Form D-40 - Individual Income Tax Return - 1999 (Page 2 of 2) in pdf

D-40-1999

page 2

Complete your federal individual income tax return before you prepare your District of Columbia individual income tax return. All taxpayers must complete Part I.

Status "E" filers use Columns A for husband and B for wife, all others use Column B. Complete Part II if you had modifications to your federal adjusted gross income.

Complete Part III if you itemized deductions on your federal return. Complete Part IV if you had to complete the federal itemized deductions worksheet.

PART I-INCOME AND ADJUSTMENTS FROM FEDERAL RETURN

COLUMN (A)

COLUMN (B)

COLUMN (C)

If applicable, attach copies of Federal Return or Schedules

30. Wages, salaries, tips, etc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

31. Taxable interest income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

32. Dividend income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

33. Refunds of state and local income taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

34. Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

35. Business income or (loss) (attach a copy of your federal sched. C) . . . . . . . . . . . . . . . . . . . . . . . .

36(a). Capital gain or (loss) (attach a copy of your federal sched. D) . . . . . . . . . . . . . . . . . . . . . . . . . . .

36(b). Other gain or loss (attach a copy of your federal form 4797) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

37. Taxable amount of pensions, annuities and IRA distributions . . . . . . . . . . . . . . . . . . . . . . . . . .

38. Rents, royalties, partnerships, estates, trusts, etc. (attach a copy of your federal sched. E) . . . . . .

39. Farm income or (loss) (attach a copy of your federal sched. F) . . . . . . . . . . . . . . . . . . . . . . . . . . .

40. Unemployment compensation (insurance) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

41. Taxable portion of social security and tier 1 railroad retirement . . . . . . . . . . . . . . . . . . . . . . . .

42. Other income (specify)

43. Total (add Lines 30 though 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

44. Adjustments to income from federal return (attach a copy of your federal return) . . . . . . .

Federal adjusted gross income,

45.

. . .

(Line 43 minus Line 44. Enter here and on Line 1, page 1) .

Part II

Modifications to Federal Adjusted Gross Income

Additions To Income

46. Total additions. Enter here and on Line 2, page 1 (See pg. 3 of instructions) . . . . . . . . . . . . . . .

Subtractions From Income

47. Interest on U.S. obligations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

48.

) . . . . . . . . . . . . .

Refunds of state and local income taxes included on federal return (From Line 33 above

49. Income received during period of nonresidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

50. Social security and tier 1 railroad retirement income from Line 41 above . . . . . . . . . . . . . . . . .

51. Disability income exclusion (attach D.C. Form D 2440) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

52. Income reported and taxed on D.C franchise or fiduciary return . . . . . . . . . . . . . . . . . . . . . . . . .

53. Interest and dividend income of child reported on federal Form 8814 . . . . . . . . . . . . . . . . . . . .

54. Pension or annuity exclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

55. Other subtractions (Specify)

56. Total subtractions (Add Lines 47 through 55. Enter here and on Line 4, page 1) . . . . . . . . . .

PART III-ITEMIZED DEDUCTIONS FROM FEDERAL FORM 1040, SCHEDULE A AND D.C. ADJUSTMENTS

(You must attach a copy of your completed federal Schedule A to your D.C return)

57. Total federal itemized deductions on federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

58. Enter all state or local income taxes shown on fed. Sched A, or amt. from line 67, Part IV below.

59. Deductions attributable to period of nonresidence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

60. Add Lines 58 and 59 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

61. Total D.C. itemized deductions (Line 57 minus Line 60. Enter here and on Line 7, page 1) . . .

PART IV-PERCENTAGE OF STATE AND LOCAL INCOME TAX REDUCTION ADDBACK

Part IV is to be completed only if your itemized deductions must be reduced on your federal tax return

62. Enter amount of the reduction of your Federal itemized deductions from the federal itemized

deductions worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

63. Total itemized deductions from the worksheet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

64. Divide Line 62 by Line 63 and enter (percentage) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

65. Amount of state income tax deduction from federal Schedule A . . . . . . . . . . . . . . . . . . . . . . . . .

66.

. . . . . . . . . . . . .

Multiply Line 65 by the percentage shown on Line 64. This is your D.C state tax addback

67.

. . . . . . . . . . . . . .

Subtract Line 66 from Line 65 and enter the result here and on Line 58, Part III above

Taxpayer's Daytime Telephone

Under penalties of the law, including criminal penalties for false statements and tax preparer penalties under D.C. Code §22-2514 and

§47-161, et. seq., I declare that I have examined this return and to the best of my knowledge and belief, it is true, correct, and complete.

(_______) ___________-___________

If prepared by a person other than the taxpayer, this declaration is based on all information available to the preparer.

Make check or money order payable to

D.C.Treasurer. Enter your social security

number, D-40, and tax year on your pay-

ment. Mail return and payment to Office

Your Signature

Spouse's Signature (If Filing Joint or Combined Separate)

Date

of Tax and Revenue, Ben Franklin

Station, P.O. Box 7861, Washington, D.C.

20044-7861, on or before April 15, 2000.

Signature of Preparer if other than Taxpayer

Date

Address

Fed. I.D. No. or S.S. No.

— You may also pay by credit card —

RETURN MUST BE PROPERLY SIGNED, OTHERWISE, IT WILL BE SENT BACK TO TAXPAYER(S)

Form D-40 - Individual Income Tax Return - 1999 Page 2

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