Form 502cr - Personal Income Tax Credits For Individuals - 2001 Page 2
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22001 Maryland Form 502CR
PAGE 2
PART D - LONG-TERM CARE INSURANCE CREDIT
Complete Columns A through D. Answer questions and see instructions below before completing Column E.
Column E
Column A
Column B
Column C
Column D
Credit Amount
Name and Age of Insured
Social Security No. of Insured
Relationship to Taxpayer
Amount of Premium Paid
1.
1.
2.
2.
3.
3.
4.
4.
5.
TOTAL
5.
Question 1 - Did any of the above-named insured individuals have long-term care insurance prior to July 1, 2000?
Yes
No
Question 2 - Is the credit being claimed for any of the above-named insured individuals in this year by any other taxpayer?
Yes
No
Question 3 - Is the credit being claimed for any of the above-named insured individuals in any other tax year?
Yes
No
If you answered yes to any of the above questions, enter “0” in Column E for that insured person
Unless you have already entered zero, enter in Column E the lesser of the amount of premium paid for each insured or:
$230.00 for those insured that are under the age of 41;
$430.00 for those insured that are age 41 to 50; and
$500.00 for those insured that are over age 50.
Add the amounts in Column E and enter the total on line 5 (TOTAL) and line 4 of Part F, below.
PART E - CREDIT FOR PRESERVATION AND CONSERVATION EASEMENTS
1.
Enter the amount by which the fair market value of the property before the conveyance of the easement exceeds the fair
1
market value after the conveyance as substantiated by a certified real estate appraiser. . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2.
Enter the amount of any payment received for the easement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4.
Enter the amount from line 24 of Form 502, line 32 of Form 505 or line 33 of Form 515, or $5,000, whichever is less . . . . .
5
5.
Enter the lesser of lines 3 or 4 here and on line 5 of Part F below. (If you itemize deductions, see Instruction 14.) . . . . . . .
6
6.
Excess credit carryover. Subtract line 5 from line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART F - PERSONAL INCOME TAX CREDIT SUMMARY
1
1.
Enter the amount from Part A, line 8 (If more than one state, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2.
Enter the amount from Part B, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Enter the amount from Part C, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4.
Enter the amount from Part D, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5.
amount from Part E, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the
6
6.
Enter the amount from Part B, line 4 of Form 502H. Attach Form 502H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7.
Total (Add lines 1 through 6.) Enter this amount on line 27 of Form 502, line 35 of Form 505 or line 36 of Form 515 . . . . .
PART G - NEIGHBORHOOD STABILIZATION CREDIT
1.
1
Enter the amount certified (See instructions). Attach certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PART H - HERITAGE AREA CREDIT
1
1.
Enter the amount from Part B, line 5 of Form 502H. Attach Form 502H and certification . . . . . . . . . . . . . . . . . . . . . . . . . .
PART J - REFUNDABLE PERSONAL INCOME TAX CREDIT SUMMARY
1
1.
Enter the amount from Part G, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2.
Enter the amount from Part H, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Total (Add lines 1 and 2.) Enter this amount on line 43 of Form 502, line 46 of Form 505 or line 53 of Form 515 . . . . . . . .
COM/RAD-012
01-49
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