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2015
SCHEDULE H Homeowner
*159980110000*
Government of the
District of Columbia
and Renter Property Tax Credit
Important: Read eligibility requirements before completing.
Print in CAPITAL letters using black ink.
Vendor ID#0000
OFFICIAL USE ONLY
Personal information
Your daytime telephone number
Spouse’s/registered domestic partner’s SSN
Your social security number (SSN)
Your first name
M.I.
Last name
Spouse’s/registered domestic partner’s first name
M.I.
Last name
Mailing address (number, street and suite/apartment number if applicable)
City
State
Zip Code +4
DC
Address of
property (number, street and suite/apartment number if applicable) for which you are claiming the credit if different from above
House
Apartment
Rooming house
Condominium
Type of property for which you are claiming the credit. Fill in only one:
Complete Section A or Section B, whichever applies.
Do not claim this credit for an exempt property owned by a government,
u
u
a house of worship or a non-profit organization
Round cents to the nearest dollar.
If the amount is zero or less, leave the line blank.
Section A Credit claim based on rent paid
.
$
00
1 Federal adjusted gross income of the tax filing unit
1
From Line 32, on page 2 (see instructions)
2 Money from other sources used to pay rent not included in AGI:
.
$
00
a. Source _______________________________
.
b. Source _______________________________
$
00
.
.
_________
$
00
$
00
3 Rent paid on the property in 2015.
3
x.20 =
.
4 Property tax credit.
$
00
Use the "Computing Your Property Tax Credit" worksheet.
4
.
5 Rent supplements received in 2015 by you or your landlord on your behalf.
$
00
5
.
6 Property tax credit.
$
00
Subtract Line 5 from Line 4, D-40 filers enter here and on Line 28 of the D-40.
6
7
Landlord’s name
Landlord’s address (number and street)
Apartment number
Landlord’s telephone number
City
State
Zip Code +4
Round cents to the nearest dollar.
Section B Credit claim based on real property tax paid
If the amount is zero or less, leave the line blank.
8
Federal adjusted gross income of the tax filing unit (see instructions)
.
.
$
00
From Line 32 on page 2.
8
.
$
00
9
DC real property tax paid by you on the property in 2015.
9
.
10 Property tax credit
$
00
Use the "Computing Your Property Tax Credit" worksheet. Enter here and on Line 28 of the D-40.
10
11
Enter information from your real property tax bill or assessment. If a section is blank on your property tax bill, leave it blank here.
Square number
Suffix number
Lot number
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2015 SCHEDULE H P1
Revised 04/2015
Homeowner and Renter Property Tax Credit
File order 5