pdf2json

* Make entries using black ink. Attach to your D-40. Government of the District of Columbia 2013 SCHEDULE I Additions to and Subtractions from Federal Adjusted Gross Income 2013 SCHEDULE I P1 Additions to and Subtractions from Federal Adjusted Gross Income Revised 09/13 Calculation A Additions to federal adjusted gross income. Fill in only those that apply. Dollars only, do not enter cents 1 Part-year DC resident – enter the portion of adjustments (from Federal Form 1040; 1 $ . 00 1040A; or 1040NR) 2 Income distributions eligible for income averaging on your federal tax return 2 $ . 00 from Federal Form 4972) . 3 30% or 50% federal bonus depreciation and/or extra IRC §179 expenses claimed 3 $ . 00 on federal return 4 Any part of a discrimination award subject to income averaging. 4 $ . 00 5 Deductions for S Corporations from Schedule K-I, Form 1120 S. 5 $ . 00 6 Other (see instructions). 6 $ . 00 7 RESERVED 7 $ . 00 8 Total additions Add entries on Lines 1– 7. Enter the total here and on D-40, Line 5. 8 $ . 00 Calculation B Subtractions from federal adjusted gross income. Fill in only those that apply. 1 Taxable interest from US Treasury bonds and other obligations. See instructions. 1 $ . 00 2 Disability income exclusion from DC Form D-2440, Line 10. See instructions. 2 $ . 00 3 Interest and dividend income of a child from Federal Form 8814*. 3 $ . 00 4 Awards, other than front and back pay, received due to unlawful 4 $ . 00 employment discrimination. 5 Excess of DC allowable depreciation over federal allowable depreciation. See instructions. 5 $ . 00 6 Long-term care insurance premiums paid in 2013, $500 annual limit per person. 6 $ . 00 7 Amount paid (or carried over) to DC College Savings plan in 2013 (maximum $4,000 per 7 $ . 00 Part-year residents see instructions. $ . 00 as disabled) with adjusted annual household income of less than $100,000. See instructions. 9 Expenditures by DC teachers for necessary classroom teaching materials, 9 $ . 00 $500 annual limit per person. See instructions. 10 Expenditures by DC teachers for certain tuition and fees, $1500 annual limit per person . 10 $ . 00 See instructions. 11 Loan repayment awards received by health-care professionals from DC government. 11 $ . 00 See instructions. 12 Health-care insurance premiums paid by an employer for an employee’s registered 12 $ . 00 domestic partner or same sex spouse. Make no entry if the premium was deducted on your federal return, see instructions. 13 DC Poverty Lawyer Loan Assistance. See instructions. 13 $ . 00 See instructions. _____________________________________________ 14 $ . 00 15 Military Spouse Residency Relief Act. See instructions. RESERVED 15 $ . 00 16 Total subtractions. Add entries on Lines 1–15. Enter the total here and on D-40, Line 13. 16 $ . 00 File order 8 Last name Social Security Number that relate to the time you resided outside DC. For Lines 2 – 7 below include only the amounts related to the time you resided in DC. person, $8,000 for joint filers if each is an account owner). 8 Exclusion of up to $10,000 for DC residents (certified by the Social Security Adm. 8 Note: Since income reported on Federal Form 8814, Parents’ Election to Report Child’s Interest and Dividends, and included in the parents’ federal return income is subtracted above on Line 3 of Calculation B, the child must file a separate DC return reporting this income. 14 Other (Not Supported) ----------------Page (0) Break----------------