Form 503 - Maryland Resident Income Tax Return - 2010
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1
22010
MARYLAND
503
FORM
RESIDENT INCOME TAX RETURN
Social Security number
Spouse's Social Security number
$
105030050
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 county
City, town or taxing area
taxing area in which you were a resident on the last day
of the taxable period. (See Instruction 6)
YOUR FILINg STATUS
—
See Instruction 1 to determine if you are required to file .
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)
EXEMPTIONS
(5) If (4) is checked,
Check here if you are:
Spouse is:
(C) Dependents:
—
See Instruction 10
Check
does child have
(7)
(B)
if Dep .
health insurance
(A) Yourself
Spouse
(6)
65 or
now?
65 or over
65 or over
under age
Blind
Blind
(1) First name
Last name
(2) Social Security number
(3) Relationship
Regular
Over
No
19
Yes
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
Check here if you authorize us to share your tax information with the Medical Assistance Program for help finding health insurance.
1
1.
Adjusted gross income from your federal return (See Instruction 11) (If the amount is $100,000 or more, stop and use Form 502) . . . . . . . . . . . . .
1a
Wages, salaries and/or tips (See Instruction 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a.
2
2.
Standard deduction (See Instruction 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Net income (Subtract line 2 from line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4.
Exemption amount as computed above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
5.
Taxable net income (Subtract line 4 from line 3 . GO TO TAX TABLE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6.
Maryland tax from Tax Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Place
7
CHECk
7a
7b
7.
Earned income credit
Poverty level credit
(See Instruction 18) Total . . . . . . . . . . . . . . . .
or
.
8
8.
Maryland tax after credits (Subtract line 7 from line 6) If less than 0, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MONEY
0
9
_ __ ___ ___ ___ . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
Local tax (See Instruction 19 for tax rates and worksheet . ) Multiply line 5 by your local tax rate
ORDER
10
10a
10b
on top of
10.
Local: Earned income credit
Poverty level credit
(See Instruction 19) Total . . . . . . . . . . . . . . .
your W-2
11
11.
Local tax after credits (Subtract line 10 from line 9) If less than 0, enter 0 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
wage and
12
12.
Total Maryland and local tax (Add lines 8 and 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
tax
13
statements
13.
Contributions to Chesapeake Bay and Endangered Species Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and
14
14.
Contributions to Developmental Disabilities Waiting List Equity Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ATTACH
15
15.
Contributions to Maryland Cancer Fund . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
HERE
16
16.
Total Maryland income tax, local income tax and contributions (Add lines 12 through 15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
with ONE
17
staple .
17.
Total Maryland and local tax withheld (Enter total from and attach your W-2 and 1099 forms if MD tax is withheld) .
18
18.
Refundable earned income credit (from worksheet in Instruction 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19.
Total payments and credit (Add lines 17 and 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
20
20.
Balance due (If line 16 is more than line 19, subtract line 19 from line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
REFUND
21.
Overpayment (If line 16 is less than line 19, subtract line 16 from line 19) See line 24 . . . . . . . . . . . . . . . . . . . . . . . . . .This is your
22
22.
Interest charges from Form 502UP
or for late filing
(See Instruction 22) Total . .
23
23.
TOTAL AMOUNT DUE (Add lines 20 and 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . IF $1 OR MORE, PAY IN FULL WITH THIS RETURN
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 . For Splitting Direct Deposit, see Form 588 .
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 true, correct and complete . If
Make checks payable and mail to: Comptroller of Maryland,
Revenue Administration Division, Annapolis, Maryland 21411-0001
prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has any knowledge . Check here
if you authorize your preparer to discuss this return with
It is recommended that you include your
Social Security number on check.
us . Check
here if you authorize your paid preparer not to file electronically . Check here
if you would prefer to receive your 1099G Income Tax Refund statement electronically .
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
10-50
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