Enter your last name.
D-40 PAGE 2
Enter your TIN
18$
9 $
.
00
20 $ .00
1 $
.00
22
$
.00
or Itemized
See instructions for amount to enter on Line 1
.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
22 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
23 Total non-refundable credits. Add Line and Line 2.
24 Subtract Line 23 from Line 20.
25 .
26 Total taxand DC �ealth Care Shared Responsibility.
27 DC Earned Income Tax Credit
27b Enter earned income amount
Enter result >
27e $
.00
27d $
.00
23
$
.00
26 $ .00
27b $
.00
28 $
.00
$1
Credit for child and dependent care expenses
.00 X .32
.00 X .40 Enter result >
24 $
.00
25 $
.00
.00
17 Deduction type. Take the same type as you took on your federal return. Fill in which type: Standard
18
DC deduction amount.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 9.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
13 Unemployment Insurance Benefits,
14 Other subtractions from DC Schedule I, Calculation B, Line 16.
15 Total subtractions from DC income,
Lines -14.
16 DC adjusted gross income, Line minus Line 15.
$ .00
$ .00
$ .00
$
.00
$
.00
$
.00
1 $
.00
1 $
.00
1 $ .00
1 $
1 $
.00
.00
20 ax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instr uctions.
27a Enter the number of qualified EITC children.
27c For filers with qualifying children. Enter federal EIC
$
$
27e For filers without qualifying children. See instructions for special calculations.
28
Property Tax Credit. From your DC Schedule H; attach a copy.
190400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
201 estimated income tax payments and amount applied from 201 return.
Tax paid with Form FR-127 Extension of Time to File.
If this is an amended 201 return, enter payments made with original 201 D-40 return.
3 If this is an amended 201 return, enter refunds requested with original 201 D-40 return.
3 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
3 Tax Due. Subtract Line 3 from Line .
Amount to be overpaid. Subtract Line 2 from Line 3.
Amount to be applied to your 20 estimated tax.
Underpayment Interest. Fill in the oval and attach Form D-2210.
Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line )
Total Amount Due. Add Lines 3, and .
Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
$
.00
$
.00
$
.00
$
.00
$
.00
3 $
.00
3 $
.00
3 $
.00
$
.00
$ .00
$
.00
$
.00
$
.00
$
.00
DC tax, credit and payments
.
9
DC taxable income.
Enter your last name.
D-40 PAGE 2
Enter your TIN
Fill in if loss
1 $
$
.
00
$
.00
$
.00
$
.00
2
$
.00
or Itemized
See instructions for amount to enter on Line 1
.
20 DC taxable income. Subtract Line 1 from Line 1
Tax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
2 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
2 Total non-refundable credits. Add Line and Line 2.
2 . .
2 .
2 Total tax.
DC Earned Income Tax Credit
a Enter the number of qualified EITC children. b Enter earned income amount
Enter result >
c For filers with qualifying children. Enter federal EIC
$
e For filers without qualifying children. See instructions for special calculations.
Property Tax Credit. From your DC Schedule H; attach a copy.
e $
.00
d $
.00
2
$
.00
2 $
.00
b $
.00
$
.00
2 .
2
.
Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
2
$
.00
2
$
.00
2 $
.00
2 $
.00
.00
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
.
$
.00
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 8.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .00
$ .00
$ .00
$
.00
$
.00
$
.00
1 $
.00
1 $
.00
1 $ .00
1 $
1 $
.00
.00
$
*
200400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
28 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
29 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
0 2020 estimated income tax payments and amount applied from 2019 return.
1 Tax paid with Form FR-127 Extension of Time to File.
2 If this is an amended 2020 return, enter payments made with original 2020 D-40 return.
33 If this is an amended 2020 return, enter refunds requested with original 2020 D-40 return.
34 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
35 Tax Due. Subtract Line 3from Line .
36 Amount overpaid. Subtract Line 2 from Line 3.
37 Amount to be applied to your 2021 estimated tax.
38 Underpayment Interest. Fill in the oval and attach Form D-2210.
39 Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line 36)
0 Total Amount Due. Add Lines 3, and .
1 Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
2 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
28 $ .00
29 $ .00
0 $ .00
1 $ .00
2 $ .00
33 $
.00
34 $
.00
35 $
.00
36 $
.00
37 $
.00
38 $
.00
39 $ .00
0 $
.00
1 $
.00
DC tax, credit and payments
l .
*
200400130000*
D-40 PAGE 3
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
28 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
29 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
30 2020 estimated income tax payments and amount applied from 2019 return.
31 Tax paid with Form FR-127 Extension of Time to File.
32 If this is an amended 2020 return, enter payments made with original 2020 D-40 return.
33 If this is an amended 2020 return, enter refunds requested with original 2020 D-40 return.
34 Total payments and refundable credits. Add Line 26d or 26e through Line 32. (Do not include Line 33).
35 Tax Due. Subtract Line 34 from Line 25.
36 Amount overpaid. Subtract Line 25 from Line 34.
37 Amount to be applied to your 2021 estimated tax.
38 Underpayment Interest. Fill in the oval and attach Form D-2210.
39 Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed amount on Line 36)
40 Total Amount Due. Add Lines 35, 38 and 39.
41 Net Refund. Subtract total of Lines 37, 38 and 39 from Line 36.
Will this refund go to an account outside the U.S.? Yes No See instructions.
42 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
28 $ .00
29 $ .00
30 $ .00
31 $ .00
32 $ .00
33 $
.00
34 $ .00
35 $
.00
36 $
.00
37 $
.00
38 $
.00
39 $ .00
40 $
.00
41 $
.00
DC tax, credit and payments
Fill in if you agree to receive your 1099-G Income Tax refund statement electronically (see instructions).
16 $
.00
Fill in if prior year (2019) earned income
Enter your last name.
D-40 PAGE 2
Enter your TIN
1 $
$
.
00
19 $ .00
0 $
.00
21
$
.00
or Itemized
See instructions for amount to enter on Line 1
.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
21 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
22 Total non-refundable credits. Add Line and Line 2.
23 Subtract Line 22 from Line 19.
24 .
25 Total tax.
26 DC Earned Income Tax Credit
26a Enter the number of qualified EITC children. 26b Enter earned income amount
Enter result >
26e $
.00
26d $
.00
22
$
.00
25 $
.00
26b $
.00
27 $
.00
0 Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
23 $
.00
24 $
.00
.00
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 9.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .00
$ .00
$ .00
$
.00
$
.00
$
.00
1 $ .00
1 $
.00
1 $ .00
1 $
1 $
.00
.00
19 ax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
26c For filers with qualifying children. Enter federal EIC
$
$
26e For filers without qualifying children. See instructions for special calculations.
27
Property Tax Credit. From your DC Schedule H; attach a copy.
190400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
201 estimated income tax payments and amount applied from 201 return.
Tax paid with Form FR-127 Extension of Time to File.
If this is an amended 201 return, enter payments made with original 201 D-40 return.
3 If this is an amended 201 return, enter refunds requested with original 201 D-40 return.
3 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
3 Tax Due. Subtract Line 3 from Line .
Amount to be overpaid. Subtract Line 2 from Line 3.
Amount to be applied to your 20 estimated tax.
Underpayment Interest. Fill in the oval and attach Form D-2210.
Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line )
Total Amount Due. Add Lines 3, and .
Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
$
.00
$
.00
$
.00
$
.00
$
.00
3 $
.00
3 $
.00
3 $
.00
$
.00
$ .00
$
.00
$
.00
$
.00
$
.00
DC tax, credit and payments
.
Enter your last name.
D-40 PAGE 2
Enter your TIN
Fill in if loss
1 $
$
.
or Itemized
See instructions for amount to enter on Line 1
20 DC taxable income. Subtract Line 1 from Line 1
Tax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
2 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
2 Total non-refundable credits. Add Line and Line 2.
2 . .
2 .
2 Total tax.
DC Earned Income Tax Credit
a Enter the number of qualified EITC children. b Enter earned income amount
Enter result >
c For filers with qualifying children. Enter federal EIC
$
e For filers without qualifying children. See instructions for special calculations.
Property Tax Credit. From your DC Schedule H; attach a copy.
e $
.
2 .
2
.
Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
2
$
.
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
.
$
.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 8.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .
$
*
200400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
28 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
29 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
0 2020 estimated income tax payments and amount applied from 2019 return.
1 Tax paid with Form FR-127 Extension of Time to File.
2 If this is an amended 2020 return, enter payments made with original 2020 D-40 return.
33 If this is an amended 2020 return, enter refunds requested with original 2020 D-40 return.
34 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
35 Tax Due. Subtract Line 3from Line .
36 Amount overpaid. Subtract Line 2 from Line 3.
37 Amount to be applied to your 2021 estimated tax.
38 Underpayment Interest. Fill in the oval and attach Form D-2210.
39 Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line 36)
0 Total Amount Due. Add Lines 3, and .
1 Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
2 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
28 $ .00
29 $ .00
0 $ .00
1 $ .00
2 $ .00
33 $
.00
34 $
.00
35 $
.00
36 $
.00
37 $
.00
38 $
.00
39 $ .00
0 $
.00
1 $
.00
DC tax, credit and payments
l .
*
210400130000*
D-40 PAGE 3
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
31 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
32 2021 estimated income tax payments and amount applied from 2020 return.
33 Tax paid with Form FR-127 Extension of Time to File.
34 If this is an amended 2021 return, enter payments made with original 2021 D-40 return.
35 If this is an amended 2021 return, enter refunds requested with original 2021 D-40 return.
36 Total payments and refundable credits. Add Line through Line 3. (Do not include Line 3).
37 Tax Due. Subtract Line 3 from Line 2.
38 Amount overpaid. Subtract Line 2 from Line 3.
39 Amount to be applied to your 2022 estimated tax.
40 Underpayment Interest. Fill in the oval and attach Form D-2210.
41 Contribution amount from Schedule U, Part ll, Line 5.
(Cannot exceed amount on Line 38)
42 Total Amount Due.
43 Net Refund. Subtract total of Lines 3, and from Line 3.
Will this refund go to an account outside the U.S.? Yes No See instructions.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
29
$ .00
31
$ .00
32
$ .00
33
$ .00
34
$
.00
35
$
.00
36
$ .00
37
$
.00
38
$
.00
39
$
.00
40 $ .00
41 $
.00
42 $
.00
43 $
.00
DC tax, credit and payments
Fill in if you agree to receive your 1099-G Income Tax refund statement electronically (see instructions).
.00
.
30
$
29 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
30 Total refundable credits.
44 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Enter your last name.
D-40 PAGE 2
Enter your TIN
1 $
$
.
or Itemized
See instructions for amount to enter on Line 1
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
21 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
22 Total non-refundable credits. Add Line and Line 2.
23 Subtract Line 22 from Line 19.
24 .
25 Total tax.
26 DC Earned Income Tax Credit
26a Enter the number of qualified EITC children. 26b Enter earned income amount
Enter result >
26e $
.
0 Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
23 $
.
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 9.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .
19 ax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
26c For filers with qualifying children. Enter federal EIC
$
$
26e For filers without qualifying children. See instructions for special calculations.
27
Property Tax Credit. From your DC Schedule H; attach a copy.
190400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
201 estimated income tax payments and amount applied from 201 return.
Tax paid with Form FR-127 Extension of Time to File.
If this is an amended 201 return, enter payments made with original 201 D-40 return.
3 If this is an amended 201 return, enter refunds requested with original 201 D-40 return.
3 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
3 Tax Due. Subtract Line 3 from Line .
Amount to be overpaid. Subtract Line 2 from Line 3.
Amount to be applied to your 20 estimated tax.
Underpayment Interest. Fill in the oval and attach Form D-2210.
Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line )
Total Amount Due. Add Lines 3, and .
Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
$
.00
$
.00
$
.00
$
.00
$
.00
3 $
.00
3 $
.00
3 $
.00
$
.00
$ .00
$
.00
$
.00
$
.00
$
.00
DC tax, credit and payments
.
Enter your last name.
D-40 PAGE 2
Enter your TIN
Fill in if loss
1 $
$
.
or Itemized
See instructions for amount to enter on Line 1
20 DC taxable income. Subtract Line 1 from Line 1
Tax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
2 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
2 Total non-refundable credits. Add Line and Line 2.
2 . .
2 .
2 Total tax.
DC Earned Income Tax Credit
a Enter the number of qualified EITC children. b Enter earned income amount
Enter result >
c For filers with qualifying children. Enter federal EIC
$
e For filers without qualifying children. See instructions for special calculations.
Property Tax Credit. From your DC Schedule H; attach a copy.
e $
.
2 .
2
.
Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
2
$
.
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
.
$
.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 8.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .
$
*
200400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
28 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
29 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
0 2020 estimated income tax payments and amount applied from 2019 return.
1 Tax paid with Form FR-127 Extension of Time to File.
2 If this is an amended 2020 return, enter payments made with original 2020 D-40 return.
33 If this is an amended 2020 return, enter refunds requested with original 2020 D-40 return.
34 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
35 Tax Due. Subtract Line 3from Line .
36 Amount overpaid. Subtract Line 2 from Line 3.
37 Amount to be applied to your 2021 estimated tax.
38 Underpayment Interest. Fill in the oval and attach Form D-2210.
39 Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line 36)
0 Total Amount Due. Add Lines 3, and .
1 Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
2 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
28 $ .00
29 $ .00
0 $ .00
1 $ .00
2 $ .00
33 $
.00
34 $
.00
35 $
.00
36 $
.00
37 $
.00
38 $
.00
39 $ .00
0 $
.00
1 $
.00
DC tax, credit and payments
l .
*
210400130000*
D-40 PAGE 3
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature
Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return
Date
Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
31 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
32 2021 estimated income tax payments and amount applied from 2020 return.
33 Tax paid with Form FR-127 Extension of Time to File.
34 If this is an amended 2021 return, enter payments made with original 2021 D-40 return.
35 If this is an amended 2021 return, enter refunds requested with original 2021 D-40 return.
36 Total payments and refundable credits. Add Line through Line 3. (Do not include Line 3).
37 Tax Due. Subtract Line 3 from Line 2.
38 Amount overpaid. Subtract Line 2 from Line 3.
39 Amount to be applied to your 2022 estimated tax.
40 Underpayment Interest. Fill in the oval and attach Form D-2210.
41 Contribution amount from Schedule U, Part ll, Line 5.
(Cannot exceed amount on Line 38)
42 Total Amount Due.
43 Net Refund. Subtract total of Lines 3, and from Line 3.
Will this refund go to an account outside the U.S.? Yes No See instructions.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
29
$ .00
31
$ .00
32
$ .00
33
$ .00
34
$
.00
35
$
.00
36
$ .00
37
$
.00
38
$
.00
39
$
.00
40 $ .00
41 $
.00
42 $
.00
43 $
.00
DC tax, credit and payments
Fill in if you agree to receive your 1099-G Income Tax refund statement electronically (see instructions).
.00
.
30
$
29 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
30 Total refundable credits.
44 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Enter your last name.
D-40 PAGE 2
Enter your TIN
1 $
$
.
or Itemized
See instructions for amount to enter on Line 1
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
21 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
22 Total non-refundable credits. Add Line and Line 2.
23 Subtract Line 22 from Line 19.
24 .
25 Total tax.
26 DC Earned Income Tax Credit
26a Enter the number of qualified EITC children. 26b Enter earned income amount
Enter result >
26e $
.
0 Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
23 $
.
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 9.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .
$
.
19 ax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
26c For filers with qualifying children. Enter federal EIC
$
$
26e For filers without qualifying children. See instructions for special calculations.
27
Property Tax Credit. From your DC Schedule H; attach a copy.
190400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
201 estimated income tax payments and amount applied from 201 return.
Tax paid with Form FR-127 Extension of Time to File.
If this is an amended 201 return, enter payments made with original 201 D-40 return.
3 If this is an amended 201 return, enter refunds requested with original 201 D-40 return.
3 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
3 Tax Due. Subtract Line 3 from Line .
Amount to be overpaid. Subtract Line 2 from Line 3.
Amount to be applied to your 20 estimated tax.
Underpayment Interest. Fill in the oval and attach Form D-2210.
Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line )
Total Amount Due. Add Lines 3, and .
Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
$
.00
$
.00
$
.00
$
.00
$
.00
3 $
.00
3 $
.00
3 $
.00
$
.00
$ .00
$
.00
$
.00
$
.00
$
.00
DC tax, credit and payments
.
Enter your last name.
D-40 PAGE 2
Enter your TIN
Fill in if loss
1 $
$
.
or Itemized
See instructions for amount to enter on Line 1
20 DC taxable income. Subtract Line 1 from Line 1
Tax. If Line is $100,000 or less, use tax tables to find the tax, if more, use Calculation I in instructions.
Fill in if filing separately on same return. Complete Calculation J on Schedule S.
From federal Form 2441; if part-year DC resident, from Line 5, DC Form 2441
2 Non-refundable credits from DC Schedule U, Part 1a, Line 7. Attach Schedule U.
2 Total non-refundable credits. Add Line and Line 2.
2 . .
2 .
2 Total tax.
DC Earned Income Tax Credit
a Enter the number of qualified EITC children. b Enter earned income amount
Enter result >
c For filers with qualifying children. Enter federal EIC
$
e For filers without qualifying children. See instructions for special calculations.
Property Tax Credit. From your DC Schedule H; attach a copy.
e $
.
2 .
2
.
Credit for child and dependent care expenses $
.00 X .32
.00 X .40 Enter result >
2
$
.
1
Deduction type.
Take the same type as you took on your federal return. Fill in which type:
Standard
1 DC deduction amount.
.
$
.
Fill in if loss
Additions to DC Income
Franchise tax deducted on federal forms,
see instructions
.
Other additions from DC Schedule I, Calculation A, Line 8.
Add Lines , and .
Subtractions from DC Income
Part year residents, enter income received during period of nonresidence,
see instructions
.
Taxable refunds, credits or offsets of state and local income tax.
Taxable amount of social security and tier 1 railroad retirement
1 Income reported and taxed this year on a DC franchise or fiduciary return.
1 DC and federal government survivor benefits,
see instructions
.
1 Other subtractions from DC Schedule I, Calculation B, Line 16.
1 Total subtractions from DC income,
Lines -1.
1 DC adjusted gross income, Line minus Line 1.
$ .
$
.
$
*
200400130000*
D-40 PAGE
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return Date Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
28 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
29 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
0 2020 estimated income tax payments and amount applied from 2019 return.
1 Tax paid with Form FR-127 Extension of Time to File.
2 If this is an amended 2020 return, enter payments made with original 2020 D-40 return.
33 If this is an amended 2020 return, enter refunds requested with original 2020 D-40 return.
34 Total payments and refundable credits. Add Line d or e through Line . (Do not include Line 3).
35 Tax Due. Subtract Line 3from Line .
36 Amount overpaid. Subtract Line 2 from Line 3.
37 Amount to be applied to your 2021 estimated tax.
38 Underpayment Interest. Fill in the oval and attach Form D-2210.
39 Contribution amount from Schedule U, Part ll, Line 5. (Cannot exceed refund amount on Line 36)
0 Total Amount Due. Add Lines 3, and .
1 Net Refund. Subtract total of Lines , and from Line .
Will this refund go to an account outside the U.S.? Yes No See instructions.
2 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
28 $ .00
29 $ .00
0 $ .00
1 $ .00
2 $ .00
33 $
.00
34 $
.00
35 $
.00
36 $
.00
37 $
.00
38 $
.00
39 $ .00
0 $
.00
1 $
.00
DC tax, credit and payments
l .
*
210400130000*
D-40 PAGE 3
Enter your last name.
Enter your TIN
Preparer’s signature
Date
Your signature
Date
Spouse’s/registered domestic partner’s signature if filing jointly or separately on same return
Date
Preparer's Tax Identification Number (PTIN) PTIN telephone number
.
31 DC income tax withheld shown on Forms W-2 and 1099. Attach these forms.
32 2021 estimated income tax payments and amount applied from 2020 return.
33 Tax paid with Form FR-127 Extension of Time to File.
34 If this is an amended 2021 return, enter payments made with original 2021 D-40 return.
35 If this is an amended 2021 return, enter refunds requested with original 2021 D-40 return.
36 Total payments and refundable credits.
Add Line through Line 3. (Do not include Line 3).
37 Tax Due. Subtract Line 3 from Line 2.
38 Amount overpaid. Subtract Line 2 from Line 3.
39 Amount to be applied to your 2022 estimated tax.
40 Underpayment Interest. Fill in the oval and attach Form D-2210.
41 Contribution amount from Schedule U, Part ll, Line 5.
(Cannot exceed amount on Line 38)
42 Total Amount Due.
43 Net Refund. Subtract total of Lines 3, and from Line 3.
Will this refund go to an account outside the U.S.? Yes No See instructions.
Refund Options:
For information on the tax refund card and program limitations, see instructions or visit our website MyTax.DC.gov.
Reliacard (See instructions) or Paper check
Mark one refund choice: Direct deposit or
Direct Deposit.
To have your refund deposited to your
checking or savings account, fill in oval and enter bank routing and account numbers. See instructions.
Routing Number Account Number
Third party designee To authorize another person to discuss this return with OTR, fill in here and enter the name and phone number of that person. See instructions.
Designee’s name Phone number
Signature Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on information available to the preparer.
29
$ .00
31
$ .00
32
$ .00
33
$ .00
34
$
.00
35
$
.00
36
$ .00
37
$
.00
38
$
.00
39
$
.00
40 $ .00
41 $
.00
42 $
.00
43 $
.00
DC tax, credit and payments
Fill in if you agree to receive your 1099-G Income Tax refund statement electronically (see instructions).
.00
.
30
$
29 Refundable credits from DC Schedule U, Part 1b, Line 3. Attach Schedule U.
30 Total refundable credits.
44 Fill in
if either spouse is claiming injured spouse protection. You must attach Form DC-8379.
*210400120002*
