Form 502xs - Maryland Short Amended Tax Return - 2011 Page 2
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2MARYLAND FORM 502XS, Page 2
2011
11502W150
Name _ _ _ _ _ __ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _ _ __ _________________________________
Social Security # ______________________________________________________________
Part II. EXEMPTIONS. See Form 502 instructions .
If you are not changing your exemptions, do not complete this part .
If claiming more dependent exemptions, complete lines 6 through 15 .
If claiming fewer exemptions, complete lines 6 through 14 .
A. Original number
B. Net change
C. Corrected Number
of exemptions
increase or (decrease)
of exemptions
reported or as
previously adjusted
6 . Yourself and spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 .
7 . Your dependent children . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 .
8 . Other dependents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 .
9 . Exemptions for other dependents age 65 or over . . . . . . . . . . . . . . . . . . . . . . . . . .
9 .
10 . Total number of personal exemptions . Add lines 6 through 9 . . . . . . . . . . . . . . . . . 10 .
11 . Multiply line 10 by the amount in the chart in Instruction 10 in the Resident booklet . . . 11 . $
$
$
12 . Total number of exemptions for age and/or blindness
for you and your spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 .
13 . Multiply the number of exemptions claimed on line 12 by $1,000 . . . . . . . . . . . . . 13 . $
$
$
14 . Add amount from lines 11 and 13 . Enter this result here and on
line 4 on Page 1 of this Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 .
$
15 . Dependent children and others not claimed on original or previously adjusted return:
(b) Dependent’s Social
(c) Dependent’s
(d) Check below
(a) First name
Last name
Security number
relationship to you
if 65 or over
❑
❑
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❑
❑
❑
11-50
COM/RAD-019A
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