Maryland Form 502x - Amended Tax Return - 2013 Page 2

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Page 2
MARYLAND
AMENDED TAX RETURN
FORM
502X
NAME __________________SSN _______________
2013
I. INCOME AND ADJUSTMENTS TO INCOME: You must complete the following using the amounts from your federal income tax return. If there are
no changes to the amounts claimed on your original Maryland return, check here
and complete Column A and line 17 of Column C.
A. As originally
B. Net increase
C. Corrected amount.
reported or as
or (decrease).
previously adjusted.
INCOME AND ADJUSTMENTS INFORMATION (See Instruction 4)
1. Wages, salaries, tips, etc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3. Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4. Taxable refunds, credits or offsets of state and local income taxes . . . . . . 4
5. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6. Business income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7. Capital gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
8. Other gains or (losses) (from federal Form 4797) . . . . . . . . . . . . . . . . . . 8
9. Taxable amount of pensions, IRA distributions, and annuities . . . . . . . . . . 9
10. Rents, royalties, partnerships, estates, trusts, etc. (Circle appropriate item.) . . . 10
11. Farm income or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
12. Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
13. Taxable amount of Social Security and Tier 1 Railroad Retirement benefits . 13
14. Other income (including lottery or other gambling winnings) . . . . . . . . . 14
15. Total income (Add lines 1 through 14.) . . . . . . . . . . . . . . . . . . . . . . . . 15
16. Total adjustments to income from federal return (IRA, alimony, etc.) . . . 16
17. Adjusted gross income (Subtract line 16 from 15.)(Enter on page 1, in
each appropriate column of line 1.) . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
II. ITEMIZED DEDUCTIONS: If you itemized deductions on your Maryland return, you must complete the following. If there are no changes to the
amounts claimed on your original Maryland return, check here
and complete Column A and line 11 of Column C.
A. As originally
B. Net increase
C. Corrected amount.
reported or as
or (decrease).
previously adjusted.
1. Medical and dental expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3. Interest . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4. Contributions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5. Casualty or theft losses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
6. Miscellaneous . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7. Enter total itemized deductions from federal Schedule A . . . . . . . . . . . . . 7
8. Enter state and local income taxes included on line 2 or from worksheet
(See Instruction 4.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
9. Net deductions (Subtract line 8 from line 7.) . . . . . . . . . . . . . . . . . . . . . 9
10. Less deductions during period of nonresident status (See Instructions 13 & 14.) 10
11. Total Maryland deductions (Subtract line 10 from line 9.)
(Enter on page 1, in each appropriate column of line 6.) . . . . . . . . . . . . 11
III. EXPLANATION OF CHANGES TO INCOME, DEDUCTIONS AND CREDITS: Enter the line number from page 1 for each item you are changing
and give the reason for each change. Attach any required supporting forms and schedules for items changed.
Make checks payable and mail to:
Check here
if you authorize your preparer to discuss this return with us.
COMPTROLLER OF MARYLAND
REVENUE ADMINISTRATION DIVISION
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements,
110 Carroll Street, Annapolis, Maryland 21411-0001
and to the best of my knowledge and belief it is true, correct and complete. If prepared by a person other than taxpayer,
the declaration is based on all information of which the preparer has any knowledge.
(It is recommended that you write your Social Security
Number on your check in blue or black ink.)
Your signature
Date
Signature of preparer other than taxpayer
Preparer’s PTIN (Required by Law)
Spouse’s signature
Date
Address and telephone number of preparer
COM/RAD 019
13-49

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