE’S SOCIAL SECURITY NUMBER
4.
Head of household
______________________________________________________________
5.
Qualifying widow(er) with dependent child
Did you file a Maryland income tax return for 2005?
Yes
No
6.
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 7)
If “Yes, ” was it a
Resident or a
Nonresident return?
EXEMPTIONS
(C) Dependents:
(2) Dependent’s
(3) Dependent’s
(4)
(5) 65 or
See Instruction 10
social security number
relationship to you
Regular
(1) First name
Last name
Over
(A) Yourself
Spouse
Check here if you are:
Spouse is:
(B)
65 or over
65 or over
Exemption Amount
Blind
Blind
Enter No. Checked
(A)
$2,400
$ __________
Enter No. Checked
(B)
$1,000
$ __________
Enter No. Checked in
columns 4 & 5
(C)
$2,400
$ __________
Enter the Total Exemptions
Total
(Add A, B, and C)
(D)
Amount
$ __________
FEDERAL
MARYLAND
NON-MARYLAND
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 10)
INCOME (LOSS)
WAGE INCOME
INCOME (LOSS)
1. Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Taxable refunds, credits or offsets of state and local income taxes . . . . . . . . .
4
5. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6. Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7. Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8. Other gains or (losses) (from federal Form 4797) . . . . . . . . . . . . . . . . . . . . . .
8
9. Taxable amount of pensions, IRA distributions, and annuities . . . . . . . . . . . .
9
10. Rents, royalties, partnerships, estates, trusts, etc. (Circle appropriate item) . . . . .
10
11. Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12. Unemployment compensation (insurance) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
13. Taxable amount of social security and tier 1 railroad retirement benefits . . . . .
13
14. Other income (including lottery or other gambling winnings) . . . . . . . . . . . .
14
15. Total income (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
16. Total adjustments to income from federal return (IRA, alimony, etc.) . . . . . .
16
17. Adjusted gross income (Subtract line 16 from line 15) . . . . . . . . . . . . . . . . . .
17
Dollars
Cents
ADDITIONS TO INCOME (See Instruction 11)
18
18. Non-Maryland loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19. Other (Enter code letter(s) from Instruction 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
20. Total Additions (Add lines 18 and 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
21. Total federal adjusted gross income & Maryland additions (Add lines 17 (Column 1) and 20) . . . . . . . . . . . . . . . . . . . . . . . . .
SUBTRACTIONS FROM INCOME (See Instruction 12)
22
22. Non-Maryland income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
23. Other (Enter code letter(s) from Instruction 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
24. Total Subtractions (Add lines 22 and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
25. Maryland adjusted gross income (Subtract line 24 from line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
COM/RAD-023
06-49

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