Schedule H - Homeowner And Renter Property Tax Credit - 2012
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2012
SCHEDULE H Homeowner
*129980110002*
Government of the
District of Columbia
and Renter Property Tax Credit
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
Vendor ID#0002
OFFICIAL USE ONLY
Personal information
Your social security number (SSN)
Fill in if you are:
62 or older
Blind or disabled
Your daytime telephone number
Your first name
M.I.
Last name
Fill in if spouse/registered domestic partner is:
62 or older
Blind or disabled
Spouse’s/registered domestic partner’s SSN
Spouse’s/registered domestic partner’s first name
M.I.
Last name
Mailing address (number, street and apartment)
City
State
Zip Code +4
DC
Address of
property (number, street and apartment) for which you are claiming the credit if different from above
House
Apartment
Rooming house
Type of property for which you are claiming the credit. Fill in only one:
Complete Section A or Section B, whichever applies.
u
u
Do not claim this credit for a property owned by a government, a house of worship or
Round cents to the nearest dollar.
a non-profit organization.
If the amount is zero, leave the line blank.
Section A Credit claim based on rent paid
.
$
00
1
1 Total household gross income.
From Line w on page 3. If over $20,000, do not claim this credit.
.
.
$
00
$
00
2
2 Rent paid on the property in 2012.
x.15 >
If 15% of the rent paid amount is more than the line 1 amount do not claim the credit.
.
$
00
3 Property tax credit.
3
Use the worksheet on page 35.
.
$
00
4
4 Rent supplements received in 2012 by you or your landlord on your behalf.
.
$
00
5
5 Property tax credit.
Subtract Line 4 from Line 3, D-40 filers enter here and on Line 29 of D-40.
6
Landlord’s name
Landlord’s address (number and street)
Apartment number
Landlord’s telephone number
City
State
Zip Code +4
Round cents to the nearest dollar.
If the amount is zero, leave the line blank.
Section B Credit claim based on real property tax paid
.
$
00
7
Total household gross income.
7
From Line w on page 3. If over $20,000, do not claim this credit.
.
$
00
8
8
DC real property tax paid by you on the property in 2012.
.
$
00
9
9
Property tax credit
Use the worksheet on page 35.
10
Enter information from your real property tax bill or assessment. If a section is blank on your property tax bill, leave it blank here.
Square number
Suffix number
Lot number
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2012 SCHEDULE H P1
Revised 11/12
Homeowner and Renter Property Tax Credit
File order 5
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