Form 515 - Maryland Tax Return - 1999
ADVERTISEMENT
1
299
FOR NONRESIDENTS EMPLOYED IN MARYLAND WHO RESIDE IN JURISDICTIONS
1 1 9 9
FORM
THAT IMPOSE A LOCAL INCOME OR EARNINGS TAX ON MARYLAND RESIDENTS
515
MARYLAND TAX RETURN
$
NONRESIDENT
(OR FISCAL YEAR BEGINNING
1999, ENDING
)
LOCAL TAX
Your first name
Last name
Initial
S O C I A L
S E C U R I T Y
N U M B E R ( S )
R E Q U I R E D
Spouse’s first name
Last name
Initial
Present address (No. and street)
City or town
State
Zip code
Maryland county
City, town or taxing area
Name of county and incorporated city, town, or special taxing area in which you were
employed on the last day of the taxable period. (See Instruction 6)
EXEMPTIONS
YOUR FILING STATUS
—
—
See Instruction 9
See Instruction 2 to determine if you are required to file.
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)
$1,850 $ ______________
Checked
2.
Married filing joint return or spouse had no income
Spouse is:
Check here if you are:
3.
Married filing separately
Enter No.
(B)
(B)
$1,000 $ ______________
Checked
SPOUSE’S SOCIAL SECURITY NUMBER
4.
Head of household
65 or over
Blind
65 or over
Blind
5.
Qualifying widow(er) with dependent child
(C) Dependent Children
(C)
$1,850 $ ______________
Enter No.
6.
Dependent taxpayer
(Enter 0 in Exemption Box (A)—See Instruction 7)
_____________________________________
RESIDENCE INFORMATION
_____________________________________
Enter your state of legal residence. _______________________________________
_____________________________________
If not a resident for a full year, give dates.
(D) Other Dependents
(D)
$1,850 $ ______________
Enter No.
FROM _____________________ TO _____________________
65 or over
Regular
_____________________________________
Name(s)
In what local taxing jurisdiction did you reside on the last day of the taxable period?
_____________________________________
Total
Relationship(s)
Did you file a Maryland income tax return for 1998? Yes
No
Exemption
(E) Total Exemptions
(E)
$ ______________
(Add A, B, C and D)
Amount
If “Yes,” was it a
Resident or a
Nonresident Return?
COLUMN 1
COLUMN 2
COLUMN 3
FEDERAL
MARYLAND
NON-MARYLAND
INCOME (LOSS)
INCOME (LOSS)
INCOME (LOSS)
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 10)
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) . . . . . . . . . . . . . . . . . . .
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 1)
Dollars
Cents
ADDITIONS TO INCOME (See Instruction 11)
18
18.
Non-Maryland loss . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
19.
Other (Enter code letter(s) from Instruction 11)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 12)
22
22.
Non-Maryland income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
23
23.
Other (Enter code letter(s) from Instruction 12)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
24
24.
Total Subtractions (Add lines 22 and 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
25
25.
Maryland adjusted gross income (Subtract line 24 from line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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