Maryland Form 503 - Resident Income Tax Return - 2013 Page 2
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1
2RESIDENT INCOME
MARYLAND
Page 2
FORM
TAX RETURN
503
2013
NAME __________________________________ SSN ______________________
DIRECT DEPOSIT OF REFUND (See Instruction 22.) Please be sure the account information is correct. For Splitting Direct
Deposit, see Form 588.
To comply with 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.
24c.
Routing Number
Account
(9-digits)
number
-
-
-
-
049
CODE NUMBERS (3 digits per box)
Daytime telephone no.
Home telephone no.
Make checks payable and mail to:
Check here
if you authorize your paid preparer not to file electronically. Check here
if you agree to receive
Comptroller of Maryland
your 1099G Income Tax Refund statement electronically. Under penalties of perjury, I declare that I have examined this
Revenue Administration Division
return, including accompanying schedules and statements and to the best of my knowledge and belief it is true, correct and
110 Carroll Street, Annapolis, Maryland 21411-0001
complete. If prepared by a person other than taxpayer, the declaration is based on all information of which the preparer has
(It is recommended that you include your Social
any knowledge. Check here
if you authorize your preparer to discuss this return with us.
Security Number on check.)
Your signature
Date
Preparer’s PTIN (required by law)
Signature of preparer other than taxpayer
Spouse’s signature
Date
Address and telephone number of preparer
WHO MAY USE THIS FORM?
You may use this short form (Form 503) if you answer “NO” to ALL of these questions:
YES NO
YES NO
1.
Is your federal adjusted gross income $100,000
8.
Are you claiming a tax credit on Maryland Form
or more?
500CR or Form 502CR?
2.
Are you claiming more than two dependents? If
9.
Were you a nonresident of Maryland?
so, you must use Form 502.
10.
Were you a part-year resident of Maryland?
3.
Do you have a state pickup amount on your Form
11.
Does your return cover less than a 12-month
W-2? If so, you must use Form 502.
period?
4.
Do you and your spouse both have income subject
12.
Were or are you a fiscal year taxpayer?
to Maryland tax and are filing a joint return? If
yes, you are eligible for the two-income subtraction
13.
Will you want part or all of your refund credited to
modification and must use Form 502.
next year’s estimated account?
5.
Do you have any other Additions to Income or
14.
Do you have income from an estate or trust or
Subtractions from Income on your Maryland
a pass-through entity from a K-1 or other
return? For example, if you are eligible to take the
statement? If yes, you must use Form 502.
pension exclusion, you must use Form 502.
6.
Do you want to itemize deductions?
7.
Did you make estimated payments in 2013; have
part or all of your 2012 refund applied to your
2013 estimated account; or make a payment with
an extension request, Form 502E?
COM/RAD-020
13-49
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