Form D-408 - Nonresident Request For Refund - 2006 Page 2

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*060401120000*
D-40B PAGE 2
Enter your last name.
Your social security number
Other residence information
9
Place of birth city
State
Date of birth (MM/DD/YYYY)
10 State where you last voted
Date you voted
Are you registered to vote in DC?
Yes
No
11
Complete only if you were in military service during 2006.
State where inducted
Induction date
(MM/DD/YYYY)
Residence at time of induction
State
or Country or U.S. commonwealth
Employment history
12
Current employer
From (MM/DD/YYYY)
Current employer’s address (number and street)
City
State
Zip Code
Previous employer
From (MM/DD/YYYY)
To (MM/DD/YYYY)
Previous employer’s address (number and street)
City
State
Zip Code
Property information
13
List the type and location of all DC real property you own.
Type of property
Address (number, street and zip code)
Type of property
Address (number, street and zip code)
14
List income tax and/or intangible personal property tax you paid in 2006 to the jurisdiction of your permanent residence listed on Line 7.
Amount
.00
Income tax
Fill in tax type:
Intangible personal property tax
.00
Signature
Under penalties of law, I declare that I have examined this request and
any attached statements, and, to the best of my knowledge, it is correct.
Send your signed and completed original return to:
01/09/2007
Office of Tax and Revenue
__________________________________________________________
PO Box 7861
Sign above here
Date
Washington DC 20044-7861
Who must file a Form D-40B?
How will we respond to your request?
Any nonresident of DC claiming a refund of DC income tax withheld
• We will send you a refund check for the amount of your request if we
or paid by estimated tax payments. A nonresident is anyone whose
determine you were a nonresident during 2006; or
permanent home was outside DC during all of 2006 and who did not
• Based on the information you provide, we may determine that you
live in DC for a total of 183 days or more during 2006. A joint request
qualify as a DC resident. If so, we will send you a notice of your
for refund is not permitted.
residency status and require that you file either a Form D-40 or Form
D-40EZ tax return.
2006 Form D-40B P2
Nonresident Request for Refund page 2

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