COM/RAD-036 08-49
FORM
MW 507
Employee’s Maryland Withholding Exemption Certificate
Print your
full name
Your Social
Security number
Address
(including ZIP code)
County of residence
(or Baltimore City)
Check the box that applies:
Withhold at Single Rate
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 worksheet below 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 below 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 requirement).
If both a and b apply, enter year applicable _____________________ ( y ear effective) Enter “EXEMPT” here 3.
______________________
4. I claim exemption from withholding because I am domiciled in one of the following states. Check state that applies.
District of Columbia Pennsylvania Virginia West Virginia
I further certify that I do not maintain a place of abode in Maryland as described in the instructions on page 2.
Enter “EXEMPT” here 4. ______________________
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 line 3 or line 4, whichever applies.
Employee’s signature Date
Employer’s name and address (including zip code) (For employer use only) Federal employer identification number
Worksheet and instructions
Enter on line 1 above, the number of personal exemptions that you will be claiming on your tax return; however, if you wish to claim more exemptions, or if your adjust-
ed gross income will be more than $100,000, you must complete the worksheet below, if you are filing single or married filing separately ($150,000, if you are filing
jointly or as head of household).
Line 1
a. Multiply the number of your personal exemptions by the value of each exemption from the table on page 2. (Generally the
value of your exemption will be $3,200; however, if your federal adjusted gross income is expected to be over $100,000, the
value of your exemption may be reduced. Do not claim any personal exemptions that you are currently claiming at
another job, or any exemptions being claimed by your spouse. To qualify as your dependent, you must be entitled to an
exemption for the dependent on your federal income tax return for the corresponding tax year. NOTE: Dependent taxpayers
may not claim themselves as an exemption.
b. Multiply the number of additional exemptions you are claiming for dependents who are 65 years of age or older by the value of
each exemption from the table on page 2.
c. Enter the estimated amount of your itemized deductions (excluding state and local income taxes) that exceed the amount of
your standard deduction, alimony payments, allowable childcare expenses, qualified retirement contributions, business losses
and employee business expenses for the year. Do not claim any additional amounts you are currently claiming at another job;
or any amounts being claimed by your spouse. NOTE: Standard deduction allowance is 15% of Maryland adjusted gross
income with a minumum of $1,500 and a maximum of $2,000.
d. Enter $1,000 for additional exemptions for taxpayer and/or spouse at least 65 years of age and/or blind.
e. Add total of lines a through d.
f. Divide the amount on line e by $3,200. Drop any fraction. Do not round up. This is the maximum number of exemptions
you may claim for withholding tax purposes.
a . ________________________
b . ________________________
c . ________________________
d . ________________________
e . ________________________
f . ________________________
Revised 08-08
COM/RAD-036 08-49
FORM
MW 507
PAGE 2
-Line 2
ADDITIONAL WITHHOLDING PER PAY PERIOD UNDER AGREEMENT WITH EMPLOYER If you are not having enough tax withheld, you
may ask your employer to withhold more by entering an additional amount on line 2.
Line 3
WHO MAY CLAIM EXEMPTION FROM WITHHOLDING OF INCOME TAX You may be entitled to claim an exemption from the
withholding of Maryland income tax if:
a. last year you did not owe any Maryland income tax and had a right to a full refund of any tax withheld; and
b. this year you do not expect to owe any Maryland income tax and expect to have a right to a full refund of all income tax withheld. If
you are eligible to claim this exemption, your employer will not withhold Maryland income tax from your wages.
STUDENTS AND SEASONAL EMPLOYEES whose annual income will be below the minimum filing requirements should claim exemption
from withholding. This provides more income throughout the year and avoids the necessity of filing a Maryland
income tax return.
Line 4
CERTIFICATION OF NONRESIDENCE IN THE STATE OF MARYLAND This line is to be completed by residents of the District of Columbia,
Pennsylvania, Virginia or West Virginia who are employed in Maryland and who do not maintain a place of abode in Maryland for 183
days or more.
Line 4 is
not
to be used by residents of other states who are working in Maryland, because such persons are liable for Maryland income tax
and withholding from their wages is required.
If you are domiciled in the District of Columbia, Pennsylvania or Virginia and maintain a place of abode in Maryland for 183 days or more, you
become a statutory resident of Maryland and you are required to file a resident return with Maryland reporting your total income. You must
apply to your domicile state for any tax credit to which you may be entitled under the reciprocal provisions of the law.
If you are domiciled in West Virginia, you are not required to pay Maryland income tax on wage or salary income, regardless of the length of
time you may have spent in Maryland.
GENERAL INSTRUCTIONS
FEDERAL PRIVACY ACT INFORMATION Social Security numbers must be included. The mandatory disclosure of your Social Security
number is authorized by the provisions set forth in the Tax-General Article of the Annotated Code of Maryland. Such numbers are used
primarily to administer and enforce the individual income tax laws and to exchange income tax information with the Internal Revenue
Service, other states and other tax officials of this state. Information furnished to other agencies or persons shall be used solely for the
purpose of administering tax laws or the specific laws administered by the person having statutory right to obtain it.
DUTIES AND RESPONSIBILITIES OF EMPLOYER Retain this certificate with your records. You are required to submit a copy of this
certificate to the Compliance Division, Compliance Programs Section, 301 West Preston Street, Baltimore, MD 21201, when received if:
1. you have any reason to believe this certificate is incorrect;
2. the employee claims more than 10 exemptions;
3. the employee claims exemptions from withholding because he/she had no tax liability for the preceding tax year, expects to incur no
tax liability this year and the wages are expected to exceed $200 a week; or
4. the employee claims exemptions from withholding on the basis of nonresidence.
Upon receipt of any exemption certificate (Form MW 507), the Compliance Division will make a determination and notify you if a change is
required.
Once a certificate is revoked by the Comptroller, the employer must send any new certificate from the employee to the Comptroller for
approval before implementing the new certificate.
If an employee claims exemption under 3 above, a new exemption certificate must be filed by February 15th of the following year.
DUTIES AND RESPONSIBILITIES OF EMPLOYEE If, on any day during the calendar year, the number of withholding exemptions that the
employee is entitled to claim is less than the number of exemptions claimed on the withholding exemption certificate in effect, the
employee shall file a new withholding exemption certificate with the employer within 10 days after the change occurs.
For additional information please call 410-767-1300 or toll-free at 1-800-492-1751 or visit www.marylandtaxes.com
If you will file your tax return
Single or Married Filing Separately Joint, Head of Household, or Qualifying Widow(er)
If Your federal AGI is between Your Exemption is Your Exemption is
$0 $100,000 $3,200 $3,200
$100,001 $125,000 $2,400 $3,200
$125,001 $150,000 $1,800 $3,200
$150,001 $175,000 $1,200 $2,400
$175,001 $200,000 $1,200 $1,800
$200,001 $250,000 $600 $1,200
In excess of $250,000 $600 $600