8. I certify that I am a legal resident of the state of and am not subject to Maryland withholding because I meet the
requirements set forth under the Servicemembers Civil Relief Act, as amended by the Military spouses
Form MW507 Employee Withholding Exemption Certificate 2021
Comptroller of Maryland FOR MARYLAND STATE GOVERNMENT EMPLOYEES ONLY
Section 1 – Employee Information (Please complete form in black ink.)
Payroll System (check one)
RG CT UM
Home Address (number and street or rural route) (apartment number, if any)
County of Residence (required)
Nonresidents enter Maryland
County or Baltimore City
where you are employed
Section 2 – Maryland Withholding Maryland worksheet is available online at https://www.marylandtaxes.gov/forms/21_forms/mw507.pdf
Single Married (surviving spouse or unmarried Head of Household) Rate Married, but withhold at Single Rate
1. Total number of exemptions you are claiming not to exceed line f in Personal Exemption Worksheet on page 2. ................................ 1.
2. Additional withholding per pay period under agreement with employer ............................................................................................... 2.
3. I claim exemption from withholding because I do not expect to owe Maryland tax. See instructions and check boxes that apply.
a.
Last year I did not owe any Maryland income tax and had a right to a full refund of all income tax withheld and
b.
This year I do not expect to owe any Maryland income tax and expect to have the right to a full refund of all income
tax withheld.
(This includes seasonal and student employees whose annual income will be below the minimum filing
requirements).
If both a and b apply, enter year applicable (year effective) Enter “EXEMPT” here .................................................... 3.
4. I claim exemption from withholding because I am domiciled in the following state.
Virginia
I further certify that I do not maintain a place of abode in Maryland as described in the instructions. Enter "EXEMPT" here ........... 4.
5. I claim exemption from Maryland state withholding because I am domiciled in the Commonwealth of Pennsylvania and
I do not maintain a place of abode in Maryland as described in the instructions on Form MW507. Enter “EXEMPT” here .................. 5.
6. I claim exemption from Maryland local tax because I live in a local Pennsylvania jurisdiction within York or
Adams counties. Enter “EXEMPT” here and on line 4 of Form MW507. ............................................................................................. 6.
7. I claim exemption from Maryland local tax because I live in a local Pennsylvania jurisdiction that does not impose
an earnings or income tax on Maryland residents. Enter “EXEMPT” here and on line 4 of Form MW507. ........................................ 7.
Residency Relief Act. Enter “EXEMPT” here ....................................................................................................................................... 8.
Section 3 – Employee Signature
Employer’s name and address (Employer: Complete name, address & EIN only if sending to IRS)
Central Payroll Bureau
P.O. Box 2396
Annapolis, MD 21404
Federal Employer identification number (EIN)
Important: The information you supply must be complete. This form will replace in total any certificate you previously submitted.
Web Site - https://www.marylandtaxes.gov/statepayroll/payroll-forms.php
Under the penalty of perjury, I further certify that I am entitled to the number of withholding allowances claimed on line 1 above, or if claiming exemption
from withholding, that I am entitled to claim the exempt status on whichever line(s) I completed.
Daytime Phone Number
(In case CPB needs to contact you regarding your MW507)
