Form D-30 - Unincorporated Business Franchise Tax Return - 2013 Page 2

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D-30 FORM, PAGE 2

*130300120002*

Taxpayer Name:

FEIN or SSN:

ENTER DOLLAR AMOUNTS ONLY

24 Net operating loss deduction

for years before 2000.

25 Net income after NOL deduction.

Line 23 minus Line 24.

Fill in if minus:

26 (a) Non-business income/state adjustment.

Fill in if minus:

Attach statement.

(b) Minus: Related expenses.

Attach an allocation statement.

Fill in if minus:

27 Net income from trade or business subject to

Fill in if minus:

apportionment

. Line 25 minus Line 26(c).

28 DC apportionment factor

from D-30, Schedule F, Col 3, Line 6.

29 Net income from trade or business apportioned to DC.

Fill in if minus:

Multiply Line 27 by the factor on Line 28.

30 Portion of Line 26(c) attributable to DC.

Fill in if minus:

Attach statement.

31 Total District net income (loss).

Fill in if minus:

Combine Lines 29 and 30.

32 Salary for owner(s) / member(s) services

from D-30, Schedule J, Column 4.

33 Exemption.

33a

Maximum is $5000.

Enter days in DC.

If fewer than 365 days in DC, see page instructions for amount to claim.

34 Total taxable income before apportioned NOL deduction

Fill in if minus:

Line 31 minus total of Lines 32 and 33.

35 Apportioned NOL deduction.

Losses occurring for year 2000 and later.

36 Total District taxable income.

Line 34 minus Line 35.

Fill in if minus:

37 Total DC Gross Receipts

(Line ‘4’ from MTLGR worksheet.)

38 Tax 9.975% of Line 36. The minimum tax is $250

if DC gross receipts are $1M or less. The minimum tax

is $1,000 if DC gross receipts are greater than $1M.

39 Minus nonrefundable credits from

Schedule UB, Line 14

40 Net tax,

See instructions for minimum requirements

41 Payments and refundable credits:

(a) Tax paid, if any, with request for an extension of time to file or

41a

paid with original return if this is an amended return.

Fill in this oval if

(b) 2013 estimated franchise tax payments.

Form D-2220 is attached

from Schedule UB, Line 17.

42 Add lines 41(a), (b) and (c).

43 Tax due.

If Line 40 amount is larger, subtract Line 42 from Line 40.

Will this payment come from an account outside the U.S.? Yes

See instructions

44 Overpayment.

If Line 42 amount is larger, subtract Line 40 from Line 42.

45 Amount you want to apply to your 2014 estimated franchise tax.

46 Amount to be refunded.

Line 44 minus Line 45.

Will this refund go to an account outside of the U.S.? Yes

See instructions.

47 Enter FAS 109 Deduction from Worksheet

Under penalties of law, I declare that I have examined this return and, to the best of my knowledge, it is correct. Declaration of paid preparer is based on the information available to the preparer.

PLEASE

SIGN

HERE

Telephone number of person to contact

Officer’s signature

Title

Date

PAID

PREPARER

Preparer’s signature (if other than taxpayer)

Date

Firm name