Form Schedule H Fillable 2015 Homeowner / Renter Property Tax Credit (HRPTC). The HRPTC form can be filed as a stand alone form.
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and Renter Property Tax Credit Square number Suffixnumber Lot number $ $ $1 Wages salaries tips etc 1 $0 $24 999 $0 $60 000 $1000 00 $25 000 $40 000 $Fill in if minus (: A) Unchecked (: C) Unchecked (: H) Unchecked (: R) Unchecked (20% of rent paid) in excess of the applicable percentage of the total federal adjusted gross income of the tax filing unit The (B SSN) (Bank Account Number) (Bank Routing Number) (C SSN) (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (checkbox) Unchecked (CHECKING ACCT: C) Unchecked (CHECKING ACCT: S) Unchecked (Column A) (Column A) (Column A) (Column B) (Column C) (DC real property tax paid for current tax yearsurrent year) (DEPENDENT #2) (DEPENDENT #3) (DEPENDENT #4) (DEPENDENT #5) (DEPENDENT #6) (DEPENDENT #7) (Home address 2) (IAT yes indicator: NO) Unchecked (IAT yes indicator: YES) Unchecked (NO: 1) Unchecked (NO: 2) Unchecked (NO: 3) Unchecked (paid preparers Federal ID SSN or PTIN) (Press to print this doc) Print Form (Press to reset this doc) Clear Form (Primary First name) (Primary Last name) (Primary Last name) (Primary Middle ) (Primary SSN) (Primary SSN) (Primary SSN) (Primary SSN) (Primary SSN) (Property rax credit) (Property tax credit allowed) (Rent supplements received in current tax year) (Secondary SSn) (Secondary SSn) (Spouse/domestic partner's last name) (Spouse/Domestic partner's) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (text) (Total gross incoe) (Total household gross income) (Total rent paid) *159980110002* *159980120002* *159980130002* *159980140002* 1 $ 00 1 Enter federal AGI of tax filing unit (Line 1 Section A Schedule 1 Federal adjusted gross income of the tax filing unit from Line 32 on page 2 (see instructions) 1 Wages salaries tips etc $1 10 $ 00 10 Pensions and annuities: Taxable amount 10 10 Pensions and annuities: Taxable amount 10 10 Property tax credit Use the "Computing Your Property Tax Credit" worksheet Enter here and on Line 28 of the D 40 11 Enter information from your real property tax bill or assessment If a section is blank on your property tax bill leave it blank here 11 Rental real estate royalties partnerships S Corp trusts etc 11 Rental real estate royalties partnerships S Corp trusts etc Fill in if minus 11 12 Farm income 12 Farm income Fill in if minus 12 13 Unemployment compensation 13 13 Unemployment compensation 13 14 Social security benefits Taxable amount 14 14 Social security benefits Taxable amount 14 15 Other income Attach separate sheet(s) 15 Other income Attach separate sheet(s) Fill in if minus 15 16 Add Lines 1 through 15 in each column 16 Add Lines 1 through 15 in each column Fill in if minus 16 17 Educator expenses 17 17 Educator expenses 17 18 Certain business expenses of reservists performing artists and 18 Certain business expenses of reservists performing artists and 19 Health savings account deduction 19 19 Health savings account deduction 19 2 Enter property taxes paid in 2015 or 20% of rent paid in 2015 2 Money from other sources used to pay rent not included in AGI: 2 Taxable interest 2 2 Taxable interest 2 20 Moving expenses 20 20 Moving expenses 20 2015 SCHEDULE H P1 2015 SCHEDULE H PAGE 2 Last name and SSN 2015 SCHEDULE H PAGE 3 Last name and SSN 2015 SCHEDULE H PAGE 4 Last name and SSN 2015 SCHEDULE H WORKSHEET P2 2015 SCHEDULE H WORKSHEET P3 2015 SCHEDULE H WORKSHEET P4 2015 SCHEDULE H WORKSHEET P5 21 Deductible part of self employment tax 21 21 Deductible part of self employment tax 21 22 Self employed SEP SIMPLE and qualified plans 22 22 Self employed SEP SIMPLE and qualified plans 22 23 Self employed health insurance deduction 23 23 Self employed health insurance deduction 23 24 Penalty on early withdrawal of savings 24 24 Penalty on early withdrawal of savings 24 25 Alimony paid 25 25 Alimony paid 25 26 IRA deduction 26 26 IRA deduction 26 27 Student loan interest deduction 27 27 Student loan interest deduction 27 28 Tuition and fees per Federal form 8917 28 28 Tuition and fees per Federal form 8917 28 29 Domestic production activities deduction 29 29 Domestic production activities deduction 29 3 $ 00 3 Multiply Line 1 by the applicable percentage ( 03 or 04) 3 Ordinary Dividends 3 3 Ordinary Dividends 3 3 Rent paid on the property in 2015 30 Add Lines 17 through 29 in each column 30 30 Add Lines 17 through 29 in each column 30 31 Subtract Line 30 from Line 16 31 Subtract Line 30 from Line 16 Fill in if minus 31 32 Total federal adjusted gross income Add amounts entered on Line 31 Columns A I 4 $ 00 4 Balance (Subtract Line 3 from Line 2) 4 Property tax credit Use the "Computing Your Property Tax Credit" worksheet 4 Taxable refunds credits or offsets of state and local income taxes 4 4 Taxable refunds credits or offsets of state and local income taxes 4 5 $ 00 5 Alimony received 5 5 Alimony received 5 5 Property Tax Credit Limit 5 Rent supplements received in 2015 by you or your landlord on your behalf 6 $ 00 6 Business Income Fill in if minus 6 6 Enter the smaller of Line 4 or Line 5 here on Line 6 and on Line 4 6 Property tax credit Subtract Line 5 from Line 4 D 40 filers enter here and on Line 28 of the D 40 7 Capital gain Fill in if minus 7 7 Landlord s name 8 $ 00 8 Other gains Fill in if minus 8 9 $ 00 9 DC real property tax paid by you on the property in 2015 9 IRA distributions: Taxable amount 9 9 IRA distributions: Taxable amount 9 a house of worship or a non profit organization a Source Account Number Address of DC property (number street and suite/apartment number if applicable) for which you are claiming the credit if different from above ADJUSTMENTS and enter total here on Line 32 and on Section A Line 1 or Section B Line 8 any data on this form other than your signature b Source Business Income Fill in if minus Capital gain Fill in if minus checking OR COLUMN A (YOU) COLUMN B (SPOUSE/DP) COLUMN C (DEPENDENT #1) COLUMN D COLUMN E COLUMN F COLUMN G COLUMN H COLUMN I Complete Section A or Section B whichever applies u Do not claim this credit for an exempt property owned by a government completing Print in CAPITAL letters using black ink COMPUTING YOUR PROPERTY TAX CREDIT WORKSHEET Date of Birth (MMDDYYYY) Date of Birth (MMDDYYYY) Direct deposit Direct Deposit To have your refund deposited to your District of Columbia Federal adjusted gross income of the tax filing unit (see instructions) Federal Adjusted Gross Income of the tax filing unit (see instructions) Report the AGI of every member of your tax filing unit Federal Adjusted Gross Income of the tax filing unit (see instructions) Report the AGI of every member of your tax filing unit including Federal AGI of your tax filing unit is fee basis government official 18 fee basis government official 18 File order 5 File order 7 Fill in if minus Fill in if minus Fill in if minus Fill in if minus Fill in if minus For STANDALONE FILERS only please complete the following "Refund Options" information Will this refund go to an account outside of the US? From Line 32 on page 2 Government of the Homeowner and Renter Property Tax Credit Homeowner and Renter Property Tax Credit Homeowner and Renter Property Tax Credit If the amount is zero or less leave the line blank If you are age 70 or older and the If you are under age 70 and the Important: Read eligibility requirements before including income subject to federal but not DC income tax See following pages to add additional dependents INCOME income subject to federal but not DC income tax If you have more than 7 dependents list them on an attachment income subject to federal but not DC income tax See following page to add additional dependents INCOMEADJUSTMENTS Landlord s address (number and street) Apartment number Landlord s telephone number Line 8 Section B Schedule H) Mailing address (number street and suite/apartment number if applicable) Mark one refund choice: maximum credit amount is $1000 Name (Last First) Name (Last First) name M I Last name of Schedule H Section A for credit based on rent paid or Line 10 of Schedule H Section B for credit based on property tax paid OFFICIAL USE ONLY Vendor ID#0002 on same return File order 6 Other gains Fill in if minus Paper check Percentage Personal information Refund Options: For information on the tax refund card and program limitations see instructions or visit our website otr dc gov/refundprepaidcards Revised 04/2015 Revised 04/2015 Round cents to the nearest dollar Round to the nearest whole dollar Routing Number savings account fill in oval and enter bank routing and account numbers See instructions SCHEDULE H Homeowner Section A Credit claim based on rent paid Section B Credit claim based on real property tax paid Signature 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 information available to the preparer Social Security Number (SSN) Social Security Number (SSN) Spouse s/domestic partner s signature if filing jointly or separately Date Preparer's Tax Identificatio Number (PTIN) PTIN telephone number Spouse s/registered domestic partner s firs name M I Last name Spouse s/registered domestic partner s SSN State Zip Code +4 Tax refund card The amount of property tax that exceeds 3 0% of the adjusted gross income of the tax filing unit The amount of property tax that exceeds 4 0% of the adjusted gross income of the tax filing unit The credit equals a percentage of the property taxes paid or the portion of the rent paid that is equivalent to property taxes This credit may not be claimed if you live in a property owned by a government a house of worship or a nonprofit organizatio This is a FILL IN format Please do not handwrite Type of property for which you are claiming the credit Fill in only one: House Apartment Rooming house Condominium x 20 = Your daytime telephone number Your first Your signature Date Preparer s signature Date Your social security number (SSN)