Form 502cr - Personal Income Tax Credits For Individuals - 2003 Page 2

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2003 MARYLAND FORM 502CR

PAGE 2

PART E - LONG-TERM CARE INSURANCE CREDIT

Complete Columns A through D. Answer questions and see instructions below before completing Column E.

Column A

Column B

Column C

Column D

Column E

Name and Age of Insured

Social Security No. of Insured

Relationship to Taxpayer

Amount of Premium Paid

Credit Amount

5. TOTAL

Question 1 - Did any of the above-named insured individuals have long-term care insurance prior to July 1, 2000?

Yes

Question 2 - Is the credit being claimed for any of the above-named insured individuals in this year by any other taxpayer?

Yes

Question 3 - Is the credit being claimed for any of the above-named insured individuals in any other tax year?

Yes

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:

$250 for those insured that are under the age of 41;

$470 for those insured that are age 41 to 50; and

$500 for those insured that are over age 50.

Add the amounts in Column E and enter the total on line 5 (TOTAL) and line 5 of Part H, below.

PART F - CREDIT FOR PRESERVATION AND CONSERVATION EASEMENTS

Enter the total of the current year donation amount, and any carryover from prior year(s) . . . . . . . . . . . . . . . . . . . . . .

Enter the amount of any payment received for the easement during 2003. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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 .

Enter the lesser of lines 3 or 4 here and on line 6 of Part H below. (If you itemize deductions, see Instruction 14.) . .

Excess credit carryover. Subtract line 5 from line 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART G - CLEAN ENERGY INCENTIVE CREDIT FOR PHOTOVOLTAIC AND SOLAR WATER HEATING PROPERTY

Enter 15% of the cost of photovoltaic property (may not exceed $2,000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter 15% of the cost of solar water heating property (may not exceed $1,000) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total (Add lines 1 and 2.) Enter here and on line 7 of Part H below. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

PART H - PERSONAL INCOME TAX CREDIT SUMMARY

Enter the amount from Part A, line 8 (If more than one state, see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the amount from Part B, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the amount from Part C, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the amount from Part D, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

amount from Part E, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the

Enter the amount from Part F, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the amount from Part G, line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Enter the amount from Section 2, line 4 of Form 502H. Attach Form 502H. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total (Add lines 1 through 8.) Enter this amount on line 27 of Form 502, line 35 of Form 505 or line 36 of Form 515

PART J - REFUNDABLE PERSONAL INCOME TAX CREDITS

Neighborhood Stabilization Credit. Enter the amount and attach certification. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Heritage Structure Rehabilitation Tax Credit (See instructions for Form 502H.) Attach certification. . . . . . . . . . . .

Claim of Right. (See instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Total (Add lines 1, 2 and 3.) Enter this amount on line 43 of Form 502, line 46 of Form 505, or line 53 of Form 515.