Form D-30 - Unincorporated Business Franchise Tax Return - 2000 Page 2

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0030002000
TAXPAYER NAME :
FEDERAL EMPLOYER I.D. NUMBER/SSN :
00030002000
DOLLARS
CENTS
$
23.
NET INCOME (Line 10 minus Line 22).................................................................
,
,
,
$
24.
(a) NON-BUSINESS INCOME (Attach statement)...............................................
,
,
,
$
(b) MINUS: RELATED EXPENSE (Attach statement).........................................
,
,
,
(c) SUBTRACT 24(b) FROM 24(a)
$
,
,
,
(see instructions)....................................................................................
25.
NET INCOME FROM TRADE OR BUSINESS SUBJECT TO
$
,
,
,
APPORTIONMENT (Line 23 minus 24(c)).............................................
26.
D.C. APPORTIONMENT FACTOR (from Line 5, Schedule F. If none, enter “0”).....................................................
27.
NET INCOME FROM TRADE OR BUSINESS APPORTIONED TO THE
$
,
,
,
DISTRICT (Multiply Line 25 by Line 26)................................................
$
28.
ADD PORTION OF LINE 24(c) ATTRIBUTABLE TO D.C. (Attach statement)....
,
,
,
$
29.
TOTAL DISTRICT NET INCOME (OR LOSS)...................................................
,
,
,
30.
MINUS: SALARY FOR TAXPAYER(S) SERVICES (from Schedule J,
$
,
,
,
Column 4).......................................................................................
31.
EXEMPTION (if part year return, enter number of days in
$
,
,
,
___________
D.C. -
)................................................................
$
32.
TOTAL TAXABLE INCOME...............................................................................
,
,
,
$
33.
TAX (9.975% of Line 32). If tax due is less than $100, enter $100..................
,
,
,
34.
MINUS: (a) TAX PAID, IF ANY, WITH REQUEST FOR EXTENSION OF
$
,
,
,
TIME TO FILE................................................................................
$
(b) 2000 ESTIMATED TAX PAYMENTS.............................................
,
,
,
(c) ECONOMIC DEVELOPMENT ZONE INCENTIVES CREDIT
$
,
,
,
(from worksheet)........................................................................
$
35.
TOTAL OF LINES 34(a), 34(b), and 34(c).........................................................
,
,
,
$
36.
BALANCE DUE (Line 33 minus Line 35)...........................................................
,
,
,
37.
PENALTY $_________________ INTEREST $_________________
$
,
,
,
TOTAL PENALTY AND INTEREST.........................................................
38.
TOTAL UNPAID BALANCE, PLUS PENALTY AND INTEREST.
$
,
,
,
(Add Lines 36 and 37)............................................................................
$
39.
OVERPAYMENT (Line 35 minus Line 33)..........................................................
,
,
,
$
40.
(a) CREDIT TO 2001 ESTIMATED TAX.............................................................
,
,
,
$
(b) AMOUNT TO BE REFUNDED - Line 39 minus Line 40a.............................
,
,
,
Under penalties of law, including criminal penalties for false statements and tax preparer penalties under D.C. Code secs. 22-2514 and 47-161, et seq., I declare that I have examined this return
PLEASE
and, to the best of my knowledge and belief, it is true, correct and complete. If prepared by a person other than the taxpayer, this declaration is based on all information available to the preparer.
Telephone Number of Person to Contact
SIGN
HERE
-
-
TAXPAYER’S SIGNATURE
DATE
Preparer’s SSN or PTIN
DATE
PAID
PREPARER’S SIGNATURE (If other than taxpayer)
PREPARER
Preparer’s Federal Employer I.D. Number
ONLY
FIRM NAME
FIRM ADDRESS
Mail return and payment to: D.C. Government, Office of Tax and Revenue, Ben Franklin Station, P.O. Box 610, Washington, D.C. 20044-
0610, on or before the 15
th
day of the fourth month following the close of the taxable year. Make check or money order payable to the
D.C. Treasurer. Include your Federal Employer ID Number/SSN, “D-30” and tax year on your payment.
Page 2

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