.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00
.00 .00
.00
.00
.00 .00
.00 .00
.00
MARYLAND
FORM
502R
2019
RETIREMENT INCOME
ATTACH TO YOUR FORM 502
COM/RAD-020
 
I llllll
111111111111111
111111111111111
111111111111111111
19502R049
The Maryland General Assembly enacted House Bill 1148 in the 2016 Session requiring the collection of information detailing the
amount of retirement income reported by an individual and/or their spouse by source.
Part 1
Your First Name MI Your Last Name Your Social Security Number
Spouse's First Name MI Spouse's Last Name Spouse's Social Security Number
Part 2
Your Age Spouse's Age
Part 3
Are you or your spouse totally and permanently disabled? (Check if Yes):
You Spouse
Part 4 Retirement and Pension Benets: Determine your source of retirement income and input the required information in the
appropriate areas below.
Source description:
Amount included in Federal Adjusted Gross Income
You Spouse
1. Retirement income received as a pension, annuity or endowment from an "employee
retirement system" qualied under Sections 401(a), 403 or 457(b) of the Internal
Revenue Code. Disability retirement pension or annuity included on line 1 of federal form
1040. (Do not include a traditional, Roth or SIMPLE individual retirement
account or annuity (IRA), a simplied employee plan (SEP), a Keogh plan, an ineligible
deferred compensation plan or foreign retirement income.) .....................1a.
1b.
2. An IRA under Section 408 (excluding Section 408(k)) of the Internal Revenue Code.
Examples include a SIMPLE IRA under Section 408(p) of the Internal Revenue Code
and a traditional IRA ................................................2a.
2b.
3b.
3. An IRA consisting entirely of contributions rolled over from a dened benet plan ......3a.
4b.
4. A simplied employee pension (SEP) under Section 408(k) of the Internal Revenue Code ..4a.
5b.
5. A Roth IRA under Section 408A of the Internal Revenue Code. ...................5a.
6. An ineligible deferred compensation plan under Section 457(f) of the Internal Revenue
Code ...........................................................6a.
6b.
7. Other retirement income (for example, a Keogh Plan, also known as an HR-10),
including foreign retirement income. .....................................7a.
7b.
8. Total: Add the amounts in the above columns and enter here. (This line should
reflectthetotalamountofpension,disabilitypension,IRAandannuitiesreportedas
incomeonlines1, 4b, and 4d ofyourfederalForm1040)..... .............. ..............8.
Part 5 You Spouse
9. Total benets you received from Social Security and/or Railroad Retirement, Tier I
and Tier II (See Instructions for Part 5) ...................................9a.
9b.
10. Amount of military retirement income subtracted on Maryland Form 502
(from code letter u on Form 502SU) ....................................10a.
10b.
Part 6 If you claimed a Pension Exclusion on line 10a of Maryland Form 502,
complete Part 6 using information from Worksheet 13A of the Maryland
Resident Income Tax Return Instructions.
11. Pension Exclusion (from line 5 of Worksheet 13A) .......................... 11a.
11b.
Part 7 If you claimed the Retired Correctional Ocer, Law Enforcement Ocer, or
Fire, Rescue, or Emergency Services Personnel pension exclusion (from
line 10b on Form 502), complete Part 7 using information from
Worksheet 13E of the Maryland Resident Income Tax Return Instructions.
12. Retired Correctional Ocer, Law Enforcement Ocer or Fire, Rescue, or Emergency
Services Personnel pension exclusion (from line 8 of Worksheet 13E) .............12a.
.00
12b.
.00
 
    
 
MARYLAND
RETIREMENT INCOME
FORM
2019
ATTACH TO YOUR FORM 502
502R
The Maryland General Assembly enacted House Bill 1148 in the
DO NOT include any benets received from Social Security
2016 Session requiring the collection of information detailing
and/or Railroad Retirement, Tier I and Tier II, in Part 4.
the amount of retirement income reported by an individual and/
Those benets should be included on line 9 of Part 5.
or their spouse by source.
EXCEPTION: If you retired on disability and received a
Complete Form 502R if you or your spouse were required to le a 2019
taxable disability retirement pension or annuity reported
Form 502 AND:
to you on Form 1099R and you report the taxable income
1. Reported income from a pension, annuity or individual retirement
account or annuity (IRA) on your federal income tax return (on line 4b
and 4d offederalForm 1040);
as wages on line 1 of federal Form 1040 until you reach
minimum retirement age, include this amount of taxable
income on line 1 of Part 4.
2. Receivedanyincome duringthetaxyear(taxableor non-taxable)
fromSocialSecurityorRailroadRetirement(Tier IorTierII);
Part 5: Complete Part 5 if you or your spouse received Social Security
or Railroad Retirement benets (Tier I or Tier II). Enter the
gross amount of those benets received during the tax year
3. Claimed a pension exclusion on line 10a of Maryland Form 502; or
(do not enter the taxable amount only) in the appropriate
4. Claimeda pension exclusiononline10bof Maryland Form502.
column.
Nonresidents arenotrequiredtocomplete andfiletheForm 502R.
Complete Part 5 if you received military retirement income
subtracted using code letter u on Maryland Form 502SU.
Married individuals who led Maryland returns with married ling
separate status should each complete a separate Form 502R.
Part 6: Complete Part 6 if you or your spouse claimed a pension
exclusion on Maryland Form 502. Enter the amounts in the
PRINT OR ENTER ALL INFORMATION USING BLUE OR BLACK INK
appropriate column using the amounts calculated for each
Part 1: Enter your rst name, middle initial, last name and Social
Security number exactly as entered on Form 502. If you are
ling a joint Maryland return, also enter the name and Social
Security number of your spouse.
Part 7:
spouse on line 5 of the PENSION EXCLUSION COMPUTATION
WORKSHEET (13A) which can be found in the Maryland
Resident Income Tax Return Instructions.
Complete Part 7 if you or your spouse claimed the Retired
Part 2: Enter your age as of December 31, 2019. If you are ling a
joint Maryland return, also enter the age as of December 31,
2019 of your spouse.
Correctional Ocer, Law Enforcement Ocer, or Fire, Rescue,
or Emergency Services Personnel pension exclusion (from
line 10b on Maryland Form 502). Enter the amounts in the
appropriate column using the amounts calculated for each
Part 3: Check the appropriate box if you or your spouse were totally
and permanently disabled on the last day of the tax year.
Part 4: Complete Part 4 if you or your spouse reported income from a
pension, annuity or individual retirement account or annuity
(IRA) on your federal income tax return (line 4b and 4d of
spouse on line 8 of the RETIRED CORRECTIONAL OFFICER,
LAW ENFORCEMENT OFFICER, OR FIRE, RESCUE, OR
EMERGENCY SERVICES PERSONNEL PENSION EXCLUSION
COMPUTATION WORKSHEET (13E) which can be found in the
Maryland Resident Income Tax Return Instructions.
federal Form 1040). Add these amounts and enter on line
8. This amount must equal the sum of the retirement income
reported on your federal return (line 4b and 4d of federal
Form1040).
Pension, prot-sharing or stock
bonus plans - 401(a), 403 or
457(b)
401(k) Cash or Deferred
Arrangement
Deferred compensation plan of a
state or local government or a tax
exempt organization - 457(b)
Thrift Savings
SIMPLE 401(k)
SIMPLE Individual Retirement
Account - 408(p)
SIMPLE Individual Retirement
Annuity - 408(b)
Traditional Individual Retirement
Account or Annuity (IRA)
Rollover IRA consisting entirely of
contributions from a dened benet
plan
Simplied Employee Pension -
408(k)
Roth IRA - 408A
Ineligible Deferred Compensation
Plan 457(f)
Keogh retirement plans for self-
employed individuals (also known
as an HR-10 plan)
Foreign retirement income
Other taxable retirement plans
1
Retirement income received as a pension, annuity or
endowment from an "employee retirement system"
qualied under Sections 401(a), 403 or 457(b) of the
Internal Revenue Code. (Do not include a traditional,
Roth or SIMPLE individual retirement account or annuity
(IRA), a simplied employee plan (SEP), a Keogh plan,
an ineligible deferred compensation plan or foreign
retirement income.)
X X X X X
2
An IRA under Section 408 (excluding Section 408(k)) of
the Internal Revenue Code. Examples include a SIMPLE
IRA under Section 408(p) of the Internal Revenue Code
and a traditional IRA
X X X
3
An IRA consisting entirely of contributions rolled over from
a dened benet plan
X
4
A simplied employee pension (SEP) under Section 408(k)
of the Internal Revenue Code
X
5
A Roth IRA under Section 408A of the Internal Revenue
Code
X
6
An ineligible deferred compensation plan under Section
457(f) of the Internal Revenue Code
X
7
Other taxable retirement income (for example, a
Keogh Plan, also known as an HR-10), including foreign
retirement income
X X X
COM/RAD-020