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MARYLANDFORM

502R2017RETIREMENT INCOME

ATTACH TO YOUR FORM 502

COM/RAD-020

Part 5

9. TotalbenefitsyoureceivedfromSocialSecurityand/orRailroadRetirement,TierI andTierII(SeeInstructionsforPart5) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9a .

10.AmountofmilitaryretirementincomesubtractedonMarylandForm502 (fromcodeletteruonForm502SU) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10a .

Part 6 If you claimed a Pension Exclusion on line 10 of Maryland Form 502, complete Part 6 using information from Worksheet 13A of the Maryland Resident Income Tax Return Instructions.

11.PensionExclusion(fromline5ofWorksheet13A) . . . . . . . . . . . . . . . . . . . . . . . . . . 11a .

Part 7 If you claimed the Retired Law Enforcement Officer or Fire, Rescue, or Emergency Services Personnel pension exclusion (from code letter rr on Form 502SU), complete Part 7 using information from Worksheet 13E of the Maryland Resident Income Tax Return Instructions.

12.RetiredLawEnforcementOfficerorFire,Rescue,orEmergencyServicesPersonnel pensionexclusion(fromline8ofWorksheet13E) . . . . . . . . . . . . . . . . . . . . . . . . . . .12a.

YourFirstName Initial YourLastName YourSocialSecurityNumber

Spouse'sFirstName Initial Spouse'sLastName Spouse'sSocialSecurityNumber

YourAge Spouse'sAge

Part 4 Retirement and Pension Benefits: Determine your source of retirement income and input the required information in the appropriate areas below.

Part 2

Part 3Areyouoryourspousetotallyandpermanentlydisabled?(CheckifYes): You Spouse

1. Retirementincomereceivedasapension,annuityorendowmentfroman"employeeretirementsystem"qualifiedunderSections401(a),403or457(b)oftheInternal RevenueCode.(Donotincludeatraditional,RothorSIMPLEindividualretirement accountorannuity(IRA),asimplifiedemployeeplan(SEP),aKeoghplan,anineligibledeferredcompensationplanorforeignretirementincome.) . . . . . . . . . . . . . . . . . . . . .1a .

2. AnIRAunderSection408(excludingSection408(k))oftheInternalRevenueCode.ExamplesincludeaSIMPLEIRAunderSection408(p)oftheInternalRevenueCode andatraditionalIRA . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2a.

3. AnIRAconsistingentirelyofcontributionsrolledoverfromadefined benefit plan . . . . . .3a.4. Asimplifiedemployeepension(SEP)underSection408(k)oftheInternalRevenueCode . .4a.

5. ARothIRAunderSection408AoftheInternalRevenueCode. . . . . . . . . . . . . . . . . . . .5a.

6. AnineligibledeferredcompensationplanunderSection457(f)oftheInternalRevenue Code . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6a .

7. Otherretirementincome(forexample,aKeoghPlan,alsoknownasanHR-10), includingforeignretirementincome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7a.

8. Total: Add the amounts in the above columns and enter here.(Thislineshouldreflect thetotalamountofpension,IRAandannuitiesreportedasincomeonlines15band16bof yourfederalForm1040orlines11band12bofyourfederalForm1040A) . . . . . . . . . . . . . . . . . . . . . . 8.

You Spouse

1b .

2b.

3b.

4b.

5b.

6b .

7b.

9b .

10b .

11b .

12b.

Source description: Amount included in Federal Adjusted Gross Income

You Spouse

.00.00

The Maryland General Assembly enacted House Bill 1148 in the 2016 Session requiring the collection of information detailing the amount of retirement income reported by an individual and/or their spouse by source.

Part 1

FINAL

10/13

/17

MARYLANDFORM

502R2017RETIREMENT INCOME

ATTACHTOYOURFORM502

COM/RAD-020

The Maryland General Assembly enacted House Bill 1148 in the 2016 Session requiring the collection of information detailing the amount of retirement income reported by an individual and/or their spouse by source.

CompleteForm502Rifyouoryourspousewererequiredtofilea2017Form502AND:

1. Reportedincomefromapension,annuityorindividualretirementaccountorannuity(IRA)onyourfederal incometaxreturn(onlines15band/or16boffederalForm1040orlines11band/or12boffederalForm1040A);

2. Receivedanyincomeduringthetaxyear(taxableornon-taxable)fromSocialSecurityorRailroadRetirement(TierIorTierII);

3. Claimedapensionexclusiononline10ofMarylandForm502;or

4. ClaimedapensionexclusiononForm502SUcode“rr”.

NonresidentsarenotrequiredtocompleteandfiletheForm502R.

Married individuals who filed Maryland returns with married filingseparatestatusshouldeachcompleteaseparateForm502R.

PRINT OR ENTER ALL INFORMATION USING BLUE OR BLACK INK

Part 1: Enter yourfirst name,middle initial, last nameandSocialSecuritynumberexactlyasenteredonForm502.IfyouarefilingajointMarylandreturn,alsoenterthenameandSocialSecuritynumberofyourspouse.

Part 2: EnteryourageasofDecember31,2017.IfyouarefilingajointMarylandreturn,alsoentertheageasofDecember31,2017ofyourspouse.

Part 3: Checktheappropriateboxifyouoryourspouseweretotallyandpermanentlydisabledonthelastdayofthetaxyear.

Part 4: Complete Part 4 if you or your spouse reported incomefromapension,annuityorindividualretirementaccountorannuity(IRA)onyourfederal incometaxreturn(lines15band/or16boffederalForm1040orlines11band/or12bof

federalForm1040A).Addtheseamountsandenteronline8.Thisamountmustequalthesumoftheretirementincomereported on your federal return (line 15b plus line 16b ofForm1040,orline11bplusline12bofForm1040A).

DONOT includeanybenefitsreceived fromSocialSecurityand/or Railroad Retirement, Tier I and Tier II, in Part 4.Thosebenefitsshouldbeincludedonline9ofPart5.

EXCEPTION:IfyouretiredondisabilityandreceivedataxabledisabilityretirementpensionorannuityreportedtoyouonForm 1099R and you report the taxable income aswageson line 7 of federal Form 1040 until you reach minimumretirement age, include this amount of taxable income online1ofPart4.

Part 5: CompletePart5ifyouoryourspousereceivedSocialSecurityorRailroadRetirementbenefits(TierIorTierII).Enterthegrossamountofthosebenefitsreceivedduringthetaxyear(donotenter the taxableamountonly) in theappropriatecolumn.

CompletePart5 ifyoureceivedmilitaryretirement incomesubtractedusingcodeletteruonMarylandForm502SU.

Part 6: Complete Part 6 if you or your spouse claimed a pensionexclusiononMarylandForm502.Entertheamountsintheappropriate columnusing the amounts calculated for eachspouseonline5ofthePENSIONEXCLUSIONCOMPUTATIONWORKSHEET (13A) which can be found in the MarylandResidentIncomeTaxReturnInstructions.

Part 7: CompletePart7 ifyouoryourspouseclaimedtheRetiredLaw Enforcement Officer or Fire, Rescue, or EmergencyServicesPersonnelpensionexclusion(fromcodeletterrronForm502SU).Entertheamountsintheappropriatecolumnusingtheamountscalculatedforeachspouseonline8oftheRETIREDLAWENFORCEMENTOFFICERORFIRE,RESCUE,OREMERGENCY SERVICES PERSONNEL PENSION EXCLUSIONCOMPUTATIONWORKSHEET(13E)whichcanbefoundintheMarylandResidentIncomeTaxReturnInstructions.

Pension,profit-sharingorstock

bonusplans-401(a),403or

457(b)

401(k)CashorDeferred

Arrangement

Deferredcompensationplanofa

stateorlocalgovernmentoratax

exemptorganization-457(b)

ThriftSavings

SIMPLE401(k)

SIMPLE IndividualRetirement

Account-408(p)

SIMPLE IndividualRetirement

Annuity-408(b)

TraditionalIndividualRetirement

AccountorAnnuity(IRA)

RolloverIRAconsistingentirelyof

contributionsfromadefinedbenefit

plan

SimplifiedEmployeePension-

408(k)

RothIRA-408A

IneligibleDeferredCompensation

Plan457(f)

Keoghretirementplansforself-

employedindividuals(alsoknown

asanHR-10plan)

Foreignretirementincome

Othertaxableretirementplans

1 Retirementincomereceivedasapension,annuityorendowmentfroman"employeeretirementsystem"qualifiedunderSections401(a),403or457(b)oftheInternalRevenueCode.(Donotincludeatraditional,RothorSIMPLEindividualretirementaccountorannuity(IRA),asimplifiedemployeeplan(SEP),aKeoghplan,anineligibledeferredcompensationplanorforeignretirementincome.)

X X X X X

2 AnIRAunderSection408(excludingSection408(k))oftheInternalRevenueCode.ExamplesincludeaSIMPLEIRAunderSection408(p)oftheInternalRevenueCodeandatraditionalIRA

X X X

3 AnIRAconsistingentirelyofcontributionsrolledoverfroma defined benefit plan X

4 Asimplifiedemployeepension(SEP)underSection408(k)oftheInternalRevenueCode X

5 ARothIRAunderSection408AoftheInternalRevenueCode X

6 AnineligibledeferredcompensationplanunderSection457(f)oftheInternalRevenueCode X

7 Othertaxableretirementincome(forexample,aKeoghPlan,alsoknownasanHR-10),includingforeignretirementincome

X X X