Form 502 - Maryland Resident Income Tax Return - 2004

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FORM
MARYLAND RESIDENT
Press here to Print this Form
502
INCOME TAX RETURN
2004
RESIDENT
OR FISCAL YEAR
BEGINNING
2004, ENDING
-As a service to you, this form along with all other forms available on our
website are provided in a fill-in format. Just key in your data prior to printing
SOCIAL SECURITY #
SPOUSE’S SOCIAL SECURITY #
the form.
Last Name
Your First Name
Initial
-When the form is printed, a two dimensional (2D) barcode is generated that
includes the data entered on the form. The use of a 2D barcode vastly
Last Name
Spouse’s First Name
Initial
improved on the time it takes to process your form.
PRESENT ADDRESS (No. and street)
-If you choose to use the fill-in option, please do not handwrite any other data
on the form other than your signature.
City or Town
State
Zip Code
-Please use the print button above to print the form once filled. If you need a
Maryland
City, town or taxing area
Name of county and incorporated city, town or
blank form, just print without entering any data.
county
special taxing area in which you were a resident
on the last day of the tax period (See Instructions)
EXEMPTIONS
YOUR FILING STATUS
See Instruction 10
Exemption Amount
See Instruction 1 to determine if you are required to file.
(A) Yourself
Spouse
(A)
$2,400 $_____________
1.
Single
Enter No.
(If you can be claimed on another person’s tax return, use Filing Status 6)
Checked
Check here if you are:
Spouse is:
2.
Married filing joint return or spouse had no income
(B)
(B)
$1,000 $_____________
Enter No.
3.
Married filing separately
65 or over
65 or over
Checked
Blind
Blind
4.
Head of household
SPOUSE’S SOCIAL SECURITY NUMBER
(C)
$2,400 $_____________
Enter Total
(C) Dependent Children:
5.
Qualifying widow(er) with dependent child
Name(s)
Social Security number(s)
6.
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 7)
________________________________ __ __ __-__ __-__ __ __ __
PART-YEAR RESIDENT:
If you began or ended legal residence in Maryland in 2004
________________________________ __ __ __-__ __-__ __ __ __
place a P in the box (See Instruction 26).
________________________________ __ __ __-__ __-__ __ __ __
Give dates of Maryland Residence
65
$2,400 $ ____________
MO
DAY
YR
MO
DAY
YR
(D) Other Dependents:
(D)
Regular
or over
Enter Total
FROM _____________________ TO ___________________
Name(s) and Relationship(s)
Social Security number(s)
________________________________ __ __ __-__ __-__ __ __ __
Other state of residence _________________________________
________________________________ __ __ __-__ __-__ __ __ __
MILITARY:
If you or your spouse has non-Maryland
____________________
military income, place an M in the box. Enter amount here
Total
(E) Enter Total Exemptions (Add A, B, C and D)
(E)
$ ____________
(See Instruction 29).
Amount
Print your numbers like this -
- not like this
Dollars
Cents
INCOME
1
1. Adjusted gross income from your federal return (See Instruction 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a
1a. Wages, salaries and/or tips (See Instruction 11) . . . . . . . . . . .
ADDITIONS TO INCOME (See Instruction 12)
2
2. Tax-exempt interest on state and local obligations (bonds) other than Maryland . . . . . . . . . . . . . . . . . . . .
Place
3
your
3.
State retirement pickup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
check
4
4.
Lump sum distributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
or
5
money
5. Other additions (Enter code letter(s) from Instruction 12) . . . . . . . . . . .
order
6
6.
Total additions to Maryland income (Add lines 2 through 5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
on top
7
of
7. Total federal adjusted gross income and Maryland additions (Add lines 1 and 6) . . . . . . . . . . . . . . . . . . . .
your
SUBTRACTIONS FROM INCOME (See Instruction 13)
wage
8
8. Taxable refunds, credits or offsets of state and local income taxes included in line 1 above . . . . . . . . . . . .
and
9
tax
9.
Child and dependent care expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
state-
10
10. Income from U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ments
11
and
11. Pension exclusion from worksheet in Instruction 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
attach
12
12. Taxable social security and RR benefits (Tier I, II and supplemental) included in line 1 above . . . . . . . . .
here
13
with
13. Income received during period of nonresidence (See Instructions 26 and 29) . . . . . . . . . . . . . . . . . . . . . .
ONE
14
14. Other subtractions (Enter code letter(s) from Instruction 13) . . . . . . . . .
staple.
15
15. Subtotal (Add lines 8 through 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
16. Two-income subtraction from worksheet in Instruction 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
17. Total subtractions from Maryland income (Add lines 15 and 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
18. Maryland adjusted gross income (Subtract line 17 from line 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DEDUCTION METHOD (All taxpayers must select one method and check the appropriate box)
STANDARD DEDUCTION METHOD See Instruction 16 and worksheet. (Enter amount on line 19)
ITEMIZED DEDUCTION METHOD Complete lines 19a and 19b
19a.
Total federal itemized deductions (from line 28, federal Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19b.
State and local income taxes included in federal Schedule A, line 5 (or from worksheet in Instruction 14) . . . . .
Subtract line 19b from line 19a and enter amount on line 19.
19
19. Deduction amount (Part-year residents see Instruction 26 (l and m) and military personnel see Instruction 29)
20
20. Net income (Subtract line 19 from line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
21. Exemption amount from Exemptions area above (See Instruction 10) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
22
22. Taxable net income (Subtract line 21 from line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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