Form 505 - Maryland Nonresident Income Tax Return - 2011 Page 2

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MARYLAND
FORM
PAgE 2
505
NONRESIDENT INCOME TAX RETURN
NAME _________________________________ SSN _________________________________
2011
115050150
Dollars
Cents
Net income (Subtract line 26 from line 25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
27
27.
Total exemption amount (from EXEMPTIONS area, page 1) See Instruction 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
28
28.
Enter your AGI factor (from worksheet in Instruction 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29
29.
Maryland exemption allowance (Multiply line 28 by line 29) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30
30.
Taxable net income (Subtract line 30 from line 27) Figure tax on Form 505NR. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
31
31.
MARYLAND TAX COMPUTATION – COMPLETE FORM 505NR BEFORE CONTINUINg
32a. Maryland tax from line 16 of Form 505NR (Attach Form 505NR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32a
32b. Special nonresident tax from line 17 of Form 505NR (Attach Form 505NR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32b
32c. Total Maryland tax (Add lines 32a and 32b) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
32c
Earned income credit from worksheet in Instruction 20.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
33
33.
Poverty level credit from worksheet in Instruction 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
34
34.
Other income tax credits for individuals from Part G, line 8 of Form 502CR (Attach Form 502CR) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
35
35.
Business tax credits (Attach Form 500CR).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
36
36.
Total credits (Add lines 33 through 36) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
37.
Maryland tax after credits (Subtract line 37 from line 32c) If less than 0, enter 0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
38
38.
Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 21). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
39.
Contribution to Developmental Disabilities Waiting List Equity Fund (See Instruction 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
40
40.
Contribution to Maryland Cancer Fund (See Instruction 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
41.
Total Maryland income tax and contributions (Add lines 38 through 41). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
42
42.
Total Maryland tax withheld (Enter total from and attach your W-2 and 1099 forms if MD tax is withheld). . . . . . . . . . . . . . . . . . . . . . .
43
43.
2011 estimated tax payments, amount applied from 2010 return, payments made with Form 502E and Form MW506NRS . . . . . . . . . . . . . . . . .
44
44.
45
Refundable earned income credit from worksheet in Instruction 20. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45.
Nonresident tax paid by pass-through entities (Attach Schedule k-1 or other statement) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
46
46.
Refundable income tax credits from Part h, line 6 of Form 502CR (Attach Form 502CR. See Instruction 22) . . . . . . . . . . . . . . . . . . . . . . .
47
47.
Total payments and credits (Add lines 43 through 47) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
48
48.
Balance due (If line 42 is more than line 48, subtract line 48 from line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49
49.
50
Overpayment (If line 42 is less than line 48, subtract line 42 from line 48) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
50.
Amount of overpayment TO BE APPLIED TO 2012 ESTIMATED TAX . . . . . . . . .
51
51.
REFUND 
Amount of overpayment TO BE REFUNDED TO YOU (Subtract line 51 from line 50) See line 55 ...........................................
52
52.
Interest charges from Form 502UP
or for late filing
(See Instruction 23) Total . . . . . . . . . . .
53.
 53
TOTAL AMOUNT DUE (Add line 49 and line 53) . . . . . . . . . . . . . . . . . . . . .IF $1 OR MORE, PAY IN FULL WITh ThIS RETURN.
54
54.
DIRECT DEPOSIT OF REFUND (See Instruction 23) Please be sure the account information is correct. For Splitting Direct Deposit, see Form 588.
In order to comply with banking rules, please check
here if this refund will go to an account outside the United States. If checked, see instruction 23.
For the direct deposit option, complete the following information, clearly and legibly:
55a. Type of account:
Checking
Savings
55.
55b. Routing number
55c. Account
(9-digit)
number
-
-
-
-
050
Daytime telephone no.
home telephone no.
CODE NUMBERS (3 digits per box)
if you authorize your paid pre-
Check here
if you authorize your preparer to discuss this return with us. Check here 
Make checks payable and mail to: Comptroller of Maryland,
parer not to file electronically. Check here 
if you agree to receive your 1099G Income Tax Refund statement electroni-
Revenue Administration Division, 110 Carroll Street,
cally. Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements
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 decla-
(It is recommended that you include your Social Security
ration is based on all information of which the preparer has any knowledge.
number on check using blue or black ink.)
Your signature
Date
Preparer’s SSN or PTIN (required by law)
Signature of preparer other than taxpayer
Spouse’s signature
Date
Address and telephone number of preparer
COM/RAD-022
11-50

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