Form 505 - Maryland Nonresident Income Tax Return - 2012
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1
22012
MARYLAND NONRESIDENT
FORM
505
INCOME TAX RETURN
$
OR FISCAL YEAR BEGINNING
2012, ENDING
Social Security number
Spouse's Social Security number
Your First Name
Initial
Last Name
Spouse's First Name
Initial
Last Name
Present Address (No . and street)
City or Town
State
ZIP code
FILING STATUS
1 .
Single (If you can be claimed on another person’s tax return, use Filing Status 6 .)
4 .
Head of household
See Instruction 1 to determine
2 .
Married filing joint return or spouse had no income
5 .
Qualifying widow(er) with dependent child
if you are required to file .
3 .
Married filing separately
6 .
Dependent taxpayer (Enter 0 in Exemption Box (A) - See Instruction 8)
CHECK ONE BOX
Spouse's Social Security number
RESIDENCE INFORMATION
EXEMPTIONS
—
See Instruction 9
See Instruction 10 . Check appropriate box(es) . NOTE: If you are claiming dependents, you must
attach the Dependents' Information Form 502B to this form in order to receive the applicable exemption amount .
Enter 2-letter state code for your state of legal residence .
A
Yourself
Spouse
A. Enter No . Checked . . . .
See Instruction 10 A. $
County
City Borough or
(PA)
Township (PA)
65 or over
65 or over
Were you a resident for the entire year of 2012? Yes
No
Check
B
X $1,000 . . . . . .
B. $
B. Enter No . Checked . . . .
If no, attach explanation .
here for
Blind
Blind
Maryland
Are you or your spouse a member of the military? Yes
No
taxes
C. $
C
Enter No . from line 3 of Dependent Form 502B . . . . . . . . . . .
See Instruction 10
withheld
Did you file a Maryland income tax return for 2011? Yes
No
in error
If “Yes,” was it a
Resident or a
Nonresident return?
D
Enter Total Exemptions (Add A, B and C). . . . . . . . . . . .
. . . .Total Amount D. $
Advise dates you resided within Maryland for 2012 . If none, enter “NONE . ”
FROM_______________ TO _____________
(See inst . 4)
(1) FEDERAL
(2) MARYLAND
(3) NON-MARYLAND
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 11)
INCOME (LOSS)
INCOME (LOSS)
INCOME (LOSS)
1. Wages, salaries, tips, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2. Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Taxable refunds, credits or offsets of state and local income taxes . . .
4
5. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6. Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7. Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
8. Other gains or (losses) (from federal Form 4797) . . . . . . . . . . . . . . .
8
9. Taxable amount of pensions, IRA distributions, and annuities . . . . . . .
9
Place
10. Rents, royalties, partnerships, estates, trusts, etc . (Circle appropriate item) . .
10
CHECK
or
11. Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
MONEY
12. Unemployment compensation (insurance) . . . . . . . . . . . . . . . . . . . . .
12
ORDER
on top of
13. Taxable amount of Social Security and tier 1 railroad retirement benefits
13
your W-2
14. Other income (including lottery or other gambling winnings) . . . . . . .
14
wage and
tax
15. Total income (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . .
15
statements
16
16. Total adjustments to income from federal return (IRA, alimony, etc .) .
and
ATTACH
17. Adjusted gross income (Subtract line 16 from 15) . . . . . . . . . . . . . .
17
HERE
Dollars
Cents
ADDITIONS TO INCOME (See Instruction 12)
with ONE
staple .
18
18. Non-Maryland loss and adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19. Other (Enter code letter(s) from Instruction 12) . . . . . . . . . . . . . . . . . . .
20
20. Total additions (Add lines 18 and 19) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
21. Total federal adjusted gross income and Maryland additions (Add lines 17 (Column 1) and 20) . . . . . .
SUBTRACTIONS FROM INCOME (See Instruction 13)
22
22. Taxable Military Income of Nonresident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
23. Other (Enter code letter(s) from Instruction 13) . . . . . . . . . . . . . . . . . . .
24
24. Total subtractions (Add lines 22 and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25. Maryland adjusted gross income before subtraction of non-Maryland income . (Subtract line 24 from line 21) .
25
DEDUCTION METHOD See Instruction 15 (All taxpayers must select one method and check the appropriate box)
STANDARD DEDUCTION METHOD (Enter amount on line 26a)
26a
ITEMIZED DEDUCTION METHOD (Complete lines 26b, c and d)
Total federal itemized deductions (from line 29, federal Schedule A) . . . . . . . . . . . . . . . . . . . . . .
26b
State and local income taxes included in federal Schedule A, line 5 . . . . . . . . . . . . . . . . . . . . . . . . .
26c
Net itemized deductions (subtract line 26c from line 26b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26d
26. Deduction amount (Multiply lines 26a or 26d by the AGI factor)
(from worksheet in Instruction 14 ) .
26
26e
COM/RAD-022
12-49
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