Form D-40 - Individual Income Tax Return - 2011 Page 8
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11l
Government of the
2011
SCHEDULE U Additional
*110400170002*
District of Columbia
Miscellaneous Credits and
Contributions
Important: Print in CAPITAL letters using black ink. Attach to D-40.
NOTE: Contribution(s) will either decrease a refund or increase the tax owed by the
OFFICIAL USE ONLY
Vendor ID#0002
amount of the contribution(s).
Enter your last name
Social Security Number
Part I Credits
a. Nonrefundable Credits
.
$
00
1 DC Government Employee first-time DC homebuyer credit, see page 17.
1
Dependents cannot claim this credit.
2 Enter state income tax credit.
List additional states on a separate sheet, attach it to this Schedule.
(Enter total of all state tax credits on Line 3 below.)
.
.
$
$
00
$
$
00
State (a)
(b)
.
.
$
00
$
00
State (c)
(d)
3 Total of Line 2 state tax credits and any additional tax credits from the attachments.
.
$
00
Enter amount.
3
.
$
00
RESERVED
4
4
.
$
00
RESERVED
5
5
.
$
00
6 Total your nonrefundable credits, enter here and on Form D-40, Line 24.
6
b. Refundable Credits
.
$
00
1 DC Non-custodial parent EITC (see Schedule N).
1
.
$
00
RESERVED
2
2
.
$
00
RESERVED
3
3
.
$
00
4 Total your refundable credits, enter here and on Form D-40, Line 30.
4
Part II Contributions (The minimum contribution is $1.00.)
.
$
00
1 DC Statehood Delegation Fund.
1
.
$
00
2 Public Fund for Drug Prevention and Children at Risk.
2
.
$
00
3
3 Anacostia River Cleanup and Protection Fund.
.
$
00
RESERVED
4
4
.
$
00
RESERVED
5
5
.
$
00
6 If due a refund, total your contribution(s), enter here and on Form D-40, Line 39.
6
.
$
00
7 If you owe tax, total your contribution(s), enter here and on Form D-40, Line 42.
7
If you are not due a refund and do not owe additional tax, total your contribution(s) and enter on Form D-40, Line 42.
If you owe tax, make the payment plus any contribution(s), payable to the DC Treasurer and mail it with your return. Attach this
schedule to your D-40 Return.
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2011 SCHEDULE U
Additional Miscellaneous Credits and Contributions
Revised 10/11
File order 7
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