Form 502cr - Maryland Income Tax Credits For Individuals - 2012 Page 2

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MARYLAND INCOME TAX

FORM

Page 2

502CR

CREDITS FOR INDIVIDUALS

2012

NAME _______________________ SSN ________________________

PART D - CREDIT FOR AQUACULTURE OYSTER FLOATS

1. Enter the amount paid to purchase an aquaculture oyster float(s)

Enter here and on line 4 of Part G below . This credit is limited . See Instructions . . . . . . . . . . . . . . . . . . . .

1. ______________________

PART E - LONG-TERM CARE INSURANCE CREDIT: (THIS IS A ONE-TIME CREDIT)

Answer the questions and see instructions below before completing Columns A through E for each person for whom you paid long-

term care insurance premiums .

Question 1 - Did the insured individual have long-term care insurance prior to July 1, 2000? . . . . . . . . . . . . . . .

Yes

Question 2 - Is the credit being claimed for the insured individual in this year by any other taxpayer? . . . . . . . . .

Yes

Question 3 - Has credit been claimed by anyone for the insured individual in any other tax year? . . . . . . . . . . .

Yes

Question 4 - Is the insured individual for whom the credit is being claimed a nonresident of Maryland? . . . . . . . .

Yes

If you answered YES to any of the above questions, that insured person does NOT qualify for the credit.

Complete Columns A through D only for insured individuals who qualify for credit . Enter in Column E the lesser of the amount of

premium paid for each insured person or:

• $350 for those insured that are 40 or less, as of 12/31/12

• $500 for those insured that are over age 40, as of 12/31/12.

Add the amounts in Column E and enter the total on line 5 (total) and Part G, line 5 .

Column A

Column C

Column D

Column E

Column B

Age

Name of Qualifying Insured Individual

Relationship to Taxpayer

Amount of Premium Paid

Credit Amount

Social Security No. of Insured

5. TOTAL

PART F - CREDIT FOR PRESERVATION AND CONSERVATION EASEMENTS

Taxpayer A

Taxpayer B

1. Enter the portion of the total current year donation amount, and any carryover

from prior year(s), attributable to each taxpayer . . . . . . . . . . . . . . . . . . . . . 1 . ________________________ 1 . ______________________

2. Enter the amount of any payment received for the easement by each

taxpayer during 2012 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 . ________________________ 2 . ______________________

3. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . ________________________ 3 . ______________________

4. Enter the amount from line 22 of Form 502; line 32c of Form 505; line 33 of

Form 515; line 23 of Form 504 or $5,000, whichever is less . (see instructions) 4 . ________________________ 4 . ______________________

5. Enter the lesser of line 3 or 4 here . (If you itemize deductions, see Instruction 14 .) . . 5 . ________________________ 5 . ______________________

6. Total (Add amounts from line 5 for Taxpayers A and B) . Enter here and on line 6 Part G below . . . . . . . . . .

6 . ______________________

7. Excess credit carryover . Subtract line 6 from the sum of lines 3A and 3B . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 . ______________________

PART G - INCOME TAX CREDIT SUMMARY

1. Enter the amount from Part A, line 8 (If more than one state, see instructions) . . . . . . . . . . . . . . . . . . . . . . . 1 . ______________________

2. Enter the amount from Part B, line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 . ______________________

3. Enter the amount from Part C, line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 . ______________________

4. Enter the amount from Part D, line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 . ______________________

5. Enter the amount from Part E, line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 . ______________________

6. Enter the amount from Part F, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . ______________________

7. Enter the amount from Section 2, line 4 of Form 502H . Attach Form 502H . . . . . . . . . . . . . . . . . . . . . . . . .

7 . ______________________

8. Total (Add lines 1 through 7) Enter this amount on line 25 of Form 502; line 32 of Form 504;

line 35 of Form 505 or line 36 of Form 515 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 . ______________________

PART H - REFUNDABLE INCOME TAX CREDITS

1. Neighborhood Stabilization Credit . Enter the amount and attach certification . . . . . . . . . . . . . . . . . . . . . . . .

1 . ______________________

2. Heritage Structure Rehabilitation and/or Sustainable Communities Tax Credits

(See instructions for Forms 502H and 502S) . Attach certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2 . ______________________

3. Refundable Business Income Tax Credit (See instructions for Form 500CR) . Attach Form 500CR . . . . . . . . .

3 . ______________________

4. IRC Section 1341 Repayment Credit . (See instructions) Attach documentation . . . . . . . . . . . . . . . . . . . . . .

4 . ______________________

5. Flow-through Nonresident PTE tax (See instructions for required attachments) . . . . . . . . . . . . . . . . . . . . . .

5 . ______________________

6. Total (Add lines 1 through 5) . Enter this amount on line 42 of Form 502, line 47 of Form 505

or line 54 of Form 515 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 . ______________________

COM/RAD-012

12-49