Schedule H - Homeowner And Renter Property Tax Credit - 2012 Page 3
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32012 SCHEDULE H WORKSHEET PAGE 3
Last name and SSN
Total Household Gross Income –
Report the total income of every member of your household, 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.
You
Your spouse/dom. partner
Other household members
$
$
$
a
a
Wages, salaries, tips, bonuses, commissions, fees and
any compensation for personal services.
b
b
Dividends and interest.
c
c
Lottery winnings.
d
d
Trade or business income (or loss).
e
e
Taxable and nontaxable pensions and annuities.
f
f
Capital gain (or loss).
g
g
Alimony received.
h
h
Net rental and royalty income.
i
i
Social security and/or railroad retirement.
j
j
Unemployment insurance and workers‘ compensation.
k
k
Support money and public assistance grants.
l
l
Interest on U.S. obligations.
m
Disability income exclusion (from DC Form D-2440, Line 10).
m
n
n
Nontaxable portion of military compensation.
o
Fellowship and scholarship awards and grants.
o
p
p
Life insurance proceeds.
q
q
Veteran’s pension and disability payments.
r
GI Bill benefits.
r
s
s
Income subject to unincorporated business franchise tax.
t
Cash distributions from a business or investment.
t
u
u
Other.
v
v
Total gross income. Add Lines a–u for each column.
w
$
Total household gross income. Add amounts entered on Line v,
w
enter here and on Section A, Line 1 or Section B, Line 7.
List names and social security numbers of other household members. If more than four, list on a separate sheet of paper and
attach with this form.
#1 ___________________________________________________________________________________________________________
#2 ___________________________________________________________________________________________________________
#3 ___________________________________________________________________________________________________________
#4 ___________________________________________________________________________________________________________
2012 SCHEDULE H WORKSHEET P3
Homeowner and Renter Property Tax Credit
Revised 11/12
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