Maryland Form 502 - Resident Income Tax Return - 2015 Page 3
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32015
RESIDENT INCOME
MARYLAND
FORM
TAX RETURN
502
Page 3
NAME
SSN
45. Balance due (If line 39 is more than line 44, subtract line 44 from line 39 .
See Instruction 22 .) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
45 .
46. Overpayment (If line 39 is less than line 44, subtract line 39 from line 44 .) . . . . . . . . . . . .
46 .
47. Amount of overpayment TO BE APPLIED TO 2016 ESTIMATED TAX
47 .
48. Amount of overpayment TO BE REFUNDED TO YOU
REFUND
(Subtract line 47 from line 46 .) See line 51 . . . . . . . . . . . . . . . . . . . . . . . . . . . REFUND
48 .
49. Interest charges from Form 502UP
or for late filing
(See I nstruction 22 .) Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49 .
50. TOTAL AMOUNT DUE (Add lines 45 and 49 .)
AMOUNT DUE
IF $1 OR MORE, PAY IN FULL WITH THIS RETURN . . . . . . . . . . . . . . . . . . . . . . . . . . . 50 .
DIRECT DEPOSIT OF REFUND (See Instruction 22 .) Be sure the account information is correct . For Splitting Direct Deposit, see
Form 588 . If this refund will go to an account outside of the United States, then to comply with banking rules, place a "Y" in this box
and see Instruction 22 . For the direct deposit option, complete the following information clearly and legibly .
51a. Type of account:
Checking
Savings
51b. Routing Number (9-digits)
51c. Account Number
Daytime telephone no .
Home telephone no .
CODE NUMBERS (3 digits per line)
Make checks payable to and mail to:
Check here
if you authorize your preparer to discuss this return with us . Check here
Comptroller of Maryland
Revenue Administration Division
if you authorize your paid preparer not to file electronically . Check here
if you agree to
110 Carroll Street
receive your 1099G Income Tax Refund statement electronically . (See Instruction 24 .)
Annapolis, Maryland 21411-0001
It is recommended that you include your
Under penalties of perjury, I declare that I have examined this return, including accompanying
Social Security Number on check.
schedules and statements 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 .
Your signature
Date
Signature of preparer other than taxpayer
Spouse’s signature
Date
Street address of preparer
City, State, ZIP
Telephone number of preparer
Preparer’s PTIN (required by law)
COM/RAD-009
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