502Inj Form PDF Details

502Inj Form is a new tool designed to help you with Workers' Compensation claims. This form is used to report any job-related injury or illness, and it can help you get the benefits you deserve. If you're injured on the job, make sure to fill out this form as soon as possible. 502Inj Form will help keep your claim organized and ensure that all the necessary information is included. Having a accurate and complete claim can make the process much easier, so don't hesitate to use 502Inj Form.

QuestionAnswer
Form Name502Inj Form
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names502inj where form, form claim 502, maryland spouse form, maryland injured 502

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MARYLAND

FORM

502INJ

INJURED SPOUSE

2020

CLAIM FORM

 

(Attach to the FRONT of your return.)

Print using blue or black ink only.

Taxpayer Information as shown on joint tax return

Enter the names and Social Security Number(s) exactly as shown on the tax return for which you are filing this form. The spouse’s name and Social Security Number shown first on that tax return must also be shown first below.

Check here

If injured

spouse

 

First name

 

MI

Last name

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Spouse’s first name

 

MI

Last name

Social Security Number

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Street address

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City or Town

 

 

 

 

State

ZIP code+4

Is the address on your joint return different from the address shown above?

 

Yes

 

 

No

Check this box only if you are divorced or separated from the spouse with whom

 

 

 

 

 

 

 

you filed the joint return and you want your refund issued in your name only

.

. . . . .

. .

 

 

 

Allocation Between Spouses See instructions.

 

 

 

 

 

 

 

 

 

 

 

 

ALLOCATION ITEMS

JOINT

 

 

 

INJURED SPOUSE

OTHER SPOUSE

A. Income items from Federal Form 1040

 

 

 

 

 

 

 

 

 

 

 

1.

Wages

 

 

 

 

 

 

 

 

 

 

 

2.

Other income

 

 

 

 

 

 

 

 

 

 

 

3.

Adjustments to income

 

 

 

 

 

 

 

 

 

 

 

B. Items from Maryland returns

 

 

 

 

 

 

 

 

 

 

 

1.

Additions- Form 502, Line 6 • Form 505, Line 20

 

 

 

 

 

 

 

 

 

 

 

2.

Subtractions- Form 502, Line 15 • Form 505NR, Line 7

 

 

 

 

 

 

 

 

 

 

 

3.

Deductions- Form 502, Line 17 • Form 505NR Lines 10A,10B

 

 

 

 

 

 

 

 

 

 

 

 

4.

Exemptions- Enter number from exemptions area

 

 

 

 

 

 

 

 

 

 

 

5.

Earned income and/or poverty level credit-

 

 

 

 

 

 

 

 

 

 

 

 

Form 502, Lines 22, 23 • Form 505, Line 33

 

 

 

 

 

 

 

 

 

 

 

 

6.

Withholding taxes- Form 502, Line 40 • Form 505, Line 43 . .

 

 

 

 

 

 

 

 

 

 

 

7.

Refundable earned income credit- Form 502, Line 42

 

 

 

 

 

 

 

 

 

 

 

 

8.Estimated taxes- Form 502, Line 41 • Form 505, Line 44, 45 . 8.a Resident tax paid by pass-through entities. . . . . . . . . . . . .

9.Other credits-

Forms 502/505 Lines 24, 25, 43, 34, 35, 46 . . . . . . . . . . . .

The Comptroller’s Office will calculate the amount that may be due to you based on the above information. You will be notified of the amount. Any portion of the joint refund due to you will be issued directly from the intercepting agency if the refund has already been intercepted.

Under penalties of perjury, I declare that I have examined this form, and to the best of my knowledge 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.

Signature of injured spouse

 

Date

Daytime telephone no.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Signature of paid preparer Required by Law

 

Date

Preparer/Firm name (if applicable)

PTIN Required by Law

 

 

 

 

 

 

 

 

 

 

 

Preparer's Mailing Address (PO Box, number, street and apt. no)

 

 

City or Town

 

State

ZIP Code+4

 

COM/RAD-070

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MARYLAND

INJURED SPOUSE

FORM

CLAIM FORM

502INJ

INSTRUCTIONS

Requirements: To file an injured spouse claim, the injured spouse must have:

1.Filed a joint return with the spouse owing the debt;

2.Received income (such as wages, interest, etc.);

3.Made payments (such as withholding and estimated tax payments); and,

4.An overpayment, all or part of which was or will be applied to the following debts owed by the other spouse: past due state or federal taxes, past due child support or other state debt that has been referred to the Central Collection Unit.

TAXPAYER INFORMATION. The spouse’s name and Social Security Number (SSN) shown first on the original tax return must be shown first on the Injured Spouse Claim Form.

ALLOCATION BETWEEN SPOUSES. Enter the amounts from your joint return in the first column. Use the second and third columns to allocate these items as follows:

A.Items in this section should be transferred from your joint federal tax return.

1.Wages. Allocate wages to the spouse who earned the income.

2.Other income. Allocate all other income to the spouse who earned the income. Income from joint accounts or ventures such as interest, investments, etc. should be divided equally between spouses.

3.Adjustments to income. Allocate adjustments to income to the spouse to whom the adjustment belongs.

B.Items in this section should be transferred from your joint Maryland tax return.

1.Additions. Allocate individual Maryland addition modifications to the spouse to whom the additions are attributable. Joint additions should be divided equally between spouses.

2.Subtractions. Allocate individual Maryland subtractions to the spouse to whom the subtractions are attributable. The subtraction for child and dependent care expenses must be claimed by the spouse who is claiming the exemption for the child or dependent. Joint subtractions (such as income tax refunds, etc.) should be divided equally between spouses.

3.Deductions. Enter the deduction amount (itemized or standard) in the first column. The Revenue Administration Division will allocate the deductions between spouses.

2020

4.Exemptions. Exemptions must be allocated in whole numbers only (e.g., 3 exemptions cannot be allocated as 1½ and 1½). Each spouse must claim the exemptions he or she would be entitled to if separate returns had been filed.

5.Earned Income and poverty level credits. Enter the earned income credit and/or poverty level credit as claimed on your joint Maryland return. The Revenue Administration Division will allocate these items.

6.Withholding taxes. Each spouse must claim his or her own Maryland withholding taxes as shown on the wage and tax statements.

7.Refundable earned income credit. Enter the refundable earned income credit as claimed on your joint Maryland return. The Revenue Administration Division will allocate the refundable earned income credit amount for you.

8.Estimated tax payments. Each spouse should claim his or her own estimated tax payments. If you are unable to allocate joint payments, the Revenue Administration Division will allocate them for you.

8.a Election to Pay Tax On Behalf of Resident Members. Effective July 1, 2020, PTEs may elect to pay tax on behalf of resident members. Enter the tax paid by a pass-through entity on this line and attach Maryland Schedule K-1 (510).

9.Other credits. Each spouse should claim his or her own credit for taxes paid to another state. Business tax credits must be allocated to the spouse to whom the business income is attributable.

Note: You must file your return electronically, if Form 502INJ, line 9, shows that you are claiming business tax credits from Form 500CR.

Attach this form to the front of your tax return. Write “INJURED SPOUSE” in the upper left corner of the return.

An Injured Spouse Claim Form must be submitted for each year that you claim to be an injured spouse. An injured spouse form must be submitted with your Maryland tax return.

Form 502INJ may be obtained online at www.marylandtaxes. gov or by emailing TAXFORMS@marylandtaxes.gov. You may also call 1-800-638-2937 or from Central Maryland 410-260- 7951.

COM/RAD-070

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Filling in segment 1 in md injured spouse

2. Once this section is finished, you'll want to add the required particulars in Exemptions Enter number from, Earned income andor poverty level, Form Lines Form Line , Withholding taxes Form Line , Refundable earned income credit, Estimated taxes Form Line Form, a Electing passthrough entities, Other credits, Forms Lines and Lines and , The Comptrollers Office will, Under penalties of perjury I, Signature of injured spouse, Date, Daytime telephone no, and Signature of paid preparer so that you can progress to the third stage.

 Exemptions Enter number from,  Earned income andor poverty level, and  Estimated taxes Form  Line   Form inside md injured spouse

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