Form 505 - Maryland Nonresident Tax Return - 2003

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MARYLAND TAX RETURN
FORM
2003
505
(OR FISCAL YEAR BEGINNING
, 2003, ENDING
)
$
NONRESIDENT
SOCIAL SECURITY #
SPOUSE’S SOCIAL SECURITY #
First Name
Initial
Last Name
Last Name
Spouse’s First Name
Initial
PRESENT ADDRESS (No. and street)
Zip Code
City or Town
State
YOUR FILING STATUS
EXEMPTIONS
See Instruction 4 to determine if you are required to file.
See Instruction 10
Exemption Amount
1.
Single
Enter No.
(If you can be claimed on another person’s tax return, use Filing Status 6)
(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)
(B)
$1,000 $ _____________
Enter No.
3.
Married filing separately
Checked
65 or over
Blind
65 or over
Blind
4.
Head of household
SPOUSE’S SOCIAL SECURITY NUMBER
Enter
(C)
$2,400 $ _____________
(C) Dependent Children:
Total
5.
Qualifying widow(er) with dependent child
Name(s)
Social Security number(s)
6.
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 8)
________________________________ __ __ __-__ __-__ __ __ __
RESIDENCE INFORMATION
See Instructions
________________________________ __ __ __-__ __-__ __ __ __
Enter your state of legal residence.
Were you a resident for the entire year of 2003?
________________________________ __ __ __-__ __-__ __ __ __
_____________________________
Yes
No
If no, attach explanation.
Enter
65
(D) Other Dependents:
(D)
$2,400 $ _____________
or over
Regular
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 2002? Yes
No
________________________________ __ __ __-__ __-__ __ __ __
If “Yes,” was it a
Resident or a
Nonresident return?
________________________________ __ __ __-__ __-__ __ __ __
Advise dates you resided within Maryland for 2003. If none, enter “NONE.”
Total
(E) Enter Total Exemptions (Add A, B, C and D)
(E)
$ ___________
FROM _____________________ TO _____________________
Amount
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 Instructions)
1
1.
Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Place
2
2.
Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
your
3
3.
Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
check
4
4.
Taxable refunds, credits or offsets of state and local income taxes . . . .
or
5
money
5.
Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
order on
6
6.
Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
top of
7
7.
Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
your
8
8.
wage
Other gains or (losses) (from federal Form 4797) . . . . . . . . . . . . . . . . .
9
and tax
9.
Taxable amount of pensions, IRA distributions, and annuities . . . . . . .
state-
10
10.
Rents, royalties, partnerships, estates, trusts, etc.
. .
(Circle appropriate item)
ments
11
11.
Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and
12
attach
12.
Unemployment compensation (insurance) . . . . . . . . . . . . . . . . . . . . . . .
here
13
13.
Taxable amount of social security and tier 1 railroad retirement benefits
with
14
14.
Other income (including lottery or other gambling winnings) . . . . . . .
ONE
15
15.
Total income (Add lines 1 through 14) . . . . . . . . . . . . . . . . . . . . . . . . .
staple.
16
16.
Total adjustments to income from federal return (IRA, alimony, etc.) .
17
17.
Adjusted gross income (Subtract line 16 from 15) . . . . . . . . . . . . . .
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 1)
Dollars
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 )
COM/RAD-022
03-50

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