Maryland Form 502b Draft - Dependents' Information - 2014 Page 2
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2Dependents' Information
Page 2
MARYLAND
FORM
(Attach to Form 502, 505 or 515.)
502B
2014
NAME _____________________ SSN _________________
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
1.
First name
Initial
Last name
2.
3.
Social Security Number
Relationship
4.
Regular
5.
65 or over
COM/RAD-026
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