Maryland Form 502 - Resident Income Tax Return - 2015

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2015
RESIDENT INCOME
MARYLAND
FORM
TAX RETURN
502
$
OR FISCAL YEAR BEGINNING
2015, ENDING
Your Social Security Number
Spouse's Social Security Number
Your First Name
Initial
Your Last Name
Spouse's First Name
Initial
Maryland County
Spouse's Last Name
City, Town or Taxing Area
Name of county and incorporated city, town or special taxing area in which
Current Mailing Address (PO Box, number, street and apt . no)
you resided on the last day of the taxable period. (See Instruction 6.)
City or Town
State
ZIP Code
FILING STATUS
1 .
Single (If you can be claimed on another person’s tax
4 .
Head of household
return, use Filing Status 6 .)
CHECK ONE BOX
5 .
Qualifying widow(er) with dependent child
See Instruction 1
2 .
Married filing joint return or spouse had no income
6 .
Dependent taxpayer (Enter 0 in Exemption Box (A) -
if you are required
3 .
Married filing separately, Spouse SSN
See Instruction 7 .)
to file .
Dates of Maryland Residence (MM DD YYYY)
FROM
TO
Other state of residence:
PART-YEAR
If you began or ended legal residence in Maryland in 2015 place a P in the box . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
RESIDENT
MILITARY: If you or your spouse has non-Maryland military income, place an M in the box . . . . . . . . . . . . . . . . . . . . . .
See Instruction 26 .
Enter Military Income amount here:
A.
Yourself
Spouse . . . . . . .Enter number checked
See Instruction 10 A. $
EXEMPTIONS
See Instruction 10 .
Check appropriate
B.
65 or over
65 or over
box(es) .
NOTE: If you are
Blind
Blind
Enter number checked
X $1,000 . . . . . . . B. $
claiming dependents,
you must attach
the Dependents'
Information Form
C.
Enter number from line 3 of Dependent Form 502B . . . . . . . . .
See Instruction 10 C. $
502B to this form to
receive the applicable
exemption amount .
D. Enter Total Exemptions (Add A, B and C.) . . . . . . . . . . .
Total Amount
D. $
1. Adjusted gross income from your federal return . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 .
INCOME
1a. Wages, salaries and/or tips . . . . . . . . . . . . . . . . . . . . . .
1a .
See Instruction 11 .
1b . Earned income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b .
1c. Capital Gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . .
1c .
1d. Taxable Pension, IRA, Annuities . . . . . . . . . . . . . . . . . .
1d .
1e. Check here if the amount of your investment income is more than $3,400. . .
2. Tax-exempt interest on state and local obligations (bonds) other than Maryland . . . . . . . .
2 .
ADDITIONS
3. State retirement pickup . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3 .
TO INCOME
4. Lump sum distributions (from worksheet in Instruction 12 .) . . . . . . . . . . . . . . . . . . . . . .
4 .
See Instruction 12 .
5. Other additions (Enter code letter(s) from Instruction 12 .)
. . . .
5 .
6. Total additions to Maryland income (Add lines 2 through 5 .) . . . . . . . . . . . . . . . . . . . . . .
6 .
7. Total federal adjusted gross income and Maryland additions (Add lines 1 and 6 .) . . . . . . . . . . . 7 .
COM/RAD-009

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