Form 502 - Maryland Resident Income Tax Return

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2012

MARYLAND RESIDENT

FORM

-As a service to you, this form along with all other forms available on our

502

INCOME TAX RETURN

website are provided in a fill-in format. Just key in your data prior to printing

the form.

OR FISCAL YEAR BEGINNING

2012, ENDING

-When the form is printed, a two dimensional (2D) barcode is generated that

includes the data entered on the form. The use of a 2D barcode vastly

Social Security number

Spouse's Social Security number

improves on the time it takes to process your form.

Your First Name

Initial Last Name

-If you choose to use the fill-in option, please do not handwrite any other data

Spouse's First Name

Initial Last Name

on the form other than your signature.

Present Address (No . and street)

-Please use the print button above to print the form once filled. If you need a

blank form, just print without entering any data.

City or Town

State

ZIP code

- If keyed data prints illegible, please update to the most recent version of

Maryland County

City, Town, or Taxing Area

Name of county and incorporated city, town or

Adobe Acrobat Reader.

special taxing area in which you resided on the last

day of the taxable period. (See Instruction 6)

FILING STATUS

1 .

Single (If you can be claimed on another person’s tax return, use Filing Status 6 .)

4 .

Head of household

See Instruction 1 to determine

2 .

Married filing joint return or spouse had no income

5 .

Qualifying widow(er) with dependent child

if you are required to file .

3 .

Married filing separately

6 .

Dependent taxpayer (Enter 0 in Exemption Box (A) - See Instruction 7)

CHECK ONE BOX

Spouse's Social Security number

PART-YEAR RESIDENT

EXEMPTIONS

See Instruction 10 . Check appropriate box(es) . NOTE: If you are claiming dependents, you must attach the

Dependents' Information Form 502B to this form in order to receive the applicable exemption amount .

See Instruction 26

If you began or ended legal

residence in Maryland in 2012

Yourself

Spouse

A. Enter No . Checked . . . .

See Instruction 10 A. $

Place an M or P

place a P in the box

in this box

Dates of Maryland Residence

65 or over

DAY

YEAR

X $1,000 . . . . . .

B. $

B. Enter No . Checked . . . .

FROM

______ ______ ______

Blind

______ ______ ______

C. $

Enter No . from line 3 of Dependent Form 502B . . . . . . . . . . .

See Instruction 10

Other state of residence: ___________________

MILITARY: If you or your spouse has non-

Maryland military income, place an M in the box .

Enter Total Exemptions (Add A, B and C). . . . . . . . . . . .

. . . .Total Amount

D. $

(See Instruction 26)

Check here if you authorize us to share your tax information with the Medical Assistance Program

Enter amount here: _______________________

for help finding health insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

INCOME

1. Adjusted gross income from your federal return (See Instruction 11) . . . . . . . . . . . . . . . . .

1 _____________________________

1a. Wages, salaries and/or tips (See Instruction 11) . . . . . . .

1a ___________________________

ADDITIONS TO INCOME

(See Instruction 12)

2. Tax-exempt interest on state and local obligations (bonds) other than Maryland . . . . . . . . .

2 _____________________________

3. State retirement pickup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3 _____________________________

4. Lump sum distributions (from worksheet in Instruction 12) . . . . . . . . . . . . . . . . . . . . . . .

4 _____________________________

5. Other additions (Enter code letter(s) from Instruction 12) . . . .

. . .

5 _____________________________

6. Total additions to Maryland income (Add lines 2 through 5) . . . . . . . . . . . . . . . . . . . . . . .

6 _____________________________

Place

7. Total federal adjusted gross income and Maryland additions (Add lines 1 and 6) . . . . . . . . . . . 7 _____________________________

CHECK

SUBTRACTIONS FROM INCOME

(See Instruction 13)

MONEY

ORDER

8. Taxable refunds, credits or offsets of state and local income taxes included in line 1 above . .

8 _____________________________

on top

of your

9. Child and dependent care expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

9 _____________________________

W-2 wage

10. Pension exclusion from worksheet in Instruction 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10 _____________________________

and tax

statements

11. Taxable Social Security and RR benefits (Tier I, II and supplemental)

and

included in line 1 above . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11 _____________________________

ATTACH

HERE

12. Income received during period of nonresidence (See Instruction 26) . . . . . . . . . . . . . . . .

12 _____________________________

with ONE

staple .

13. Subtractions from attached Form 502SU (See Instruction 13) .

. .

13 _____________________________

14. Two-income subtraction from worksheet in Instruction 13 . . . . . . . . . . . . . . . . . . . . . . . .

14 _____________________________

15. Total subtractions from Maryland income (Add lines 8 through 14) . . . . . . . . . . . . . . . . . . .

15 _____________________________

16. Maryland adjusted gross income (Subtract line 15 from line 7) . . . . . . . . . . . . . . . . . . . . . . . 16 _____________________________

DEDUCTION METHOD (See Instruction 16)

(All taxpayers must select one method and check the appropriate box) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

STANDARD DEDUCTION METHOD (Enter amount on line 17) . . . . . . . . . . . . . . . . . . . . . .

ITEMIZED DEDUCTION METHOD (Complete lines 17a and 17b) . . . . . . . . . . . . . . . . . . . . .

Total federal itemized deductions (from line 29, federal Schedule A) . . . . . . . . . . . . . . . . . . . . . .

17a ______________________

State and local income taxes included in federal Schedule A, line 5 . . . . . . . . . . . . . . . . . . . . . .

17b ______________________

Subtract line 17b from line 17a and enter amount on line 17 .

17. Deduction amount (Part-year residents see Instruction 26 (l and m)) . . . . . . . . . . . . . . . . .

17 _____________________________

18. Net income (Subtract line 17 from line 16) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 _____________________________

19. Exemption amount from Exemptions area above (See Instruction 10) . . . . . . . . . . . . . . . . . . 19 _____________________________

20. Taxable net income (Subtract line 19 from line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 _____________________________

COM/RAD-009

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