Fillable l *160300110002* Franchise Tax Return 2016 D-30 Unincorporated (Government of the District of Columbia)

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l *160300110002* Franchise Tax Return 2016 D-30 Unincorporated (Government of the District of Columbia)

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Government of the
District of Columbia
2016 D-30 Unincorporated Business
Franchise Tax Return
2016 D-30 P1
Unincorporated Business Franchise Tax Return page 1
Revised 12/16
Business Mailing Address line #1
Business Mailing Address line #2
City State Zip Code + 4
Taxpayer Identification Number Number of business locations
In DC: Outside DC:
Fill in if FEIN
Fill in if SSN
Business name
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*160300110002*
1 Gross receipts, minus returns and allowances
2 Cost of goods sold (from D-30, Schedule A) and/or operations
3 Gross profit Line 1 minus Line 2 Fill in if minus:
4 Dividends. Minus Subpart F income (attach statement)
5 Interest (attach statement showing calculations)
6 Gross rental income (attach statement) Fill in if minus:
7 Gross royalties (attach statement)
8
(a)
Net capital gain (loss) (attach a copy of your federal Schedule D) Fill in if minus:
(b)
Ordinary gain (loss) from Part II, fed. Form 4797, (attach copy) Fill in if minus:
9 Other income (loss)
(attach a detailed statement) Fill in if minus:
10 Total gross income. Add Lines 3–9. Fill in if minus:
11 Salaries and wages (Do not include owner(s)/member(s))
12 Repairs
13 Bad debts (attach a copy of any statement filed with your federal return)
14(a) Royalty payments made $ .00
(b)
Minus nondeductible payments to related entities $ .00=
15 Rent
16 Taxes
from D-30, Schedule C
17(a) Interest payments $ .00
(b)
Minus nondeductible payments to related entities $ .00=
18 Contributions and/or gifts from D-30, Schedule B
19 Amortization
(attach a copy of your federal Form 4562, Part VI)
20 Depreciation (attach a copy of your federal Form 4562. Do not include the
additional federal bonus depreciation.)
21 Other allowable deductions from D-30, Schedule G.
22 Total deductions. Add Lines 11–21.
DEDUCTIONS
GROSS INCOME
1 $ .00
2 $ .00
3 $ .00
5 $ .00
6 $ .00
7 $ .00
8a $ .00
8b $ .00
10 $ .00
9 $ .00
4 $ .00
15 $ .00
16 $ .00
17c $ .00
18 $ .00
19 $ .00
20 $ .00
22 $ .00
21 $ .00
11 $ .00
12 $ .00
13 $ .00
14c $ .00
Designated Agent Name
Designated Agent FEIN
ENTER DOLLAR AMOUNTS ONLY
*You must fill in the Designated Agent info below
**WorldWide form must be filed with this return
Fill in if Worldwide**
Fill in
Fill in
Fill in
if Amended Return
if Final Return
if Combined Report*
OFFICIAL USE ONLY Vendor ID# 0002
Tax period ending (MMYY)
IF LINE 10 IS $12,000 OR LESS, STOP HERE, DO NOT FILE THIS RETURN.
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
Print
Clear
*160300120002*
2016 D-30 P2
Unincorporated Business Franchise Tax Return page 2
Revised
12/16
Taxpayer Name:
D-30 FORM, PAGE 2
FEIN or SSN:
23 Net income Line 10 minus Line 22. Fill in if minus:
24 Net operating loss deduction for years before 2000
25 Net income after NOL deduction Line 23 minus Line 24 Fill in if minus:
26 (a) Non-business income/state adjustment (attach statement) Fill in if minus:
(b) Minus: Related expenses (attach an allocation statement)
(c) Subtract Line 26(b) from Line 26(a) Fill in if minus:
27 Net income from trade or business subject to Fill in if minus:
apportionment
Line 25 minus Line 26(c)
28 DC apportionment factor from D-30, Schedule F, Col 3, Line 2
29 Net income from trade or business apportioned to DC Fill in if minus:
Multiply Line 27 by the factor on Line 28
30 Other income/deductions attributable to DC Fill in if minus:
(attach statement)
31 Total DC net income (loss) Fill in if minus:
Combine Lines 29 and 30
32 Salary for owner(s) / member(s) services
from D-30, Schedule J, Column 4.
33 Exemption Maximum is $5000. Enter days in DC. 33a
If fewer than 365 days in DC, see page instructions for amount to claim.
34 Total taxable income before apportioned NOL deduction
Fill in if minus:
Line 31 minus total of Lines 32 and 33
35 Apportioned NOL deduction Losses occurring for year 2000 and later.
36 Total DC taxable income. Line 34 minus Line 35 Fill in if minus:
37 Tax 9.2% of Line 36
38 Minus nonrefundable credits from
Schedule UB, Line 20
39 Total DC gross receipts from Line ‘4’ from MTLGR worksheet
40 Net tax.
Line 37 minus Line 38. The minimum tax is $250 if DC gross receipts
are $1M or less or $1,000 if DC gross receipts are greater than $1M
.
41 Payments:
(a) Tax paid, if any, with request for an extension of time to file or
paid with original return if this is an amended return
(b) 2016 estimated franchise tax payments
42 Add lines 41(a), 41(b)
43
RESERVED
44 Estimated tax interest (Fill in oval if D-2220 attached)
45 Total Amount Due.
If Line 42 is smaller than the total of Lines 40 and 44, enter amount due.
Will this payment come from an account outside the U.S.? Yes No See instructions
46 Overpayment. If Line 42 is larger than the total of Lines 40 and 44, enter amount overpaid.
47 Amount you want to apply to your 2017 estimated franchise tax.
48 Amount to be refunded.
Line 46 minus Line 47.
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ENTER DOLLAR AMOUNTS ONLY
TAXABLE INCOME
TAX, PAYMENTS AND CREDITS
24 $ .00
25 $ .00
26b$ .00
26c $ .00
27 $ .00
28
29 $ .00
31 $ .00
32 $ .00
33 $ .00
34 $ .00
35 $ .00
$ .00
26a $ .00
30 $ .00
36 $ .00
.
38 $ .00
37 $ .00
40 $ .00
41a$ .00
42 $ .00
43 $ .00
44 $ .00
41b$ .00
45 $ .00
46 $ .00
47 $ .00
48 $ .00
PLEASE
SIGN
HERE
PAID
PREPARER
ONLY
Telephone number of person to contact
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 the information available to the preparer.
Officer’s signature Title Date
Preparer’s signature (if other than taxpayer) Date Firm name Firm address
Preparer’s PTIN
If you want to allow the preparer to discuss this return
with the Office of Tax and Revenue fill in the oval.
23 $ .00
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
D-30 FORM, PAGE 3
Schedule A - COST OF GOODS SOLD (See specific instructions for Line 2.)
1. Inventory at beginning of year (if different from last year’s closing inventory, attach an explanation).
2. Purchases . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_________________________________
Minus cost of items withdrawn for personal use . . . . . . . . . . . $_________________________________ Enter result here
3. Cost of Labor.
4 . Material and supplies.
5 . Other costs (attach statement) –
(Additional 30% and 50% federal bonus depreciation and additional IRC §179 expenses are not allowed.)
6. Total of lines 1 through 5.
7. Inventory at end of year.
8. Cost of goods sold (Line 6 minus Line 7). Enter here and on D-30, Line 2.
Method of inventory valuation used
__________________________________________________________________
Schedule B - CONTRIBUTIONS AND/OR GIFTS (See specific instructions for Line 18.)
Schedule C - TAXES (See specific instructions for Line 16.)
$
$
$
TOTAL (Limited to 15% of net income – also enter on D-30, Line 18.)
$
$
$
TOTAL
Type of Tax
Type of Tax
Amount
Amount
$
$
$
Round cents to the nearest dollar. If an amount is zero, make no entry.
$
Schedule E - INTEREST EXPENSE (See specific instructions for Line 17.)
$
$
$
Amount
Amount
Name and Address of Payee
Name and Address of Payee
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
*
*Schedule D has been deleted.
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2016 FORM D-30 SCHEDULE F
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D-30 FORM, PAGE 4
Schedule F - DC apportionment factor (See instructions)
Column 1 TOTAL Column 2 in DC DC Apportionment
Factor
(Column 2 divided by Column 1)
.
Round cents to the nearest dollar. If an amount is zero, leave the line blank.
$ .00
$ .00
Carry all factors to six decimal places
*160300140002*
Schedule G - Other allowable deductions
Nature of Deduction
Amount
$
TOTAL (Also enter on D-30, Line 21.) . . . . . . . . . . . . . . . . . . . . . .
$
Nature of Income
Amount
$
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Schedule H - Income not reported (claimed as nontaxable)
(See instructions.)
Schedule 1 - Combined Report Tax Due
Tax Due
Combined Group Report
Tax Due
Member 2
Tax Due
Intercompany Eliminations
Tax Due
Member 3
Tax Due
Total Before Eliminations
Tax Due
Member 4
Tax Due
Designated Agent
Tax Due
Member 5
Tax Due
Member 1
1. SALES FACTOR: All gross receipts of the unincorporated business
other than gross receipts from items of non-business income.
2.
DC APPORTIONMENT FACTOR: Column 2 divided by
Column 1. Enter on D-30, Line 28
D-30 FORM, PAGE 5
Schedule J - DISTRIBUTION AND RECONCILIATION OF NET INCOME (OR LOSS)
Col. 1
Name and Address of Owner(s)/
Member(s)
Social Security
Number
Col. 2
Percentage
of Time
Devoted
to this
Business
Col. 8
Total Income (or
Loss) Not Taxable to
the Unincorporated
Business
(Add Cols. 4 thru 7)
Col. 3
Percent-
age of
Ownership
Col. 4
Salary Claimed
Col. 5
Exemption
Claimed
Col. 6
Net Loss
DC Sources
Col. 7
Net Income
(or Loss)
from
Outside DC
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter total taxable income as shown on Line 34 of D-30. $
Net income of Unincorporated Business from both within and
outside DC (from Line 25 of D-30) . . . . . . . . . . . . . . . . . . . . . . . . .
Col. 4 - See Instructions.
Col. 5 - See Instructions.
Col. 6 - Any loss amount from Line 31 of D-30.
Col. 7 - Enter the difference between Line 25 and Line 31 of D-30.
$ $
$ $
$
$
$
$
$
$
$
% %
Schedule I - BALANCE SHEETS (See Instructions.) Beginning of Taxable Year End of Taxable Year
LIABILITIES AND CAPITAL
(A) Amount
(A) Amount
(B) Total (B) Total
1. Cash . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Trade notes and accounts receivable. . . . . . . . . . . . . .
(a) MINUS: Allowance for bad debts. . . . . . . . . . . . . .
3. Inventories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4. Gov’t obligations: (a) U.S. and its instrumentalities. . . .
(b) States, subdivisions thereof, etc. .
5. Other current assets (attach statement). . . . . . . . . . . .
6. Mortgage and real estate loans. . . . . . . . . . . . . . . . . . . .
7. Other investments (attach statement). . . . . . . . . . . . . .
8. Buildings and other fixed depreciable assets . . . . . . . .
(a) MINUS: Accumulated depreciation. . . . . . . . . . . . .
9. Depletable assets. . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) MINUS: Accumulated depletion. . . . . . . . . . . . . . . .
10. Land (net of any amortization). . . . . . . . . . . . . . . . . .
11. Intangible assets (amortizable only) . . . . . . . . . . . . . .
(a) MINUS: Accumulated amortization . . . . . . . . . . . .
12. Other assets (attach statement) . . . . . . . . . . . . . . . . .
13. TOTAL ASSETS . . . . . . . . . . . . . . . . . . . . . . . . .
14. Accounts payable . . . . . . . . . . . . . . . . . . . . . . . . . . .
15. Mortgages, notes, bonds payable in less than 1 year.
16. Other current liabilities (attach statement). . . . . . . . . .
17. Mortgages, notes, bonds payable in 1 year or more.
18. Other liabilities (attach statement) . . . . . . . . . . . . . . .
19. Capital stock.............................................................
20. TOTAL LIABILITIES AND CAPITAL . . . . . . . . . .
ASSETS
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 2016?
8. Name(s) under which federal return for period covered by this return was filed:
1. During 2016, 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 2016?
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 2015?
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
D-30 FORM, PAGE 6
Government of the
District of Columbia
FEIN of Designated Agent
Taxable Year YYYY Worldwide
Name of Designated Agent Telephone number
Business address line #1
Business address line #2
City State Zip code +4
• In accordance with the provisions of DC Official Code § 47-1810.07 and the combined reporting regulations, election is
hereby made to report on a worldwide unitary combined basis.
Worldwide Combined Reporting
Election Form
• A worldwide unitary combined reporting election is binding for and applicable to the tax year it is made and all years
thereafter for a period of ten years.
• It may be withdrawn or reinstituted after withdrawal, prior to the expiration of the ten-year period, only upon written
request for reasonable cause based on extraordinary hardship due to unforeseen changes in DC tax statutes, law or
policy and only with the written permission from the Office of Tax and Revenue.
• Upon the expiration of the ten-year period, a taxpayer may withdraw from the worldwide unitary combined reporting
election.
• Withdrawal must be made in writing within one year of the expiration of the election and is binding for a period of ten
years, subject to the same conditions as applied to the original election.
Date Beginning Tax Period: MMDDYYYY Date Ending Tax Period: MMDDYYYY
Authorized Signature
Printed Name Date
Under penalties of law, I declare that the designated agent has authorized me to sign on behalf of all members of the combined group, and that I have examined
this form and the information contained herein is, to the best of my knowledge and belief, correct and complete.
*162300110002*
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2016 Worldwide Combined Reporting Election Form
*162300210002*
Government of the
District of Columbia
2016 SCHEDULE UB
Business Credits
2016 SCHEDULE UB
Business Credits
Revised 07/16
Important: Print in CAPITAL letters using black ink.
Attach to your Form D-20 or D-30.
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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 Economic Development Zone Incentives Credits (see worksheet). 1 $ .00
1a Amount of Line 1 that is Food Commodity Donation Credit (see worksheet).
2 Qualified High Technology Company Credits from Part E, Line 5, DC Form D-20CR, from pub. 399. 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 38. If QHTC, enter 9 $ .00
here and on QHTC Schedule, Line 5.
Refundable Credits
10 Qualified High Technology Company Retraining Costs Credit
10 $ .00
from Part E, Line 7, DC Form D-20CR, from pub. 399.
11 RESERVED 11 $ .00
12 Total the refundable D-20 credits, enter here and on Form D-20, Line 41c. 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
13a Amount of Line 13 that is Food Commodity Donation Credit (see worksheet).
14 Organ and Bone Marrow Donor Credit (see computation on reverse side). 14 $ .00
15 Job Growth Incentive Act 15 $ .00
16 Enter alternative fuel credits. 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 38.
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# 0002
$ .00
# of stations
$ .00
# of stations
$ .00
# of vehicles
$ .00
# of vehicles
$ .00
$ .00
Organ and Bone Marrow Donor Credit
An employer who provides an employee with paid leave to donate an organ (up to
30 days leave) or to donate bone marrow (up to 7 days leave) is eligible to claim a
credit against the franchise tax. The credit is equal to 25% of the salary paid to the
employee during the leave period. If you take the credit, you may not also deduct
the salary paid to the donor employee for that period. This credit is not available if
the employee is eligible for leave under the Family and Medical Leave Act of 1993.
Organ and Bone Marrow Donor Credit
— Computation —
Column 1 Column 2 Column 3 Column 4
Credit Category Total Paid Leave Leave Credit Calculation Total Credit
Organ Donor(s) Total Paid Leave Col 2 ______________
Wages amt.
$_______________
x
25% ____________
$__________________ $________________
Bone Marrow Total Paid Leave Col 2 ______________
Donor(s) Wages amt.
$_______________
x
25% ____________
$__________________ $________________
Total of Col. 4.
Enter here and
on Schedule UB.*
$________________
*Line 3 of Schedule UB for D-20 filers
Line 14 of Schedule UB for D-30 filers
1. Number of Eligible Employees
2. Amount of Homeownership Assistance provided
during this period to Eligible Employees ...........................x 50% $
3. Tax Credit .............................................................................. $
(Cannot exceed Line 2 amount and limited to $2,500 per Eligible
Employee)
Enter amount from Line 3 on
Line 7 of Schedule UB for D-20 filers, or
Line 18 of Schedule UB for D-30 filers.
Employer-Assisted Home Purchase Tax Credit
An employer who provides homeownership assistance to eligible employees
through a certified home purchase program may be eligible to claim a credit
against the franchise tax if certain conditions are met. See instructions and
DC Code Section 47-1807.07 for further details.
Employer-Assisted Home Purchase Tax Credit
— Computation —
$0
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l *160300110002* Franchise Tax Return 2016 D-30 Unincorporated (Government of the District of Columbia)

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Completed 24 February 2021

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