PRINT FORM HELP RESET FORM

MARYLAND RESIDENT INCOME 2019

FORM TAX RETURN
502 $

OR FISCAL YEAR BEGINNING 2019, ENDING

Your Social Security Number Spouse's Social Security Number

Print Using Blue or Black Ink Only

Your First Name MI

Your Last Name

Spouse's First Name MI

Spouse's Last Name

Current Mailing Address Line 1 (Street No. and Street Name or PO Box)

Current Mailing Address Line 2 (Apt No., Suite No., Floor No.) City or Town State ZIP Code + 4

REQUIRED: Maryland Physical address of taxing area as of December 31, 2019 or last day of the taxable year for fiscal year
Place your W-2 wage and tax statements and ATTACH HERE

taxpayers. See Instruction 6. Part-year residents see Instruction 26.

with one staple. Do not attach check or money order to
Form 502. Attach check or money order to Form PV.

4 Digit Political Subdivision Code (See Instruction 6) Maryland Political Subdivision (See Instruction 6)

Maryland Physical Address Line 1 (Street No. and Street Name) (No PO Box)

Maryland Physical Address Line 2 (Apt No., Suite No., Floor No.) (No PO Box)

MD
City State ZIP Code + 4 Maryland County

FILING
STATUS 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
CHECK ONE
BOX 3. Married filing separately, Spouse SSN
See Instruction 4. Head of household
1 if you are 5. Qualifying widow(er) with dependent child
required to file. 6. Dependent taxpayer (Enter 0 in Exemption Box (A) - See Instruction 7.)

PART-YEAR Dates of Maryland Residence (MM DD YYYY) FROM TO

RESIDENT
Other state of residence:
See Instruction
If you began or ended legal residence in Maryland in 2019 place a P in the box. . . . . . . . . . . . . . . . . .
26.
MILITARY: If you or your spouse has non-Maryland military income, place an M in the box.. . . . . .
Enter Military Income amount here:

EXEMPTIONS
A. Yourself Spouse. . . . . . Enter number checked. See Instruction 10 A. $
See Instruction 10.
Check appropriate
box(es). NOTE: If B. 65 or over 65 or over
you are claiming
dependents, you
must attach the Blind Blind. . . . . . . . Enter number checked. X $1,000. . . . . . . . . B. $
Dependents'
Information
Form 502B to this C. Enter number from line 3 of Dependent Form 502B. . . . . . . . . . See Instruction 10 C. $
form to receive
the applicable
D. Enter Total Exemptions (Add A, B and C.) . . . . . . . . . . . . . . Total Amount. . . . D. $
exemption amount.

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 MARYLAND RESIDENT INCOME 2019
FORM TAX RETURN Page 2
502
NAME SSN

MARYLAND Check here If you do not have health care coverage DOB (mm/dd/yyyy)
HEALTH CARE
COVER AGE
Check here If your spouse does not have health care coverage DOB (mm/dd/yyyy)
See Instruction 3.

Check here I authorize the Comptroller of Maryland to share information from this tax return with the
Maryland Health Benefit Exchange for the purpose of determining pre-eligibility for no-cost
or low-cost health care coverage.

E-mail address
1. Adjusted gross income from your federal return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
INCOME 1a. Wages, salaries and/or tips . . . . . . . . . . . . . . . . . . . . . . 1a.
See Instruction 11. 1b. Earned income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1b.
1c. Capital Gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . 1c.
1d. Taxable Pensions, IRAs, Annuities (Attach Form 502R.) . 1d.
1e. Place a "Y" in this box if the amount of your investment income is more than $3,600. . . .

ADDITIONS 2. Tax-exempt interest on state and local obligations (bonds) other than Maryland . . . . . . . . . 2.
TO INCOME 3. State retirement pickup. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
See Instruction 12.
4. Lump sum distributions (from worksheet in Instruction 12.) . . . . . . . . . . . . . . . . . . . . . . . 4.

5. Other additions (Enter code letter(s) from Instruction 12.) . . . . . 5.

6. Total additions to Maryland income (Add lines 2 through 5.) . . . . . . . . . . . . . . . . . . . . . . . 6.
7. Total federal adjusted gross income and Maryland additions (Add lines 1 and 6.). . . . . . . . . . . 7.
8. Taxable refunds, credits or offsets of state and local income taxes included in line 1 . . . . . . 8.
9. Child and dependent care expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
SUBTRACTIONS
FROM INCOME
10a. Pension exclusion from worksheet (13A) . . . . . . . . Yourself Spouse . . . 10a.
See Instruction 13.

10b. Pension exclusion from worksheet (13E). . . . . . . . . Yourself Spouse . . . 10b.

11. Taxable Social Security and RR benefits (Tier I, II and supplemental) included in line 1 . . . . 11.
12. Income received during period of nonresidence (See Instruction 26.). . . . . . . . . . . . . . . . . 12.

13. Subtractions from attached Form 502SU. . . . . . . . . . . . . . . . . . . . 13.

14. Two-income subtraction from worksheet in Instruction 13. . . . . . . . . . . . . . . . . . . . . . . . . 14.
15. Total subtractions from Maryland income (Add lines 8 through 14.) . . . . . . . . . . . . . . . . . . 15.
16. Maryland adjusted gross income (Subtract line 15 from line 7.). . . . . . . . . . . . . . . . . . . . . . . 16.
All taxpayers must select one method and check the appropriate box.

DEDUCTION STANDARD DEDUCTION METHOD (Enter amount on line 17.)

METHOD
See Instruction 16.
ITEMIZED DEDUCTION METHOD (Complete lines 17a and 17b.)

17a. Total federal itemized deductions (from line 17, federal Schedule A) . . 17a.
17b. State and local income taxes (See Instruction 14.) . . . . . . . . . . . . . . 17b.
Subtract line 17b from line 17a and enter amount on line 17.
17. Deduction amount (Part-year residents see Instruction 26 (l and m).) . . . . . . . . . . . . . . . . 17.

18. Net income (Subtract line 17 from line 16.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18.

19. Exemption amount from Exemptions area (See Instruction 10.). . . . . . . . . . . . . . . . . . . . . . . 19.
20. Taxable net income (Subtract line 19 from line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20.

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 MARYLAND RESIDENT INCOME 2019
FORM TAX RETURN Page 3
502
NAME SSN

21. Maryland tax (from Tax Table or Computation Worksheet Schedules I or II). . . . . . . . . . . . . 21.
MARYLAND 22. Earned income credit (EIC)(See Instruction 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22.
TAX
COMPUTATION Check this box if you are claiming the Maryland Earned Income Credit,
but do not qualify for the federal Earned Income Credit.

23. Poverty level credit (See Instruction 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23.

24. Other income tax credits for individuals from Part AA, line 13 of Form 502CR (Attach Form 502CR.).24.
25. Business tax credits . . . . . . . . You must file this form electronically to claim business tax credits on Form 500CR.
26. Total credits (Add lines 22 through 25.).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26.
27. Maryland tax after credits (Subtract line 26 from line 21.) If less than 0, enter 0. . . . . . . . . . . 27.
28. Local tax (See Instruction 19 for tax rates and worksheet.) Multiply line 20 by

LOCAL TAX
COMPUTATION your local tax rate .0 or use the Local Tax Worksheet . . . . . . . . . . . . . . . . . . . . . 28.
29. Local earned income credit (from Local Earned Income Credit Worksheet in Instruction 19.). . . 29.
30. Local poverty level credit (from Local Poverty Level Credit Worksheet in Instruction 19.) . . . . . 30.
31. Local tax credit from Part BB, line 1 of Form 502CR (Attach Form 502CR.). . . . . . . . . . . . . . 31.
32. Total credits (Add lines 29 through 31.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32.

33. Local tax after credits (Subtract line 32 from line 28.) If less than 0, enter 0. . . . . . . . . . . . . 33.

34. Total Maryland and local tax (Add lines 27 and 33.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34.

35. Contribution to Chesapeake Bay and Endangered Species Fund. . . . . . . . . . 35.

CONTRIBUTIONS
36. Contribution to Developmental Disabilities Services and Support Fund . . . . . 36.
See Instruction 20.
37. Contribution to Maryland Cancer Fund. . . . . . . . . . . . . . . . . . . . . . . . . . . . 37.
38. Contribution to Fair Campaign Financing Fund. . . . . . . . . . . . . . . . . . . . . . 38.

39. Total Maryland income tax, local income tax and contributions (Add lines 34 through 38.). . 39.
40. Total Maryland and local tax withheld (Enter total from your W-2 and 1099 forms
and attach if MD tax is withheld.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40.
41. 2019 estimated tax payments, amount applied from 2018 return, payment made
with an extension request, and Form MW506NRS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 41.
42. Refundable earned income credit (from worksheet in Instruction 21) . . . . . . . . . . . . . . . . 42.
43. Refundable income tax credits from Part CC, line 7 of Form 502CR
(Attach Form 502CR. See Instruction 21.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 43.
44. Total payments and credits (Add lines 40 through 43.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . 44.

45. Balance due (If line 39 is more than line 44, subtract line 44 from line 39.
See Instruction 22.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45.
46. Overpayment (If line 39 is less than line 44, subtract line 39 from line 44.). . . . . . . . . . . . 46.

47. Amount of overpayment TO BE APPLIED TO 2020 .ESTIMATED TAX 47.

48. Amount of overpayment TO BE REFUNDED TO YOU
REFUND (Subtract line 47 from line 46.) See line 51. . . . . . . . . . . . . . . . . . . . . . . . . . . REFUND 48.

49. Check here if you are attaching Form 502UP. Enter interest charges from line 18

of Form 502UP or for late filing . . . . . . . . 49.

50. TOTAL AMOUNT DUE (Add lines 45 and 49.)
AMOUNT DUE
IF $1 OR MORE, PAY IN FULL WITH THIS RETURN. INCLUDE FORM PV. . . . . . . . . . . . 50.

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 MARYLAND RESIDENT INCOME 2019
FORM TAX RETURN Page 4
502
NAME SSN

DIRECT DEPOSIT OF REFUND (See Instruction 22.) Be sure the account information is correct. For Splitting Direct Deposit, see
Form 588. If this refund will go to an account outside of the United States, then to comply with banking rules, place a "Y" in this box

and see Instruction 22. For the direct deposit option, complete the following information clearly and legibly.

51a. Type of account: Checking Savings

51b. Routing Number (9-digits) 51c. Account Number

Daytime telephone no. Home telephone no. CODE NUMBERS (3 digits per line)

Check here if you authorize your preparer to discuss this return with us. Check here if you authorize your paid preparer
not to file electronically. Check here if you agree to receive your 1099G Income Tax Refund statement electronically (See
Instruction 24.)
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements and to
the 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 all information of which the preparer has any knowledge.

Your signature Date Spouse’s signature Date

Printed name of the Preparer / or Firm's name Street address of preparer or Firm's address

Signature of preparer other than taxpayer (Required by Law) City, State, ZIP Code + 4

Telephone number of preparer Preparer’s PTIN (Required by Law)

For returns filed without payments, mail your completed return to:

Comptroller of Maryland
Revenue Administration Division
110 Carroll Street
Annapolis, MD 21411-0001

For returns filed with payments, attach check or money order to Form PV. Make checks payable to Comptroller of
Maryland. Do not attach Form PV or check/money order to Form 502. Place Form PV with attached check/money
order on TOP of Form 502 and mail to:
Comptroller of Maryland
Payment Processing
PO Box 8888
Annapolis, MD 21401-8888

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 MARYLAND
FORM
Dependents' Information 2019
(Attach to Form 502, 505
502B or 515.)

Your Social Security Number Spouse's Social Security Number
Print Using Blue or Black Ink Only

Your First Name MI

Your Last Name

Spouse's First Name MI

Spouse's Last Name

Summary

1. Enter the total number checked below for Regular dependents (4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
2. Enter the total number checked below for dependents 65 or over (5) . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Total dependent exemptions (Add lines 1 and 2 and enter the total here and on line (C) of the
Exemptions area of Form 502, 505 or 515.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

Dependents (If a dependent listed below is age 65 or over, check both 4 and 5.)
First Name MI Last Name
1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

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 MARYLAND
FORM
Dependents' Information 2019
(Attach to Form 502, 505
502B
Page 2
or 515.)

NAME SSN

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1.
Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1.
Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1. Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1.
Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

First Name MI Last Name

1.
Check here if this dependent does
Social Security Number Relationship Regular 65 or over not have health care coverage
2. 3. 4. 5. DOB (MM/DD/YYYY)

COM/RAD-026