Schedule H - Homeowner And Renter Property Tax Credit - 2014 Page 3

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2014 SCHEDULE H TAX FILING UNIT AGI
SCHEDULE H WORKSHEET
PAGE 3
Last name and SSN
Federal Adjusted Gross Income (AGI) of the tax filing unit –
Report the AGI of every member of your tax filing unit, including income not
subject to DC tax. This income does not include gifts from nongovernmental sources, food stamps or food and other relief in-kind supplied by a
governmental agency.
Social Security Number (SSN)
Date of Birth
FEDERAL AGI
a. You
b. Spouse/Registered Domestic Partner
c. Dependent 1
d. Dependent 2
e. Dependent 3
f. Dependent 4
g. Dependent 5
h. Dependent 6
i. Dependent 7
j.Dependent 8
k.Dependent 9
l. Dependent 10
m. Total federal Adjusted Gross Income of the tax filing unit.
Add Lines a through l, enter here and on Section A, Line
1 or Section B, Line 7.
DRAFT
Revised 06/2014

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