Form 503 - Maryland Resident Income Tax Return - 2009

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MARYLAND
2009
FORM
503
RESIDENT INCOME TAX RETURN
SOCIAL SECURITY #
SPOUSE'S SOCIAL SECURITY #
$
095030050
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
Maryland
City, town or taxing area
taxing area in which you were a resident on the last day
county
of the taxable period . (See Instruction 6)
See Instruction 1 to determine if you are required to file .
YOUR FILINg STATUS
Single
1 .
4 .
Head of household
(If you can be claimed on another person’s tax return, use Filing Status 6 .)
2 .
Married filing joint return or spouse had no income
5 .
Qualifying widow(er) with dependent child
3 .
Married filing separately
6 .
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 7)
SPOUSE’S SOCIAL SECURITY NUM BER
(4)
(5) If (4) is checked,
(C) Dependents:
EXEMPTIONS
See Instruction 10
Check here if you are:
Spouse is:
Check
does child have
(7)
(B)
if Dep .
health insurance
(A) Yourself
Spouse
(6)
65 or
now?
under age
65 or over
65 or over
Blind
Blind
(1) First name
Last name
(2) Social Security number
(3) Relationship
Regular
Over
19
Yes
No
Exemption Amount
(A) Enter No . Checked . . . . . . .
 $3,200
$ _______________
(B) Enter No . Checked . . . . . . .
 $1,000
$ _______________
(C) Enter No . Checked
in Columns 6 & 7 . . . . . . .
 $3,200
$ _______________
(D) Enter the Total Exemptions
$ _______________
(Add A, B, and C)
Total Amount
Adjusted gross income from your federal return (See Instruction 11)
1.
(If the amount is $100,000 or more, stop and use Form 502) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
Wages, salaries and/or tips (See Instruction 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
1a.
Standard deduction (See Instruction 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2.
Net income (Subtract line 2 from line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Exemption amount as computed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4.
Taxable net income (Subtract line 4 from line 3 . GO TO TAX TABLE, page 18 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5.
Maryland tax from Tax Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
Place
6.
CHECk
Earned income credit 
Poverty level credit 
(See Instruction 18) Total . . . . . . . . . . . .
7b
7
7a
7.
or
Maryland tax after credits (Subtract line 7 from line 6) If less than 0, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8.
MONEY
Local tax (See Instruction 19 for tax rates and worksheet . ) Multiply line 5 by your local tax rate . _ __ ___ ___ ___ . . . . . . . . . . . . . . . . .
0
9
ORDER
9.
on top of
Local: Earned income credit 
Poverty level credit 
(See Instruction 19) Total . . . . . . . . . .
10
10.
10a
10b
your W-2
Local tax after credits (Subtract line 10 from line 9) If less than 0, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
11.
wage and
Total Maryland and local tax (Add lines 8 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
tax
12.
Contributions to Chesapeake Bay and Endangered Species Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
statements
13
13.
and
Contributions to Fair Campaign Financing Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
14.
ATTACH
Contributions to Maryland Cancer Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
15.
HERE
Total Maryland income tax, local income tax and contributions (Add lines 12 through 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
with ONE
16.
staple .
Total Maryland and local tax withheld (Enter total from and attach your W-2 and 1099 forms if MD tax is withheld) . . . . . . . . . . . .
17
17.
Refundable earned income credit (from worksheet in Instruction 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
18.
Total payments and credit (Add lines 17 and 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19.
Balance due (If line 16 is more than line 19, subtract line 19 from line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20.
20
Overpayment (If line 16 is less than line 19, subtract line 16 from line 19) See line 24 . . . . . . . . . . . . . . . .This is your
21
21.
REFUND 
Interest charges from Form 502UP
or for late filing
(See Instruction 22) Total . . . . . . . . . . . . . . . . .
22
22.
TOTAL AMOUNT DUE (Add lines 20 and 22) . . . . . . . . . . . . . . . . . . . . . . IF $1 OR MORE, PAY IN FULL WITH THIS RETURN
23
23.
For credit card or electronic payment check here
and see Instruction 24.
DIRECT DEPOSIT OF REFUND (See Instruction 22) Please be sure the account information is correct .
In order to comply with new banking rules, please, check
here if this refund will go to an account outside the United States . If checked, see Instruction 22 .
24. For the direct deposit option, complete the following information clearly and legibly . 24a. Type of account:
Checking
Savings
24b. Routing Number
24c. Account
(9-digit)
number
-
-
-
-
050
Daytime telephone no .
Home telephone no .
CODE NUMBERS (3 digits per box)
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
Make checks payable and mail to: Comptroller of Maryland,
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 . Check here
Revenue Administration Division, Annapolis, Maryland 21411-0001
It is recommended that you include your
if you authorize your preparer to discuss this return with us . Check 
here if you authorize your paid preparer not to file electronically .
Social Security number on check.
Your signature
Date
Preparer’s SSN or PTIN (required by law)
Signature of preparer other than taxpayer
Spouse’s signature
Date
Address and telephone number of preparer
COM/RAD-020
09-50

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