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Dollars |
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Cents |
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1. |
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Adjusted gross income from your federal return (See Instruction 11) |
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1a. |
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How much of line 1 represents wages, salaries and/or tips? |
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2. |
Standard deduction (See Instruction 16) |
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3. |
Net income (Subtract line 2 from line 1) |
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4. |
Exemption amount as computed above |
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4 |
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5. |
Taxable net income (Subtract line 4 from line 3. GO TO TAX TABLE, page 18.) |
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5 |
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6. |
Maryland tax (from Tax Table or Computation Worksheet) |
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6 |
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7. |
Earned income credit ▶ |
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Poverty level credit ▶ |
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(See Instruction 18) Total |
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7 |
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7a |
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7b |
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8. |
Maryland tax after credits (Subtract line 7 from line 6) If less than 0, enter 0 |
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9. |
Local tax (See Instruction 19 for tax rates and worksheet.) Multiply line 5 by your local tax rate .0 |
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use the local tax worksheet |
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9 |
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10. |
Local: Earned income credit ▶ |
10a |
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Poverty level credit ▶ |
10b |
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(See Instruction 19) Total |
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10 |
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11. |
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11 |
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Local tax after credits (Subtract line 10 from line 9) If less than 0, enter 0 |
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12. |
Total Maryland and local tax (Add lines 8 and 11) |
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13. |
Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 20) |
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14. |
Contribution to Fair Campaign Financing Fund (See Instruction 20) |
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. . . . |
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15. |
Total Maryland income tax, local income tax and contributions (Add lines 12, 13 and 14) |
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15 |
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16. |
Total Maryland and local tax withheld (Enter total from and attach your W-2 and 1099 forms if MD tax is withheld) . . . |
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16 |
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17. |
Refundable earned income credit (from worksheet in Instruction 21) |
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18. |
Total payments and credit (Add lines 16 and 17) |
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18 |
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19. |
Balance due (If line 15 is more than line 18, subtract line 18 from line 15) |
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20. |
Overpayment (If line 15 is less than line 18, subtract line 15 from line 18) See line 23 |
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REFUND ▶ |
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20 |
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21. |
Interest charges from Form 502UP ▶ |
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or for late filing |
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(See Instruction 22) Total |
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22. |
TOTAL AMOUNT DUE (Add lines 19 and 21) . . . |
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IF $1 OR MORE, PAY IN FULL WITH THIS RETURN |
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22 |
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For credit card payment check here |
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and see Instruction 24. Direct debit is available only if you file electronically. |
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DIRECT DEPOSIT OF REFUND (See Instruction 22) Please be sure the account information is correct. |
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Checking |
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Savings |
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23.To choose the direct deposit option, complete the following information: |
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23a. Type of account: ▶ |
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23b. Routing number ▶ |
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23c. Account number ▶ |
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Check here if you use a paid |
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preparer and do not want Maryland |
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Daytime telephone no. |
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Home telephone no. |
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CODE NUMBER |
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FOR OFFICE USE ONLY |
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forms mailed to you next year. |
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Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements and to the |
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Make checks payable to: COMPTROLLER OF MARYLAND. |
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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 |
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Write social security no. on check using blue or black ink. |
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all information of which the preparer has any knowledge. Check here |
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if you authorize your preparer to discuss this return with us. |
Mail to: Comptroller of Maryland, Revenue Administration Division, |
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Annapolis, Maryland 21411-0001 |
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