COM/RAD-022
Place your W-2 wage and tax statements and ATTACH HERE with
ONE staple. Do not attach check or money order to Form 505.
Attach check or money order to Form IND PV.
Print Using Blue or Black Ink Only
2016
MARYLAND
FORM
505
NONRESIDENT INCOME
TAX RETURN
OR FISCAL YEAR BEGINNING 2016, ENDING
Social Security Number Spouse's Social Security Number
First Name Initial
Last Name
Spouse's First Name Initial
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
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, Spouse's SSN
4. Head of household
5. Qualifying widow(er) with dependent child
6. Dependent taxpayer (Enter 0 in Exemption Box (A) -
See Instruction 8.)
RESIDENCE INFORMATION See Instruction 9.
Enter 2-letter state code for your state of legal residence.
If PA resident, enter both County and City, Borough or Township
Were you a resident of another state for the entire year of 2016? If no, attach explanation. Yes No
Are you or your spouse a member of the military? Yes No
Did you file a Maryland income tax return for 2015? Yes No If “Yes,” was it a Resident or a Nonresident return?
Dates you resided in Maryland for 2016. If none, enter "NONE": FROM TO (MMDDYYYY).
Check here for Maryland taxes withheld in error. (See Instruction 4.)
EXEMPTIONS See Instruction 10. Check appropriate box(es). NOTE: If you are claiming dependents, you must attach the Dependents'
Information Form 502B to this form in order to receive the applicable exemption amount.
FILING STATUS See Instruction 1 to determine if you are required to file.
A. Yourself Spouse Enter number checked See Instruction 10 A. $
B.
65 or over 65 or over
Blind Blind Enter number checked X $1,000 B. $
C. Enter number from line 3 of Dependent Form 502B See Instruction 10 C. $
D. Enter Total Exemptions (Add A, B and C.)
Total Amount D. $
CHECK
ONE
BOX
$
Name of county and incorporated city, town or special taxing area in which you were
employed on the last day of the taxable period if you earned wages in Maryland. (See
Instruction 6).
Maryland County
City, Town or Taxing Area
COM/RAD-022
2016
MARYLAND
FORM
505
NONRESIDENT INCOME
TAX RETURN
ADDITIONS TO INCOME (See Instruction 12.)
18. Non-Maryland loss and adjustments .........................................................18.
19. Other (Enter code letter(s) from Instruction 12.) .........
...................19.
20. Total additions (Add lines 18 and 19.) .....................................................
20.
21. Total federal adjusted gross income and Maryland additions (Add lines 17 (Column 1) and 20.) ..............21.
SUBTRACTIONS FROM INCOME (See Instruction 13.)
22. Taxable Military Income of Nonresident ....................................................
22.
23. Other (Enter code letter(s) from Instruction 13.) .........
...................23.
24. Total subtractions (Add lines 22 and 23.) ...................................................
24.
25. Maryland adjusted gross income before subtraction of non-Maryland income. (Subtract line 24 from line 21.) ....25.
DEDUCTION METHOD See Instruction 15.
(All taxpayers must select one method and check the appropriate box.)
26. a. STANDARD DEDUCTION METHOD (Enter amount on line 26a.) 26a.
ITEMIZED DEDUCTION METHOD (Complete lines 26b, c and d.)
b. Total federal itemized deductions (from line 29, federal Schedule A) ........
26b.
c. State and local income taxes (See Instruction 16.) .....................
26c.
d. Net itemized deductions (Subtract line 26c from line 26b.) ................26d.
e. Deduction amount (Multiply lines 26a or 26d by the AGI factor.) 26e. (from worksheet in Instruction 14) .. 26.
27. Net income (Subtract line 26 from line 25.) ...................................................27.
28. Total exemption amount (from EXEMPTIONS area, page 1) See Instruction 10 ..........................28.
29. Enter your AGI factor (from worksheet in Instruction 14) .........................................29.
30. Maryland exemption allowance (Multiply line 28 by line 29.) .......................................30.
31. Taxable net income (Subtract line 30 from line 27.) Figure tax on Form 505NR. . . . . . . . . . . . . . . . . . . . . . . . . .31.
MARYLAND TAX COMPUTATION – COMPLETE FORM 505NR BEFORE CONTINUING.
32 . a. Maryland tax from line 16 of Form 505NR (Attach Form 505NR.) ................................32a.
b. Special nonresident tax from line 17 of Form 505NR (Attach Form 505NR.) .........................32b.
c. Total Maryland tax (Add lines 32a and 32b.) ...............................................32c.
33. Poverty level credit from worksheet in Instruction 20. ..........................................
33.
INCOME AND ADJUSTMENTS INFORMATION
(See Instruction 11.)
1. Wages, salaries, tips, etc ........................1.
2. Taxable interest income .........................2.
3. Dividend income ..............................3.
4. Taxable refunds, credits or offsets of state and
local income taxes .............................4.
5. Alimony received ..............................5.
6. Business income or (loss) ........................6.
7. Capital gain or (loss) ...........................7.
8. Other gains or (losses) (from federal Form 4797) .......8.
9. Taxable amount of pensions, IRA distributions,
and annuities .................................9.
10. Rents, royalties, partnerships, estates, trusts, etc.
(Circle appropriate item.). .......................10.
11. Farm income or (loss) .........................11.
12. Unemployment compensation (insurance) ...........12.
13. Taxable amount of Social Security and
Tier 1 Railroad Retirement benefits ................13.
14. Other income (including lottery or other gambling
winnings) ..................................14.
15. Total income (Add lines 1 through 14.) .............15.
16. Total adjustments to income from federal return
(IRA, alimony, etc.) ...........................16.
17. Adjusted gross income (Subtract line 16 from line 15.)
17.
(1) FEDERAL INCOME
(LOSS)
(2) MARYLAND INCOME
(LOSS)
(3) NON-MARYLAND
INCOME (LOSS)
Page 2
Name SSN
COM/RAD-022
2016
MARYLAND
FORM
505
NONRESIDENT INCOME
TAX RETURN
Name SSN
Your signature Date Signature of preparer other than taxpayer
Spouse’s signature Date Street address of preparer
Daytime telephone no. City, State, ZIP
Home telephone no. Telephone number of preparer Preparer's PTIN (Required by law)
CODE NUMBERS (3 digits per line)
34. Other income tax credits for individuals from Part K, line 11 of Form 502CR (Attach Form 502CR.) ...........34.
35. Business tax credits ......................
36. Total credits (Add lines 33 through 35.) ......................................................36.
37. Maryland tax after credits (Subtract line 36 from line 32c.) If less than 0, enter 0. . ......................37.
38. Contribution to Chesapeake Bay and Endangered Species Fund (See Instruction 21.) ....................
38.
39. Contribution to Developmental Disabilities Services and Support Fund (See Instruction 21.) ...............
39.
40. Contribution to Maryland Cancer Fund (See Instruction 21.) ......................................
40.
41. Contribution to Fair Campaign Financing Fund (See Instruction 21.) ................................
41.
42. Total Maryland income tax and contributions (Add lines 37 through 41.) ...........................42.
43. Total Maryland tax withheld (Enter total from and
attach your W-2 and 1099 forms if MD tax is withheld
.) 43.
44. 2016 estimated tax payments, amount applied from 2015 return, payments made with Form 502E and Form
MW506NRS .......................................................................
44.
45. Nonresident tax paid by pass-through entities (Attach Maryland Schedule K-1 (510)) ................
45.
46. Refundable income tax credits from Part M, line 6 of Form 502CR (Attach Form 502CR. See Instruction 22.) ...46.
47. Total payments and credits (Add lines 43 through 46.) ...........................................47.
48. Balance due (If line 42 is more than line 47, subtract line 47 from line 42.) ..........................
48.
49. Overpayment (If line 42 is less than line 47, subtract line 42 from line 47.) ..........................
49.
50. Amount of overpayment TO BE APPLIED TO 2017 ESTIMATED TAX ..............................
50.
51. Amount of overpayment TO BE REFUNDED TO YOU (Subtract line 50 from line 49.) See line 54 .. REFUND
51.
52. Interest charges from Form 502UP or for late filing (See Instruction 23.) Total .
52.
53. TOTAL AMOUNT DUE (Add line 48 and line 52.) IF $1 OR MORE, PAY IN FULL WITH THIS RETURN.
Include Form IND PV. ................................................................53.
DIRECT DEPOSIT OF REFUND (See Instruction 23.) 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 23.
54. For the direct deposit option, complete the following information, clearly and legibly:
54a. Type of account: Checking Savings
54b. Routing number (9-digit)
54c. Account number
You must file this form electronically to claim business tax credits on Form 500CR
Check here if you authorize your preparer to discuss this return with us. Check here if you authorize your paid preparer not to le
electronically. Check here
if you agree to receive your 1099G Income Tax Refund statement electronically (See Instructions). 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.
Page 3
For returns filed with payments, attach check or money order to Form IND PV.
Make checks payable to Comptroller of Maryland. Do not attach Form IND PV or
check/money order to Form 505. Place Form IND PV with attached check/money
order on top of Form 505 and mail to:
Comptroller of Maryland
Payment Processing
PO Box 8888
Annapolis, MD 21401-8888
For returns filed without payments,
mail your completed return to:
Comptroller of Maryland
Revenue Administration Division
110 Carroll Street
Annapolis, MD 21411-0001