Form 505 - Maryland Nonresident Income Tax Return - 2004
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1
22004
FORM
MARYLAND NONRESIDENT
505
INCOME TAX RETURN
$
OR FISCAL YEAR BEGINNING
2004, ENDING
SOCIAL SECURITY #
SPOUSE’S SOCIAL SECURITY #
Last Name
First Name
Initial
Last Name
Spouse’s First Name
Initial
PRESENT ADDRESS (No. and street)
Zip Code
City or Town
State
YOUR FILING STATUS
—
See Instruction 4 to determine if you are required to file.
EXEMPTIONS
—
See Instruction 10
Exemption Amount
1.
Single
(If you can be claimed on another person’s tax return, use Filing Status 6)
Enter No.
(A) Yourself
Spouse
(A)
$2,400 $ ____________
Checked
2.
Married filing joint return or spouse had no income
Check here if you are:
Spouse is:
(B)
Enter No.
(B)
$1,000 $ ____________
3.
Married filing separately
Checked
65 or over
Blind
65 or over
Blind
SPOUSE’S SOCIAL SECURITY NUMBER
4.
Head of household
Enter
(C)
$2,400 $ ____________
5.
Qualifying widow(er) with dependent child
(C) Dependent Children:
Total
Name(s)
Social Security number(s)
6.
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 8)
________________________________ __ __ __-__ __-__ __ __ __
RESIDENCE INFORMATION
—
________________________________ __ __ __-__ __-__ __ __ __
See Instruction 9
________________________________ __ __ __-__ __-__ __ __ __
Enter your state of legal residence.
Were you a resident for the entire year of 2004?
_____________________________
Yes
No
If no, attach explanation.
Enter
65
(D) Other Dependents:
(D)
$2,400 $ ____________
Regular
or over
Total
Are you or your spouse a member of the military? Yes
No
Name(s) and Relationship(s)
Social Security number(s)
________________________________ __ __ __-__ __-__ __ __ __
Did you file a Maryland income tax return for 2003? Yes
No
________________________________ __ __ __-__ __-__ __ __ __
If “Yes,” was it a
Resident or a
Nonresident return?
Advise dates you resided within Maryland for 2004. If none, enter “NONE.”
Total
(E) Enter Total Exemptions (Add A, B, C and D)
(E)
$ _____________
Amount
FROM _____________________ TO _____________________
See Instruction 4 if you’re filing for Maryland taxes withheld in error.
FEDERAL
MARYLAND
NON-MARYLAND
INCOME (LOSS)
INCOME (LOSS)
INCOME (LOSS)
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 11)
1
1.
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
2.
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3.
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
4.
Taxable refunds, credits or offsets of state and local income taxes . . . . . . . . . .
5
5.
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
6.
Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7
7.
Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8.
Other gains or (losses) (from federal Form 4797) . . . . . . . . . . . . . . . . . . . . . .
9
9.
Taxable amount of pensions, IRA distributions, and annuities . . . . . . . . . . . . .
10
10.
Rents, royalties, partnerships, estates, trusts, etc. (Circle appropriate item) . . . . . .
11
11.
Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
12
12.
Unemployment compensation (insurance) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
13.
Taxable amount of social security and tier 1 railroad retirement benefits . . . . . .
14
14.
Other income (including lottery or other gambling winnings) . . . . . . . . . . . . .
15
15.
Total income (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
16.
Total adjustments to income from federal return (IRA, alimony, etc.) . . . . . . .
17
17.
Adjusted gross income (Subtract line 16 from 15) . . . . . . . . . . . . . . . . . . . .
Dollars
Cents
ADDITIONS TO INCOME (See Instruction 12)
18
18.
Non-Maryland loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 & Maryland additions (Add lines 17 (Column 1) and 20) . . . . . . . . . . . . . . . .
SUBTRACTIONS FROM INCOME (See Instruction 13)
22
22.
Non-Maryland income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
23.
Other (Enter code letter(s) from Instruction 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
24.
Total subtractions (Add lines 22 and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
25.
Maryland adjusted gross income (Subtract line 24 from line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
DEDUCTION METHOD
(All taxpayers must select one method and check the appropriate box)
26a
STANDARD DEDUCTION METHOD See Instruction 15 and worksheet. Enter amount on line 26a
ITEMIZED DEDUCTION METHOD Complete lines 26b, c and d
26b
Total federal itemized deductions (from line 28 federal Schedule A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26c
State and local income taxes included in federal Schedule A, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26d
Net itemized deductions (Subtract line 26c from line 26b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
26
26
. Deduction amount (Multiply lines 26a or 26d by the MD income factor) 26e.
(from worksheet in Instruction 14 ) . .
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