2011 Instructions To Complete The Dc Combined Report Page 23
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37Schedule 1
District of Columbia Combined Report
Tax Year
_________
Fiscalized
_________
Name of Designated Agent
Ending
Y/N
_________ _________ ________ ________ _________ ________
Taxpayer Identification Number (FEIN/SSN)
*
Combined
Intercompany
Total Before
Designated
Description
Member 1 Member 2
Member 3 Member 4 Member 5
Agent
Group Report
Eliminations
Eliminations
1
$
($)
$
$
$
$
$
$0
$0
Gross Receipts,
minus returns and allowances
2
0
0
Cost of Goods Sold,
Attach Schedule 7
3
0
0
Gross Profit from sales and/or operations,
Line 1 minus Line 2
4
Dividends,
0
0
0
0
Attach Schedule 8
5
0
0
0
0
Interest,
Attach Statement
6
0
0
0
0
0
Gross Rental Income,
Attach Schedule 9
7
0
0
0
0
0
0
Gross Royalties,
Attach Statement
8
0
0
0
0
0
0
(a) Net Capital Gain,
Attach Schedule 4
0
0
0
0
0
(b) Ordinary Gains (Loss),
Attach copy of federal Form 4797
9
( )
0
0
0
Other income
, include Line 47 and Attach Statement
0
0
10
( )
Total Gross Income,
Add Line 3 - 9
11
Compensation of officers,
use Schedule C format from Form D-20
0
0
0
12
0
0
0
Salaries and wages
13
Repairs
0
0
0
0
0
0
14
0
0
0
0
0
0
0
0
Bad debts
15
( )
0
0
0
0
Rents
16
0
0
Taxes,
use Schedule D format from Form D-20
17
( )
0
0
Interest payments,
net of nondeductible payments to related entities
18
0
0
0
0
0
0
0
0
0
Contributions and/or Gifts,
Attach Statement
19
0
0
0
0
0
0
0
0
0
Amortization,
Attach copy of your federal Form 4562
Depreciation,
Attach copy of federal Form 4562, excluding federal
20
0
0
0
bonus depreciation and IRC Sec. 179 expense deductions
21
Depletion,
0
0
0
0
0
0
0
0
0
Attach Statement
22
0
0
0
0
0
0
0
0
0
Royalty payments,
net of non-deductible payments to related entities
23
Pension, profit-sharing plans
0
0
0
24
( )
0
0
Other deductions,
including Advertising and Line 49, Attach Statement
25
Total Deductions,
( )
0
0
Add Lines 11 through 24
26
Net Income,
( )
( )
0
0
Line 10 minus Line 25
27
Net operating loss deduction
0
0
0
0
0
0
0
0
0
(For years before 2000)
28
Net income after net operating loss deduction,
( )
( )
0
0
Line 26 minus Line 27
0
0
0
0
0
0
0
0
0
29
(a) Non-business income,
Attach Statement
(b) Expense Related to Non-business Income,
0
0
0
0
0
0
0
0
0
Attach Statement
0
0
0
0
0
0
0
0
0
(c) 29(a) minus 29(b)
30
Net income subject to apportionment,
( )
( )
0
0
Line 28 minus Line 29( c )
Combined Reporting Schedules
Page 1
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