*192300210000*
Government of the
District of Columbia
Business Credits
Revised 09/19
Important: Print in CAPITAL letters using black ink.
Attach to your Form D-20 or D-30.
l
l
l
Fill in if filing a D-20 Return
Fill in if filing a D-30 Return
Taxpayer Identification Number
Fill in if FEIN
Fill in if SSN
Enter your business name
D-20 Return
Nonrefundable Credits (Nonrefundable Credits may not be applied against the required minimum tax)
1 1 $ .00
Economic Development Zone Incentives Credits (see worksheet).
2 Qualified High Technology Company Credits
from Part E, Line 5a, DC Form D-20CR.
2 $ .00
3 Organ and Bone Marrow Donor Credit (see computation on reverse side). 3 $ .00
4 Job Growth Incentive Act 4 $ .00
5 Enter alternative fuel credits. See instructions
5a Alternative fuel infrastructure.
5b Alternative fuel vehicle conversion.
6 Total alternative fuel credits. Add Lines 5a and 5b only and enter here. 6
$ .00
7 Employer-assisted Home Purchase Tax Credit (see computation on reverse side). 7a 7 $ .00
# of employees
8
RESERVED 8 $ .00
9
Total the nonrefundable D-20 credits, enter here and on Form D-20, Line 42. If QHTC, enter 9 $ .00
here and on QHTC Schedule, Line 8.
Refundable Credits
10 Qualified High Technology Company Retraining Costs Credit
10 $ .00
from Part E, Line 7, DC Form D-20CR.
11 $ .00
11
12 Total the refundable D-20 credits, enter here and on Form D-20, Line 45
d .
12
$ .00
D-30 Return
Nonrefundable Credits (Nonrefundable Credits may not be applied against the required minimum tax)
13 Economic Development Zone Incentives Credit (see worksheet).
13 $
.00
14 $
.00
15 $ .00
14
(see computation on reverse side)
15
16
Organ and Bone Marrow Donor Credit
Job Growth Incentive Act
lternative See instructions
16a Alternative fuel infrastructure.
16b Alternative fuel vehicle conversion.
17 Total alternative fuel credits. Add Lines 16a and 16b only and enter here. 17 $ .00
18 Employer-assisted Home Purchase Tax Credit (see computation on reverse side). 18a 18 $ .00
# of employees
19
RESERVED
19
$ .00
20 Total the nonrefundable D-30 credits, enter here and on Form D-30, Line 42.
20
$ .00
Schedule UB Instructions - Qualified High Technology Companies
If you claim credits on Lines 2 or 10 above, attach a copy of your DC Form D-20CR to the D-20.
OFFICIAL USE ONLY
Vendor ID# 0000
$ .00
# of stations
$
.00
# of stations
$ .00
# of vehicles
$ .00
# of vehicles
Refundable Credits
1 $
.00
1
2 otal the refundable D- 0 credits, enter here and on Form D- 0, Line 45(d).
2 $
.00
2019
SCHEDULE UB
Taxpayer Name:
D-30 FORM, PAGE 6
Taxpayer Identification Number:
Revised 09/19
SUPPLEMENTAL INFORMATION
2. PRINCIPAL BUSINESS ACTIVITY
4. IF BUSINESS HAS TERMINATED, STATE REASON
6. TYPE OF OWNERSHIP (sole proprietor, partnership, etc.)
3. DATE BUSINESS BEGAN
5. TERMINATION DATE
7. Place where federal income tax return for period covered by this return was filed:
9. Have you filed annual Federal Information Returns, (forms Yes No If no, please state reason:
1096 and 1099) pertaining to compensation payments for 2019?
8. Name(s) under which federal return for period covered by this return was filed:
1. During 2019, has the Internal Revenue Service made or pro-
posed any adjustments to your federal income tax returns, or did
you file any amended returns with the Internal Revenue Service?
Yes No
If “Yes”, submit separately an amended Form D-30 and a de-
tailed statement, concerning adjustments, to the Office of Tax
and Revenue, See instructions for address.
10. Is this return reported on the accrual basis? Yes No If no, fill in the method used: Cash basis
Other (specify)
11. Did you withhold DC income tax from the wages Yes No If no, state reason:
of your DC employees during 2019?
12. Did you file a franchise tax return for the business Yes No If no, state reason:
with the District of Columbia for the year 2018?
If yes, enter name under which return was filed:
13. Does this return include income from more than one business Yes No
conducted by the taxpayer?
(If yes, list businesses and net income (loss) of each.)
14. Is income from any other business or business interest Yes No
owned by the proprietors of this business being reported
in a separate return?
(If yes, list names and addresses of the other businesses.)
15. (a) Is this business unitary with a partnership or another Yes No If yes, explain:
corporation?
(b) Is this business unitary with a combined group? Yes No If yes, explain:
16. Did you file an annual ballpark fee return? Yes No