By completing the Form 5, you are terminating your membership in the Maryland State. Important information about this form: • Fill out this form to request a partial or full withdrawal from your Maryland.Hay dos maneras de usar el sistema e-file para obtener una prórroga para presentar la declaración. Complete el Formulario 4868 para usarlo como hoja de trabajo. The Motion to Withdraw or Notice to Withdraw Form is used to complete the withdrawal. See the forms below for the required fields. I claim exemption from Maryland local tax because I live in a local Pennysylvania jurisdiction within York or Adams counties. You can use this form to follow the withdrawal procedure of the Maryland school your child is currently attending.