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)
...................
State and local income taxes included in federal Schedule A, line 5 ...................
Subtract line 17b from line 17a and enter amount on line 17.
INCOME
1. Adjusted gross income from your federal return (See Instruction 11) ....................................................
1a. Wages, salaries and/or tips (See Instruction 11) ............................
ADDITIONS TO INCOME (See Instruction 12)
2. Tax-exempt interest on state and local obligations (bonds) other than Maryland ............................................
3. State retirement pickup .......................................................................................
4. Lump sum distributions (from worksheet in Instruction 12) ............................................................
5. Other additions (Enter code letter(s) from Instruction 12) ....................
6. Total additions to Maryland income (Add lines 2 through 5) ...........................................................
7. Total federal adjusted gross income and Maryland additions (Add lines 1 and 6) .............................................
SUBTRACTIONS FROM INCOME (See Instruction 13)
8. Taxable refunds, credits or offsets of state and local income taxes included in line 1 above ..................................
9. Child and dependent care expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
10. Pension exclusion from worksheet in Instruction 13 ........................... ......................................
11. Taxable Social Security and RR benefits (Tier I, II and supplemental) included in line 1 above .................................
12. Income received during period of nonresidence (See Instruction 26) .....................................................
13. Subtractions from attached Form 502SU (See Instruction 13).................
14. Two-income subtraction from worksheet in Instruction 13 ............................................................
15. Total subtractions from Maryland income (Add lines 8 through 14) ......................................................
16. Maryland adjusted gross income (Subtract line 15 from line 7) ...........................................................
17. Deduction amount (Part-year residents see Instruction 26 (l and m)) ......................................................
18. Net income (Subtract line 17 from line 16) ............................................................................
19. Exemption amount from Exemptions area above (See Instruction 10)........................................................
20. Taxable net income (Subtract line 19 from line 18) . ...................................................................
OR FISCAL YEAR BEGINNING 2011, ENDING
1
2
3
5
8
9
10
11
12
13
14
16
15
17
18
19
20
1a
17a.
17b.
4
6
7
Place
CHECK
or
MONEY
ORDER
on top of
your W-2
wage and
tax
statements
and
ATTACH
HERE
with ONE
staple.
EXEMPTIONS (A)
Yourself
Spouse
(B)
65 or over
Blind
65 or over
Blind
Check here if you authorize us to share your tax information with the Medical Assistance Program for help finding health insurance.
.......
See Instruction 10
PART-YEAR RESIDENT
See Instruction 26
If you began or ended legal residence in Maryland in
2011 place a P in the box
Dates of Maryland Residence
MO DAY YEAR
FROM
______
______
______
TO
______
______
______
Other state of residence:
______________
MILITARY: If you or your spouse has non-Maryland military
income, place an M in the box. (See Instruction 26).
Enter amount here:
_____________________________
Place an M or P
in this box
(A) Enter No. Checked ..... See Instruction 10 $ ___________ (B) Enter No. Checked ...... X $1,000 $ ____________
(C)
Enter No. Checked from
line 1 of Dependent (D) Enter Total Exemptions
Form 502B ...........
See Instruction 10 $ ___________ (Add A, B and C) .....
Total Amount $ ____________
2011
$
FORM
502
MARYLAND
RESIDENT
INCOME TAX RETURN
NOTE: If you are claiming dependents, you must attach the Dependent Form 502B to this form in order to receive the
applicable exemption amount.
COM/RAD-009 11-49
FILING STATUS
See Instruction 1 to determine
if you are required to file
.
CHECK ONE BOX
1. Single (If you can be claimed on another person’s tax return, use Filing Status 6.)
2
.
Married filing joint return or spouse had no income
3
.
Married filing separately
4.
Head of household
5
.
Qualifying widow(er) with dependent child
6
.
Dependent taxpayer (Enter 0 in Exemption Box (A) - See Instruction 7)
Spouse's Social Security number
Social Security number Spouse's Social Security number
Your First Name Initial Last Name
Spouse's First Name Initial Last Name
Present Address (No. and street)
City or Town State Zip Code
Maryland County City, Town, or Taxing Area
Name of county and incorporated city, town or special
taxing area in which you resided on the last day of the
taxable period. (See Instruction 6)
Print Using Blue or Black Ink Only
