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r
m
(99)
For the year Jan. 1Dec. 31, 2011, or other tax year beginning
, 2011, ending
,20
Last name
Jeff
Bell
Ivy
111-11-1111
Last name
Bell
123-45-6781
Apt. no.
Home address (number and street). If you have a P.O. box, see instructions.
Dallas
TX
Filing Status
Foreign province/country
Single
2
3
Exemptions
6a
b
c
X
X
Boxes checked
on 6a and 6b
. . . . . . .
Tyler
Last name
Bell
relationship to you
(see instructions)
123-45-6788 Son
Attach Form(s)
W-2 here. Also
attach Forms
W-2G and
1099-R if tax
was withheld.
If you did not
get a W-2,
see instructions.
Enclose, but do
not attach, any
payment. Also,
please use
Form 1040-V.
Adjusted
Gross
Income
KIA
Dependents on 6c
not entered above
Add numbers on
lines above
Income
No. of children
on 6c who:
Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(4) V if child under age 17
(2) Dependent's
(3) Dependent's
Dependents:
qualifying for child tax credit
75080
. . .
. . .
0
. . .
. . .
. . .
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
24
25
26
27
28
29
30
31a
32
33
34
35
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
. . . . .
. . . . . . .
24
25
26
27
28
29
30
31a
32
33
34
35
7
8a
100,000
15,000
9a
10
11
12
13
14
15b
16b
17
18
19
20b
21
22
0
. . .
21
22
23
.
.
.
.
.
.
.
53,619
-3,000
0
0
6,000
0
4,200
175,819
0
0
0
3,788
0
0
0
0
36
Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . . . . .
For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.
36
37
3,788
172,031
Form 1040 (2011)
Jeff
Tax and
Credits
Standard
Deduction
for
People who
check any
box on line
39a or 39b or
who can be
claimed as a
dependent,
see
instructions.
All others:
Single or
Married filing
separately,
$5,800
Married filing
jointly or
Qualifying
widow(er),
$11,600
Head of
household,
$8,500
Other
Taxes
Payments
If you have a
qualifying
child, attach
Schedule EIC.
38
39a
b
J Bell
111-11-1111
40
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
41
Itemized deductions (from Schedule A) or your standard deduction (see left margin)
42
43
44
Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0-
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
Form(s) 8814 b
47
48
Credit for child and dependent care expenses. Attach Form 2441
. . . .
49
50
. . . . . . . . . . . . . . .
48
49
50
51
52
51
52
53
53
54
55
3800
. . . . . . . . . . . . . . . . . . . .
b
8801
56
57
57
58
Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . . .
59 a Household employment taxes from Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . .
b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . . . . .
58
59a
. . . . . . . . . . . . . . . . . . . . . . . . . .
61
62
63
66
67
68
68
69
69
70
71
70
72
a
2439 b
8839 c
8801 d
8885
71
Add lines 62, 63, 64a, and 65 through 71. These are your total payments . . . . . . . . . . .
Refund
73
If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid
Direct deposit?
See
instructions.
74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here . . . .
b Routing number XXXXXXXXX
c Type:
Checking
Savings
d Account number XXXXXXXXXXXXXXXXX
75
76
61
36,317
72
73
34,000
64a
KIA
60
66
67
Paid
Preparer
Use Only
59b
60
65
55
56
8919 . . . . . . . .
4137
0
29,731
6,586
0
0
0
0
54
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
a
29,731
0
29,731
. . . . . . . . . . . . . .
Sign
Here
43
46
0
0
Third Party
Designee
42
44
45
962 election
Form 4972 c
65
Amount
You Owe
12,140
159,891
11,100
148,791
45
46
39b
If your spouse itemizes on a separate return, or you were a dual-status alien, check here
40
41
Page 2
172,031
38
. . . . . . . . . . . .
0
0
. . .
74a
2,317
76
77
Estimated tax penalty (see instructions) . . . . . . . . . . . . . . . . .
77
Do you want to allow another person to discuss this return with the IRS (see instructions)?
Designee's
name
Personal indentification
number (PIN)
Phone
no.
No
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief,
they are true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature
Date
Your occupation
Regional Manager
Spouse's signature. If a joint return, both must sign.
Date
Spouse's occupation
Self-employed CPA
Print/Type preparer's name
Preparer's signature
Date
Firm's name
Firm's EIN
Firm's address
Phone no.
214-456-7891
If the IRS sent you an Identity Protection
PIN, enter it
here (see inst.)
Check
if
self-employed
PTIN
SCHEDULE A
(Form 1040)
Itemized Deductions
Attach to Form 1040.
2011
Attachment
Sequence No.
Jeff
Medical
and
Dental
Expenses
Taxes You
Paid
J Bell
1
2
3
4
5
111-11-1111
6
7 Personal property taxes . . . . . . . . . . . . . . . . . . . . . .
8 Other taxes. List type and amount
_______________
___________________________________
Note.
Your mortgage
interest
deduction may
be limited (see
instructions).
Gifts to
Charity
If you made a
gift and got a
benefit for it,
see instructions.
10
4,000
11
12
0
0
13
14
. . . . . . . . . . .
16
500
17
0
0
18
. . . . . . . . . . .
Casualty and
Theft Losses 20
Job Expenses 21
and Certain
Miscellaneous
Deductions
Deductions
Total
Itemized
Deductions
KIA
Gambling Losses
1,200
29 Add the amounts in the far right column for lines 4 through 28. Also, enter this amount
on Form 1040, line 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
30 If you elect to itemize deductions even though they are less than your standard
deduction, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6,440
15
4,000
19
500
20
27
28
1,200
29
12,140
0
8
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Interest
You Paid
07
SCHEDULE B
Part I
Interest
Bell
Part II
Amount
15,000
2
3
08
111-11-1111
List name of payer. If any interest is from a seller-financed mortgage and the
buyer used the property as a personal residence, see instructions and list
this interest first. Also, show that buyer's social security number and address
Attachment
Sequence No.
J
1
2011
See Instructions.
Jeff
15,000
3
4
15,000
Amount
______________________________________________
Ordinary
Dividends
(See the instructions
for Schedule B, and the
instructions for
Form 1040A, or
Form 1040,
line 9a.)
5
Note: If you
received a Form
1099-DIV or
substitute
statement from
a brokerage firm,
list the firm's
name as the
payer and enter
the ordinary
dividends shown
on that form.
Add the amounts on line 5. Enter the total here and on Form 1040A, or Form
1040, line 9a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note. If line 6 is over $1,500, you must complete Part III.
6
You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had a
Yes No
foreign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust.
7a At any time during 2011, did you have a financial interest in or signature authority over a financial
Part III
account (such as a bank account, securities account, or brokerage account) located in a foreign
X
Foreign
country? See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If "Yes," are you required to file Form TD F 90-22.1 to report that financial interest or signature
Accounts
authority? See Form TD F 90-22.1 and its instructions for filing requirements and exceptions to
X
requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
and Trusts b Ifthose
you are required to file Form TD F 90-22.1, enter the name of the foreign country where the
(See
financial account is located
___________________________________________
instructions.)
8
During 2011, did you receive a distribution from, or were you the grantor of, or transferor to, a
X
foreign trust? If "Yes," you may have to file Form 3520. See instructions. . . . . . . . . . . . . . . . . . . . .
KIA
For Paperwork Reduction Act Notice, see your tax return instructions.
Schedule B (Form 1040A or 1040) 2011
SCHEDULE C
(Form 1040)
Attachment
Sequence No.
Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.
Ivy
123-45-6781
N Bell
541310
Consulting
C
Cash
_ _ _ _4326
_ _ _ _ Orange
_ _ _ _ _ _ _Blossom
_ _ _ _ _ _ _Trail
____________________________
Dallas
Accrual
TX
75080
Accounting method:
G
H
Did you "materially participate" in the operation of this business during 2011? If "No," see instructions for limit on losses . . .
If you started or acquired this business during 2011, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(1)
(2)
Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
(3)
Did you make any payments in 2011 that would require you to file Form(s) 1099? (see instructions)
. . . . . . . . . . . . .
Yes
If "Yes," did you or will you file all required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
. . . . . . . . . .
. . . . . . . .
1a
1b
1d
4
5
6
7
3
4
Expenses.
No
69,000
0
69,000
0
69,000
0
69,000
5
6
7
Enter expenses for business use of your home only on line 30.
Advertising . . . . . . . . . .
Car and truck expenses (see
instructions) . . . . . . . . . .
8
9
10
. . . .
10
11
11
12
Depletion
12
13
. . . . . . . . . . .
13
14
14
15
15
16
Interest:
18
19
19
20
18
2,631
. . .
20a
20b
. . . . . . .
21
21
22
22
23
23
24
24a
24b
. . .
25
Utilities
. . . . . . . . . . . . . . . .
26
6,000
1,000
25
. .
26
27a
27b
16a
Other . . . . . . . . . . . . .
16b
17
17
28
Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . . . . . . .
28
29
29
30
Expenses for business use of your home. Attach Form 8829. Do not report such expenses elsewhere
30
15,381
53,619
0
31
53,619
a
b
No
0
69,000
Income
1a Merchant card and third party payments. For 2011, enter -0-
Part II
No
Yes
Part I
09
Name of proprietor
2011
(Sole Proprietorship)
For information on Schedule C and its instructions, go to www.irs.gov/schedulec
27a
4,000
. . . .
1,750
31
32a
32b
Ivy
N Bell
Cost of Goods Sold (see instructions)
123-45-6781
Part III
33
Method(s) used to
value closing inventory:
34
Was there any change in determining quantities, costs, or valuations between opening and closing inventory?
If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Cost
35
Inventory at beginning of year. If different from last year's closing inventory, attach explanation . . . . . .
35
36
36
37
37
38
38
39
Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
39
40
40
41
41
42
Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . . . . .
42
Part IV
Page
Yes
No
Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
_ _ _ _06/07/11
__________
43
When did you place your vehicle in service for business purposes? (month, day, year)
44
Of the total number of miles you drove your vehicle during 2011, enter the number of miles you used your vehicle for:
a Business _ _ _ _ _ _ _4,940
_ _ _ _ _ _ b Commuting (see instructions) _ _ _ _ _ _ _ _ _ _ _ _ _0_ _ _ _ _ c Other _ _ _ _ _ _ _9,060
___________
45
Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . .
46
Do you (or your spouse) have another vehicle available for personal use?
47a
Yes
Yes
. . . . . . . . . . . . . . . . . . . . .
No
No
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes
No
Yes
No
Part V
Other Expenses. List below business expenses not included on lines 826 or line 30.
_ _ _ _Prof.
_ _ _ _ _ journal
_ _ _ _ _ _ _ subscrip.
______________________________________________
1,500
_ _ _ _Prof.
_ _ _ _ _ org.
_ _ _ _ _dues
________________________________________________
250
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
______________________________________________________________
48
KIA
. . . . . . . . . . . . . . . . . . . . . . . . . . .
48
1,750
Schedule C (Form 1040) 2011
SCHEDULE D
(Form 1040)
Department of the Treasury
Internal Revenue Service
Attachment
Sequence No. 12
Your social security number
Jeff
Part I
2011
J Bell
111-11-1111
(g) Adjustments to
gain or loss from
Form(s) 8949,
line 2, column (g)
0 (
0)
0 (
0)
0 (
0)
4
5
Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . .
Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from
Schedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss
Carryover Worksheet in the instructions.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6
7
Net short-term capital gain or (loss). Combine lines 1 through 6 in column (h). If you have any
long-term capital gains or losses, go to Part II below. Otherwise, go to Part III on next page . . . . . .
Part II
5
6
0)
0
Long-Term Capital Gains and LossesAssets Held More Than One Year
(g) Adjustments to
gain or loss from
Form(s) 8949,
line 4, column (g)
0 (
0)
0 (
0)
10
0 (
110,000 )
-110,000
11
Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss) .
from Forms 4684, 6781, and 8824
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
66,660
12
Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1
12
13
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13
14
Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital Loss
Carryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
15
KIA
Net long-term capital gain or (loss). Combine lines 8 through 14 in column (h). Then go to Part III on
page 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
For Paperwork Reduction Act Notice, see your tax return instructions.
15
0
(
0)
-43,340
Part III
16
Jeff
J Bell
111-11-1111
Page
Summary
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16
-43,340
If line 16 is a gain, enter the amount from line 16 on Form 1040, line 13, or Form 1040NR, line
14. Then go to line 17 below.
If line 16 is a loss, skip lines 17 through 20 below. Then go to line 21. Also be sure to complete
line 22.
If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form
1040NR, line 14. Then go to line 22.
17
18
Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions . . . . . .
18
19
Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in the
instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
19
20
21
If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of:
The loss on line 16 or
($3,000), or if married filing separately, ($1,500)
. . . . . . . . . . . . . . . . . . . . . . . . . . .
21 (
3,000 )
Note. When figuring which amount is smaller, treat both amounts as positive numbers.
22
Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b?
Yes. Complete Form 1040 through line 43, or Form 1040NR through line 41. Then complete
the Qualified Dividends and Capital Gain Tax Worksheet in the instructions for Form 1040,
line 44 (or in the instructions for Form 1040NR, line 42).
Form
8949
(99)
Jeff
Part I
Bell
2011
Attachment
Sequence No.
Social security number
12A
111-11-1111
Note. You must check one of the boxes below. Complete a separate Form 8949, page 1, for each box that is checked.
*Caution. Do not complete column (b) or (g) until you have read the instructions for those columns (see the instructions for Schedule
D (Form 1040)). Columns (b) and (g) do not apply for most transactions and should generally be left blank.
(A) Short-term transactions reported on
(B) Short-term transactions reported on Form
(C) Short-term transactions for which you
Form 1099-B with basis reported to the IRS
(a)
Description of property
(Example: 100 sh. XYZ Co.)
(c)
Date acquired
(Mo., day, yr.)
(d)
Date sold
(Mo., day, yr.)
Totals. Add the amounts in columns (e) and (f). Also, combine the
amounts in column (g). Enter here and include on Schedule D, line 1 (if
box A above is checked), line 2 (if box B above is checked), or line 3 (if
box C above is checked) . . . . . . . . . . . . . . . . . . . . . . .
KIA
For Paperwork Reduction Act Notice, see your tax return instructions.
(f)
Cost or other basis
(see instructions)
(g)
Adjustments to
gain or loss, if any*
2
Form 8949 (2011)
Name(s) shown on return. Do not enter name and social security number if shown on other side.
Jeff
Part II
12A
Page 2
Bell
111-11-1111
Long-Term Capital Gains and LossesAssets Held More Than One Year
Note. You must check one of the boxes below. Complete a separate Form 8949, page 2, for each box that is checked.
*Caution. Do not complete column (b) or (g) until you have read the instructions for those columns (see the instructions for Schedule
D (Form 1040)). Columns (b) and (g) do not apply for most transactions and should generally be left blank.
(A) Long-term transactions reported on
(B) Long-term transactions reported on Form
X (C) Long-term transactions for which
Form 1099-B with basis reported to the IRS
(a)
Description of property
(Example: 100 sh. XYZ Co.)
Groupon
(b)
Code, if any,
for column (g)*
(c)
Date acquired
(Mo., day, yr.)
(d)
Date sold
(Mo., day, yr.)
08/05/10 WORTHLES
Totals. Add the amounts in columns (e) and (f). Also, combine the
amounts in column (g). Enter here and include on Schedule D, line 8 (if
box A above is checked), line 9 (if box B above is checked), or line 10
(if box C above is checked) . . . . . . . . . . . . . . . . . . . . . .
(e)
Sales price
(see instructions)
(f)
Cost or other basis
(see instructions)
WORTHLESS
110,000
110,000
(g)
Adjustments to
gain or loss, if any*
0
Form 8949 (2011)
SCHEDULE E
(Form 1040)
2011
Attachment
Sequence No.
Jeff
J Bell
111-11-1111
Yes X
A Did you make any payments in 2011 that would require you to file Form(s) 1099 (see instructions)
B If "Yes," did you or will you file all required Forms 1099?
Part I
13
Yes
No
No
Caution. For each rental property listed on line 1, check the box in the last column only if you owned that property as a member of a
qualified joint venture (QJV) reporting income not subject to self-employment tax.
Typefrom list
Fair Rental Personal
1 Physical address of each propertystreet, city, state, zip
2 For each rental real
QJV
below
A
B
Days
Use Days
365
A
B
C
Type of Property:
1 Single Family Residence
2 Multi-Family Residence
3 Vacation/Short-Term Rental
4 Commercial
5 Land
6 Royalties
7 Self-Rental
8 Other (describe)
Income:
Properties
A
3a
3b
0
24,000
24,000
Expenses:
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Advertising . . . . . . . . . . . . . . . . . . . . . . . . . . .
Auto and travel (see instructions) . . . . . . . . . . . . . . .
Cleaning and maintenance . . . . . . . . . . . . . . . . . . .
Commissions . . . . . . . . . . . . . . . . . . . . . . . . . .
Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Legal and other professional fees . . . . . . . . . . . . . . .
Management fees . . . . . . . . . . . . . . . . . . . . . . .
Mortgage interest paid to banks, etc. (see instructions) . . . .
Other interest . . . . . . . . . . . . . . . . . . . . . . . . . .
Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation expense or depletion . . . . . . . . . . . . . . .
Depreciation
Other (list)
__
_ _ _ _ _ _ _ _ _ _Expense
_____________
Total expenses. Add lines 5 and 19 . . . . . . . . . . . . . .
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
0
0
3,000
0
0
0
0
14,000
0
0
0
4,000
0
0
7,000
28,000
21
21
-4,000
22
23a
b
c
d
e
f
g
24
25
26
KIA
0
0)
0
Jeff
J Bell
111-11-1111
Caution. The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.
Part II
27
Income or Loss From Partnerships and S Corporations Note. If you report a loss from an at-risk activity for which
any amount is not at risk, you must check the box in column (e) on line 28 and attach Form 6198. See instructions.
Are you reporting any loss not allowed in a prior year due to the at-risk or basis limitations, a prior year
unallowed loss from a passive activity (if that loss was not reported on Form 8582), or unreimbursed
partnership expenses? If you answered Yes, see instructions before completing this section.
28
(a) Name
K&R partnership
A
B
C
D
(c) Check if
foreign
partnership
A
B
C
D
29a
b
30
31
32
(d) Employer
identification
number
No
(e) Check if
any amount is
not at risk
11-1111111
Yes
6,000
0
Totals
0
0
0
Totals
Add columns (g) and (j) of line 29a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add columns (f), (h), and (i) of line 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total partnership and S corporation income or (loss). Combine lines 30 and 31. Enter the
result here and include in the total on line 41 below . . . . . . . . . . . . . . . . . . . . . . . .
Part III
6,000
30
31
6,000
0 )
6,000
32
(a) Name
33
A
B
A
B
34a
b
35
36
37
0
Totals
0
0
Totals
Add columns (d) and (f) of line 34a
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Add columns (c) and (e) of line 34b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total estate and trust income or (loss). Combine lines 35 and 36. Enter the result here and
include in the total on line 41 below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Part IV
39
0
0
40
41
0
6,000
Summary
40
41
42
Net farm rental income or (loss) from Form 4835. Also, complete line 42 below
Reconciliation of farming and fishing income. Enter your gross
farming and fishing income reported on Form 4835, line 7; Schedule K-1
(Form 1065), box 14, code B; Schedule K-1 (Form 1120S), box 17, code
U; and Schedule K-1 (Form 1041), line 14, code F (see instructions) . . . .
42
43
43
KIA
0
(e) Income from
Schedules Q, line 3b
Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below
Part V
0
0 )
37
0
39
35
36
Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)Residual Holder
(a) Name
38
. . . . . . . . .
Total income or (loss). Combine lines 26, 32, 37, 39, and 40. Enter the result here and on Form 1040, line 17, or Form 1040NR, line 18 .
0
Schedule E (Form 1040) 2011
SCHEDULE SE
(Form 1040)
Attachment
Sequence No.
Ivy
2011
Self-Employment Tax
Social security number of person
with self-employment income
N Bell
17
123-45-6781
Before you begin: To determine if you must file Schedule SE, see the instructions.
Yes
Was the total of your wages and tips subject to social security
or railroad retirement (tier 1) tax plus your net earnings from
self-employment more than $106,800?
Yes
No
Yes
No
Are you using one of the optional methods to figure your net
earnings (see instructions)?
Yes
Yes
No
No
Did you receive church employee income (see instructions)
reported on Form W-2 of $108.28 or more?
Yes
No
Yes
No
Section AShort Schedule SE. Caution. Read above to see if you can use Short Schedule SE.
1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form
1a
1b
0)
Net profit or (loss) from Schedule C, line 31; Schedule C-EZ, line 3; Schedule K-1 (Form 1065),
box 14, code A (other than farming); and Schedule K-1 (Form 1065-B), box 9, code J1.
Ministers and members of religious orders, see instructions for types of income to report on this
line. See instructions for other income to report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
53,619
53,619
Multiply line 3 by 92.35% (.9235). If less than $400, you do not owe self-employment tax; do
not file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
49,517
6,586
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b,
see instructions.
5
$106,800 or less, multiply line 4 by 13.3% (.133). Enter the result here and on Form 1040, line 56,
or Form 1040NR, line 54.
More than $106,800, multiply line 4 by 2.9% (.029). Then, add $11,107.20 to the result.
Enter the total here and on Form 1040, line 56, or Form 1040NR, line 54. . . . . . . . . . . . .
6
KIA
3,788
Schedule SE (Form 1040) 2011
Form
6252
2011
Attachment
Sequence No.
Identifying number
79
Jeff
J Bell
111-11-1111
Citrus
COunty
1 Description of property
-------------------------------------------------------------------------------------------------------------------------------------6/6/1990
9/2/2011
2a Date acquired (mm/dd/yyyy)
______________________
b Date sold (mm/dd/yyyy)
________________
3 Was the property sold to a related party (see instructions) after May 14, 1980? If "No," skip line 4 . . . . . .
X No
Yes
Was the property you sold to a related party a marketable security? If "Yes," complete Part III. If "No,"
complete Part III for the year of sale and the 2 years after the year of sale . . . . . . . . . . . . . . . . . .
Part I
7
8
9
10
11
12
13
14
15
16
17
18
Part II
20
21
22
23
24
25
26
Part III
300,000
13
14
200,000
100,000
0
100,000
0
300,000
Installment Sale Income. Complete this part for the year of sale and any year you receive a payment or have
certain debts you must treat as a payment on installment obligations.
Gross profit percentage (expressed as a decimal amount). Divide line 16 by line 18. For years after
the year of sale, see instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If this is the year of sale, enter the amount from line 17. Otherwise, enter -0- . . . . . . . . . . . . .
Payments received during year (see instructions). Do not include interest, whether stated or unstated
Add lines 20 and 21 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Payments received in prior years (see instructions). Do not include
0
23
interest, whether stated or unstated
. . . . . . . . . . . . . . . . . . . .
Installment sale income. Multiply line 22 by line 19 . . . . . . . . . . . . . . . . . . . . . . . . . .
Enter the part of line 24 that is ordinary income under the recapture rules (see instructions) . . . . .
Subtract line 25 from line 24. Enter here and on Schedule D or Form 4797 (see instructions) . . . . .
19
No
Gross Profit and Contract Price. Complete this part for the year of sale only.
Selling price including mortgages and other debts. Do not include interest whether stated or unstated
Mortgages, debts, and other liabilities the buyer assumed or took the
0
6
property subject to (see instructions) . . . . . . . . . . . . . . . . . . . .
300,000
7
Subtract line 6 from line 5 . . . . . . . . . . . . . . . . . . . . . . . . . .
200,000
8
Cost or other basis of property sold . . . . . . . . . . . . . . . . . . . . .
9
Depreciation allowed or allowable . . . . . . . . . . . . . . . . . . . . . .
200,000
10
Adjusted basis. Subtract line 9 from line 8 . . . . . . . . . . . . . . . . . .
11
Commissions and other expenses of sale . . . . . . . . . . . . . . . . . .
12
Income recapture from Form 4797, Part III (see instructions) . . . . . . . .
Add lines 10, 11, and 12
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtract line 13 from line 5. If zero or less, do not complete the rest of this form (see instructions) . .
If the property described on line 1 above was your main home, enter the amount of your excluded
gain (see instructions). Otherwise, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gross profit. Subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Subtract line 13 from line 6. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . .
Contract price. Add line 7 and line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
Yes
15
16
17
18
19
20
21
22
0.3333
0
200,000
200,000
24
66,660
0
66,660
25
26
Related Party Installment Sale Income. Do not complete if you received the final payment this tax year.
27
28
29
If the answer to question 28 is "Yes," complete lines 30 through 37 below unless one of the following conditions is met. Check the box that applies.
a
b
c
d
e
30
31
32
33
34
35
36
37
KIA
The second disposition was more than 2 years after the first disposition (other than dispositions of
marketable securities). If this box is checked, enter the date of disposition (mm/dd/yyyy) . . . . . .
The first disposition was a sale or exchange of stock to the issuing corporation.
The second disposition was an involuntary conversion and the threat of conversion occurred after the first disposition.
The second disposition occurred after the death of the original seller or buyer.
It can be established to the satisfaction of the IRS that tax avoidance was not a principal purpose for either of the
dispositions. If this box is checked, attach an explanation (see instructions).
Selling price of property sold by related party (see instructions) . . . . . . . . . . . . . . . . . . . . 30
Enter contract price from line 18 for year of first sale . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Enter the smaller of line 30 or line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32
Total payments received by the end of your 2011 tax year (see instructions) . . . . . . . . . . . . . . 33
Subtract line 33 from line 32. If zero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . 34
Multiply line 34 by the gross profit percentage on line 19 for year of first sale . . . . . . . . . . . . . 35
Enter the part of line 35 that is ordinary income under the recapture rules (see instructions) . . . . . 36
Subtract line 36 from line 35. Enter here and on Schedule D or Form 4797 (see instructions) . . . . . 37
For Paperwork Reduction Act Notice, see page 4.
Form
0
0
0
0
0
0
0
6252 (2011)
Form
8582
2011
Attachment
Sequence No.
Identifying number
Jeff
Part I
J Bell
2011 Passive Activity Loss
88
111-11-1111
0
(
4,000 )
0 )
. . . . . . . . . . .
(
3a
b Activities with net loss (enter the amount from Worksheet 3, column
(b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3b (
0 )
3c (
0 )
-4,000
1d
2c (
0)
3d
-4,000
Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not complete
Part II or Part III. Instead, go to line 15.
Part II
5
6
7
8
9
10
Note: Enter all numbers in Part II as positive amounts. See instructions for an example.
Enter the smaller of the loss on line 1d or the loss on line 4 . . . . . . . . . . . . . . . . . . .
150,000
6
Enter $150,000. If married filing separately, see instructions . . . .
175,819
Enter modified adjusted gross income, but not less than zero (see instructions) 7
Note: If line 7 is greater than or equal to line 6, skip lines 8 and 9,
enter -0- on line 10. Otherwise, go to line 8.
0
8
Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . .
Multiply line 8 by 50% (.5). Do not enter more than $25,000. If married filing separately, see instructions .
Enter the smaller of line 5 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If line 2c is a loss, go to Part III. Otherwise, go to line 15.
Part III
11
12
13
14
KIA
4,000
9
10
0
0
Special Allowance for Commercial Revitalization Deductions From Rental Real Estate Activities
Note: Enter all numbers in Part III as positive amounts. See the example for Part II in the instructions.
Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions 11
Enter the loss from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Reduce line 12 by the amount on line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Enter the smallest of line 2c (treated as a positive amount), line 11, or line 13 . . . . . . . . . . 14
Part IV
15
16
Special Allowance for Rental Real Estate Activities With Active Participation
Add the income, if any, on lines 1a and 3a and enter the total . . . . . . . . . . . . . . . . . . .
Total losses allowed from all passive activities for 2011. Add lines 10, 14, and 15. See
instructions to find out how to report the losses on your tax return . . . . . . . . . . . . . . . . .
For Paperwork Reduction Act Notice, see instructions.
15
16
0
Form
8582 (2011)
Jeff
J Bell
111-11-1111
Caution: The worksheets must be filed with your tax return. Keep a copy for your records.
Worksheet 1For Form 8582, Lines 1a, 1b, and 1c (See instructions.)
Page 2
Current year
Prior years
Name of activity
(a) Net income
(line 1a)
(c) Unallowed
loss (line 1c)
(d) Gain
4,000
4,000
(e) Loss
4,000
0
Worksheet 3For Form 8582, Lines 3a, 3b, and 3c (See instructions.)
Current year
Prior years
Name of activity
(a) Net income
(line 3a)
(c) Unallowed
loss (line 3c)
(d) Gain
(e) Loss
Worksheet 4Use this worksheet if an amount is shown on Form 8582, line 10 or 14 (See instructions.)
Name of activity
Form or schedule
and line number
to be reported on
(see instructions)
(a) Loss
(b) Ratio
Total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(c) Special
allowance
(d) Subtract
column (c) from
column (a)
1.00
Total
KIA
Form or schedule
and line number
to be reported on
(see instructions)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
(a) Loss
(b) Ratio
4,000
1.0000
4,000
1.00
4,000
4,000
Form 8582 (2011)
Jeff
J Bell
Worksheet 6Allowed Losses (See instructions.)
111-11-1111
Name of activity
Total
Form or schedule
and line number to
be reported on (see
instructions)
(a) Loss
Page 3
4,000
4,000
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4,000
4,000
Worksheet 7Activities With Losses Reported on Two or More Forms or Schedules (See instructions.)
Name of activity:
(a)
(b)
(c) Ratio
(d) Unallowed
loss
1.00
Form 8582 (2011)
Form
Like-Kind Exchanges
8824
2011
Attachment
Sequence No. 109
Identifying number
Jeff
111-11-1111
Part I
J Bell
Information on the Like-Kind Exchange
Note: If the property described on line 1 or line 2 is real or personal property located outside the United States, indicate the country.
1 Description of like-kind property given up:
Levy
_ _ _ _ County
________________________________________________________________
Land
____________________________________________________________________
2 Description of like-kind property received:
Dixie
_ _ _ _ _ County
_______________________________________________________________
Land
____________________________________________________________________
06/06/90
3
3 Date like-kind property given up was originally acquired (month, day, year) . . . . . . . . . . . . . .
. . . . . . . . . . . . .
02/10/11
5 Date like-kind property you received was identified by written notice to another party (month,
day, year). See instructions for 45-day written notice requirement . . . . . . . . . . . . . . . . . . .
02/10/11
6 Date you actually received the like-kind property from other party (month, day, year). See instructions
02/10/11
4 Date you actually transferred your property to other party (month, day, year)
7 Was the exchange of the property given up or received made with a related party, either directly or indirectly
(such as through an intermediary)? See instructions. If Yes, complete Part II. If No, go to Part III . . . . . .
Part II
X No
Yes
Relationship to you
Address (no., street, and apt., room, or suite no., city or town, state, and ZIP code)
9 During this tax year (and before the date that is 2 years after the last transfer of property that was part of
the exchange), did the related party sell or dispose of any part of the like-kind property received from you
(or an intermediary) in the exchange or transfer property into the exchange, directly or indirectly (such as
through an intermediary), that became your replacement property?
. . . . . . . . . . . . . . . . . . . . . . .
Yes
No
10 During this tax year (and before the date that is 2 years after the last transfer of property that was part of
the exchange), did you sell or dispose of any part of the like-kind property you received? . . . . . . . . . . . .
Yes
No
If both lines 9 and 10 are No and this is the year of the exchange, go to Part III. If both lines 9 and 10 are No and this is not
the year of the exchange, stop here. If either line 9 or line 10 is Yes, complete Part III and report on this years tax return the
deferred gain or (loss) from line 24 unless one of the exceptions on line 11 applies.
11 If one of the exceptions below applies to the disposition, check the applicable box:
a
The disposition was after the death of either of the related parties.
The disposition was an involuntary conversion, and the threat of conversion occurred after the exchange.
You can establish to the satisfaction of the IRS that neither the exchange nor the disposition had tax avoidance as one of
its principal purposes. If this box is checked, attach an explanation (see instructions).
KIA
Form
8824 (2011)
Page 2
Jeff
Part III
J Bell
111-11-1111
Realized Gain or (Loss), Recognized Gain, and Basis of Like-Kind Property Received
Caution: If you transferred and received (a) more than one group of like-kind properties or (b) cash or other (not like-kind) property,
see Reporting of multi-asset exchanges in the instructions.
Note: Complete lines 12 through 14 only if you gave up property that was not like-kind. Otherwise, go to line 15.
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Part IV
14
.
.
.
15
16
17
25,000
175,000
200,000
.
.
.
.
18
19
20
200,000
0
0
0
.
.
.
.
22
21
23
24
25
0
0
0
175,000
Note: This part is to be used only by officers or employees of the executive branch of the Federal Government or judicial
officers of the Federal Government (including certain spouses, minor or dependent children, and trustees as described in
section 1043) for reporting nonrecognition of gain under section 1043 on the sale of property to comply with the
conflict-of-interest requirements. This part can be used only if the cost of the replacement property is more than the basis of
the divested property.
27
Enter the number from the upper right corner of your certificate of divestiture. (Do not attach a
copy of your certificate. Keep the certificate with your records.) . . . . . . . . . . . . . . . .
Description of divested property
-------------------------------------------------------------------
28
26
--------------------------------------------------------------------------------------------29
30
31
32
33
34
35
36
Ordinary income under recapture rules. Enter here and on Form 4797, line 10 (see instructions) . .
Subtract line 35 from line 34. If zero or less, enter -0-. If more than zero, enter here and on
Schedule D or Form 4797 (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
37
38
KIA
. . . . . . . . . . . . .
30
. . . . . . . . . . . . . . . . . . . . . . . . .
31
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
29
32
34
33
35
36
37
38
. . . . . . . . . . . . . . . . . . . .
Form
8824 (2011)
2011
Form 1040- V
2011
111-11-1111
123-45-6781
Jeff
J Bell
Ivy
N Bell
4326 Orange Blossom Trail
Dallas
KIA
Form
1040-V (2011)
KIA 1017
TX 75080
Dollars
2,317
SUPPORTING FORMS
SSN: 111-11-1111
BACKGROUND
2011
J Bell
N Bell
AND you are NOT entering on this tax return your combined worldwide
income. If you enter "X," your standard deduction is zero . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
BACKGROUND (CONT'D) PAGE 2
2011
Jeff
J Bell
SSN: 111-11-1111
4. EXEMPTIONS FOR YOU AND YOUR SPOUSE
a. Place an "X" here if anyone else (a parent, e.g.) can claim you as a
dependent on his or her tax return. (Joint filers enter "X" only if
someone else can claim you, AND your tax before withholding is zero.) . . . . . . . . . . . . . . . . . .
b. Enter "Y" if you are entitled to an exemption for yourself . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y
c. If married, place an "X" here if anyone else (a parent, e.g.) can
claim your spouse as an exemption on his or her tax return. (Joint
filers enter "X" only if someone else can claim your spouse, AND your
tax before withholding is zero.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Enter "X" if you are entitled to an exemption for your spouse . . . . . . . . . . . . . . . . . . . . . . . . . .
Your Exemption for Alternative Minimum Tax
YES NO
e. You had at least one parent living on the last day of 2011 . . . . . . . . . . . . . . . . . . . . .
If you answered yes to the previous question and you were ages 18-23
on the last day of 2011, answer the next question.
f. Your earned income was less than half of your support in 2011 . . . . . . . . . . . . . . . . .
5. TAXES PAID/WITHHELD
a. Estimated taxes paid (do not include 2010 refund applied):
Date
Amount
9,000
9,000
Total estimated tax payments . . . . . . . . . . . .
Amount
paid
with
Form
4868
(for
October
returns)
.
.
.......................
b.
c. Withholding on Form 1099-B . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Withholding on Form 1099-PATR . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. PAYING YOUR TAXES BY CREDIT CARD
a. Confirmation number, if taxes are being paid by credit card.
b. Amount charged to credit card (not including convenience
fee), if taxes are being paid by credit card . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. REFUND INFORMATION
Direct Deposit
Would you like to speed your refund by having the IRS deposit it directly
into your account at a bank or other financial institution in the
United States? If so, fill in the following regarding the
account and place an X here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1a. Routing Transit Number ("RTN") . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Depositor Account Number ("DAN") . . . . . . . . . . . . . . . . . . . . . . . .
Note: Here is a sample of the numbers you might find at the bottom
of a check, with "RTN," "DAN," and check number identified.
RTN:
DAN:
Check number:
123404567
123-4567
0101
c. Type of account:
Checking
Savings
d. Amount to be deposited in first account . . . . . . . . . . . . . . . . . . . . .
2a. Routing Transit Number ("RTN") . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Depositor Account Number ("DAN") . . . . . . . . . . . . . . . . . . . . . . . .
c. Type of account:
Checking
Savings
d. Amount to be deposited in second account . . . . . . . . . . . . . . . . . .
3a. Routing Transit Number ("RTN") . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Depositor Account Number ("DAN") . . . . . . . . . . . . . . . . . . . . . . . .
c. Type of account:
Checking
Savings
d. Amount to be deposited in third account . . . . . . . . . . . . . . . . . . . .
Applying Refund to Your 2012 Estimated Tax
If you are due a refund this year, do you want to apply any of it to 2012
estimated tax? If so, please enter the amount here
SSN:
2011
111-11-1111
DEPENDENTS
Jeff
2011
SSN:111-11-1111
Date of Birth
06/30/1997
Type of Dependent
Child Lived with You
Time Lived With You
Lived With All Year or Born
Person's age . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
DOB string . . . . . . . .June 30, 1997
Person is fosterchild placed with you by court order/placement agency . . . . . . . . . . . . . . . . . . . .
Yes No
Was this person a US citizen/resident alien of the US in 2011? . . . . . . . . . . . . . . . . . . . . . .
If no, was this person a resident of Canada or Mexico in 2011? . . . . . . . . . . . . . . . . . . . . . .
Is this person your adopted child who lived with you all year? . . . . . . . . . . . . . . . . . . . . . . . .
SECTION II QUICK ENTRY
If you're not sure this person qualifies, check NO and go to Section III.
Yes
Are you sure this person qualifies as your dependent in 2011 . . . . . . . . . . . . . . . . . . . . . . .
IF YOU ANSWERED YES - STOP!
You do not need to complete the rest of this worksheet.
We will prevent you from checking this box if you have not completed
all the information in Section I, or if we've determined (based upon
that information) this person cannot be your dependent.
No
No
No
No
J Bell
2011
SSN:
111-11-1111
To calculate your Child Tax Credit, we complete Parts I and II of the Child Tax
Credit Worksheet below. However, if any one of the following bullet-points apply
we complete the Publication 972 Worksheet and not the Child Tax Credit Worksheet.
You are claiming any of the following credits:
1. Mortgage Interest Credit (Form 8396)
2. D.C. First-time Homebuyer Credit (Form 8859)
3. Residential energy efficient property credit (Form 5695, Part II)
You excluded income from Puerto Rico or American Samoa (Form 4563).
You are filing Form 2555 or Form 2555-EZ.
CHILD TAX CREDIT WORKSHEET
PART I
1.
2.
3.
4.
5.
6.
The child tax credit is based on the number of qualifying children who
lived with you during 2011. We automatically calculate the number of your
qualifying children based upon information on the Dependent Worksheet.
1 X $1,000
Number of qualifying children
Enter the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Adjusted gross income (Form 1040, ln 38, Form 1040A, ln 22) . . . . . . . . . . . . . . . . 2
Amount corresponding to your filing status . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Married filing jointly - $110,000
Single, head of household, or qualifying widow(er) - $75,000
Married filing separately - $55,000
Is amount on line 2 more than amount on line 3?
No - Leave line 4 blank and enter zero on line 5.
Yes - Ln 2-ln 3 increased to next multiple of $1,000 . . . . . . . . . . . . . . . . . . . 4
Line 4 times 5% (.05) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5
Is amount on line 1 more than amount on line 5?
No - STOP! You cannot take the child tax credit on Form 1040,
line 51, or Form 1040A, line 33. You also cannot take the
additional child tax credit on Form 1040, line 65 or Form
1040A, line 42. Complete the rest of your Form 1040 or 1040A.
Yes - Ln 1 - ln 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
PART II
7. Regular tax (1040 ln 46; 1040A ln 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
8. Add the following amounts from:
Form 1040:
Form 1040A:
0
Line 47
Line 48
Line 29
+
Line 49
Line 31
+
0
Line 50
Line 32
+
Form 5695, Line 14
+
Form 8834, Line 23
+
Form 8910, Line 22
+
Form 8936, Line 15
+
Schedule R, Line 22
+
TOTAL . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
9. Are the amounts on lines 7 and 8 the same?
Yes - STOP! You can't take the child tax credit because
there's no tax to reduce. You may qualify for
the additional child tax credit.
No - Subtract line 8 from 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .9
10. Is the amount on line 6 greater than the amount on line 9?
Yes - Enter the amount from line 9. You may qualify for
the additional child tax credit.
No - Enter the amount from line 6.
This is your Child Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .10
PUBLICATION 972 WORKSHEET
X $1,000
1. Number of qualifying children
Enter the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2. Adjusted gross income (Form 1040, ln 38, Form 1040A, ln 22) . . . . . . . . . . . . . . . . 2
3. Modifications to adjusted gross income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
1,000
172,031
110,000
63,000
3,150
7.
8.
9.
10.
11.
12.
13.
14.
15.
0
0
0
Form W-2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4a
b. For work done as an inmate in a penal institution (Enter
"PRI" and this amount on the dotted line next to line 7
of Form 1040 or Form 1040A) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4b
c. A pension or annuity from a nonqualified deferred
compensation plan or a nongovernmental section 457 plan
(enter "DFC" and this amount on the dotted line next to
line 7 of Form 1040 or Form 1040A). This amount may be
shown in box 11 of your Form W-2. If you received such
an amount but box 11 is blank, contact your employer for
0
the amount received as a pension/annuity . . . . . . . . . . . . . . . . . . . .4c
If you are filing Form 1040A, skip lines 5 - 6
Note:
and go to line 7.
5a. Enter any amount included on line 3 that is also
included on Form 2555, line 43, or Form 2555-EZ, line 18
Do not include any amount that is also included on line
4a, 4b, or 4c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5a
b. Enter the amount, if any, from Form 2555, line 44, that
is also deducted on Form 1040 line 27, Sch. C, C-EZ,
or F, or included on Sch. E in partnership net income
or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .5b
0
c. Subtract 5b from 5a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5c
0
6. Enter the amount from Form 1040, line 27 . . . . . . . . . . . . . . . . . . . . .6
7. Form 1040 filers add lines 4a-4c, 5c, and 6.
Form 1040A filers add lines 4a-4c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
8. Form 1040 filers subtract line 7 from line 3.
Form 1040A filers add 1a + 1b less line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8
We enter line 8 on line 2 of the Line 11 Worksheet
Note:
or line 4a of Form 8812.
If you have Sch. K-1 amounts and you are not required to
file Sch. SE, complete the appropriate line(s) of Sched. SE
Section A. Put your name and Social Security number on
Schedule SE and attach it to your return.
This is your Child Tax Credit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
We enter this amount on Form 1040, line 51, or Form 1040A, line 33.
0
0
FORM 1099-INT/OID
INTEREST INCOME WORKSHEET
2011
Is this interest for:
You
Your spouse
Both of you
Ford Motor Company
Interest paid by:
FORM 1099-INT
15,000
$
Box 1 - Interest income:
$
Box 2 - Early withdrawal penalty:
Box 3 - Interest on U.S. Savings Bonds and
Treasury obligations:
$
Box 3 includes Series EE or I Savings Bond interest . . . . . . . . . . . . . . . . . . . . .
$
Box 4 - Federal income tax withheld:
$
Box 5 - Investment expenses:
$
Box 6 - Foreign tax paid:
Box 7 - Foreign country or U.S. possession:
$
Box 8 - Tax-exempt interest:
$
Box 9 - Specified private activity bond interest:
$
Box 10 - Tax-exempt bond CUSIP no.:
FORM 1099-OID
$
Box 1 - Original issue discount for 2011:
$
Box 2 - Other periodic interest:
$
Box 3 - Early withdrawal penalty:
$
Box 4 - Federal income tax withheld:
$
Box 6 - Original issue discount on U.S. Treasury obligations:
$
Box 7 - Investment expenses:
SELLER-FINANCED MORTGAGE INTEREST
Buyer's name . . . . . . . . . . . . . . . . . . . . . . . . .
Buyer's Social Security number . . . . . . . . . . .
Buyer's address . . . . . . . . . . . . . . . . . . . . . . . .
Interest received in 2011 . . . . . . . . . . . . . . . . .
ADJUSTMENTS
Nominee interest
OID adjustment
Accrued interest adjustment required
Amortizable bond premium
U.S. Savings Bond adjustment (not the same as Form 8815 adj.)
Other adjustment (frozen deposit, etc.)
Amount of adjustment:
No
No
4,000
No
2.
Jeff
D.
J Bell
SSN:
111-11-1111
ALLOCATIONS
Destination
Form 8829
Rental Wkst
Schedule F
Copy #
Description
%
2011
SSN: 111-11-1111
J Bell
EXPLANATORY STATEMENT
CHARITABLE
Jeff
PART I
1a.
2011
J Bell
SSN:111-11-1111
Type
Amount
500
4.
5.
6.
From K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Mileage for charitable purposes
a. From DeductionPro . . . . . . . . . . . . . . . . .
b. Other than from DeductionPro . . . . . . . .
c. Total miles . . . . . . . . . . . . . . . . . . . . . . . .
Line 3c * 14 cents per mile . . . . . . . . . . . . . . .
Parking fees, tolls, and other
out-of-pocket expenses for
charitable purposes
a. From DeductionPro . . . . . . . . . . . . . . . . .
b. Other than from DeductionPro . . . . . . . .
c. Total out-of-pocket expenses . . . . . . . . .
(b)
Subject to
30% Limit
500
(c)
Total
0
0
0
0
500
1b
PART II
0
1a. Noncash or item donations: 50% limit . . . . . . . . . . . . . . . . . . . .
0
1b. Noncash or item donations: 30% limit . . . . . . . . . . . . . . . . . . . .
1c. Noncash or item donations: 30% limit,
0
capital gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d. Noncash or item donations: 20% limit,
0
capital gain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2. Total noncash or item donations. Sum of lines 1a - 1d . . . . . . . . . . . . . . . . . . . . .
PART III
PART III
Carryover of charitable
donations from:
a. 2010 . . . . . . . . . . . . . . . . . . .
b. 2009 . . . . . . . . . . . . . . . . . . .
c. 2008 . . . . . . . . . . . . . . . . . . .
d. 2007 . . . . . . . . . . . . . . . . . . .
e. 2006 . . . . . . . . . . . . . . . . . . .
Totals . . . . . . . . . . . . . . . . . .
f.
PART IV
Regular
50%
Capital Gain
30%
30%
20%
PART IV
PART V
500
0
0
0
0
0
0
0
Carryover of charitable
donations from:
a. 2011 . . . . . . . . . . . . . . . . . . .
b. 2010 . . . . . . . . . . . . . . . . . . .
c. 2009 . . . . . . . . . . . . . . . . . . .
d. 2008 . . . . . . . . . . . . . . . . . . .
e. 2007 . . . . . . . . . . . . . . . . . . .
Totals . . . . . . . . . . . . . . . . . .
f.
PART VI
Regular
50%
30%
0
Capital Gain
30%
0
20%
0
1.
2.
3.
4.
1
2
3
4
500
0
0
500
5.
Jeff
0
minus Sec. 179 and bonus depreciation . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Alternative Depreciation System (ADS)
q. Check here if you're required to use ADS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Check here if you're using ADS, even though not required to . . . . . . . . . . . . . . . . . . . . . .
r.
s. If you checked box q. or r. and you used the car before 1987, enter the
number of years for depreciation (3, 5, or 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If the property is eligible, do you elect the (slower)
t.
150% declining balance method (usually leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . .
u. If the property is eligible, do you elect the (slower)
straight-line method (usually leave blank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Does the mid-quarter convention apply to this vehicle (we
v.
calculate this if the vehicle was placed in service this year) . . . . . . . . . . . . . . . . . . . . . . . N
w. Is this post-'88 property that is used in farming? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . N
3,060
x. "Luxury car" limit on 2011 depreciation & Sec 179 . . . . . . . . . . . . . . . . . . . . .
1,080
"Luxury
car"
limit,
reduced
for
non-business
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
y.
Method
(200DB
=
200%
declining
balance;
150DB
=
150%
declining
z.
balance; SL = Straight line) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .SL
Convention (HY=Half year; MQ=Mid-quarter) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . HY
aa.
bb. "Y" if depreciation is limited to the lesser of the
actual depreciation or the "luxury car" limit . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Y
0
Amount of depreciation allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cc.
0
Amount of depreciation allowable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
cc.
PART 6. QUESTIONS FOR STANDARD MILEAGE - OWNED OR LEASED VEHICLES
a. Enter an "X" if you're eligible for standard mileage for this vehicle.
To be eligible for standard mileage: (1) you can't use 5+ vehicles in
business or for investment at a time; (2) if you own the vehicle, you
must have used standard mileage for the car's first year; and (3) if
you lease the vehicle, you must have used standard mileage for the
entire lease period (with the exception of the period, if any,
before January 1, 1998) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Standard mileage method deduction: # cents per mile *
2,631
(number of business/investment miles) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
c. Plus: (Garage rent * bus %) + Business Tolls (above) . . . . . . . . . . . . . . . . . . . .
Note: If you are self-employed (i.e., you're directing this Vehicle
Worksheet to a Schedule C or Schedule F), then we also include on
line 6c (and ultimately on line 6d) the deductible amount of your
interest and taxes from the Expense Chart in Part 3.
2,631
d. TOTAL Standard Mileage (Std mileage amt + parking + tolls) . . . . . . . . . . . . . .
PART 7. FOR CARS PLACED IN SERVICE BEFORE THIS YEAR, WHERE STANDARD MILEAGE
WAS USED PREVIOUSLY: COMPARISON OF STANDARD MILEAGE TO STRAIGHT LINE
DEPRECIATION WITH EXPENSES - OWNED VEHICLES ONLY
a. Enter # years estimated useful life of car . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
b. Enter estimated salvage value at end of useful life . . . . . . . . . . . . . . . . .
c. Straight line depreciation this year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. TOTAL straight line depreciation + expenses this year . . . . . . . . . . . . . .
e. TOTAL Standard Mileage (from above) . . . . . . . . . . . . . . . . . . . . . . . . . .
Straight line
Standard mileage
f. Larger of the two is . . . . . . . . . . . .
Straight line
Standard mileage
g. Your choice . . . . . . . . . . . . . . . . .
PART 8. FOR VEHICLES PLACED IN SERVICE THIS YEAR AND ELIGIBLE FOR STANDARD
MILEAGE: COMPARISON OF STANDARD MILEAGE TO ACTUAL EXPENSES,
INCLUDING REGULAR DEPRECIATION FOR OWNED VEHICLES OWNED OR LEASED VEHICLES
a. The totals allowable over the next . . . . . . . . . . 6 year(s), assuming the current
mileage, business percents, expenses, etc. will not change, are:
26,134 for Standard Mileage; with a
0 residual basis.
0 for Actual Expenses (MACRS); with a
0 residual basis.
Note: Ignore residual basis if this is a leased vehicle. A higher
residual basis is better. It means less taxable gain if you sell the car.
Or, it increases the amount you may depreciate on a new car if you trade
this car in.
Actual expenses;
Standard mileage.
b. Recommendation: We recommend . . . .
Actual expenses;
Standard mileage.
c. Your choice . . . . . . . . . . . . . . . . . . . . . . .
Note for Owners: If you choose actual expenses, you can't change your
choice in future years. If you choose standard mileage, you can switch
to actual expenses in future years but will no longer be entitled to use
accelerated depreciation. Also, your circumstances may change, and our
choice may turn out not to have been the best choice.
Note for Lessees: Whatever method you choose, you can't change your
choice in future years. Your circumstances may change, and our
choice may turn out not to have been the best choice.
choice may turn out not to have been the best choice.
PART 9. INFORMATION QUESTIONS FROM THE IRS - ALL VEHICLES
Y
a. Do you (or your spouse) have another vehicle
available for personal purposes (Y/N)? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Is personal use during off-duty hours permitted? . . . . . . . . . . . . . . . . . . . . . . .
c. Was the vehicle used primarily by a more than 5%
owner (of the business) or related person? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . . .
e. If yes, is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
0
2,631
0
0
0
2020
0
0
2030
0
0
0
0
Basis
12. STATE DEPRECIATION
a.
b.
c.
d.
J Bell
2011
SSN:
111-11-1111
Groupon
Code: Z
1. Description:
08/05/2010 Date sold:
Date acquired:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
110,000
Cost/other basis (Form 1099-B, box 3 if applicable):
-110,000 Adjustments to gain/loss:
Gain/loss:
Frm 1099-B or substitute broker's statement received?
Yes
No. If Yes:
Basis shown and reported to IRS?
Yes
No
Correct basis (if amount in box 3 is not correct):
Type of gain/loss, if shown in box 8:
Short-term
Long-term
Type of gain/loss in box 8 is not correct:
Code:
2. Description:
Date acquired:
Date sold:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
Cost/other basis (Form 1099-B, box 3 if applicable):
0 Adjustments to gain/loss:
Gain/loss:
Frm 1099-B or substitute broker's statement received?
Yes
No
Basis shown and reported to IRS?
Correct basis (if amount in box 3 is not correct):
Type of gain/loss, if shown in box 8:
Short-term
Type of gain/loss in box 8 is not correct:
Code:
3. Description:
Date acquired:
Date sold:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
Cost/other basis (Form 1099-B, box 3 if applicable):
0 Adjustments to gain/loss:
Gain/loss:
Frm 1099-B or substitute broker's statement received?
Yes
No
Basis shown and reported to IRS?
Correct basis (if amount in box 3 is not correct):
Type of gain/loss, if shown in box 8:
Short-term
Type of gain/loss in box 8 is not correct:
Code:
4. Description:
Date acquired:
Date sold:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
Cost/other basis (Form 1099-B, box 3 if applicable):
0 Adjustments to gain/loss:
Gain/loss:
Frm 1099-B or substitute broker's statement received?
Basis shown and reported to IRS?
Yes
No
Correct basis (if amount in box 3 is not correct):
Type of gain/loss, if shown in box 8:
Short-term
Type of gain/loss in box 8 is not correct:
Code:
5. Description:
Date acquired:
Date sold:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
Cost/other basis (Form 1099-B, box 3 if applicable):
0 Adjustments to gain/loss:
Gain/loss:
Frm 1099-B or substitute broker's statement received?
Basis shown and reported to IRS?
Yes
No
Correct basis (if amount in box 3 is not correct):
Type of gain/loss, if shown in box 8:
Short-term
Type of gain/loss in box 8 is not correct:
6. Description:
Date acquired:
Date sold:
(MM/DD/YYYY)
(MM/DD/YYYY)
Sales price:
Cost/other basis (Form 1099-B, box 3 if applicable):
0 Adjustments to gain/loss:
Gain/loss:
Code:
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Code:
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Yes
No. If Yes:
Long-term
Code:
Yes
No. If Yes:
Long-term
2011
111-11-1111
Both
Did you make any payments in 2011 that would require you to
file Form(s) 1099 (see instructions)?
If "Yes," did you or will you file all required Forms 1099?
Yes
Yes
No
No
State: TX
ZIP:
75062
100.0%
II.
DAYS OF USE -- DWELLING
1a. Number of days rented at fair rental price (and not personal use) . . . . . . . . . . . . . . . . . . . . . . .365
b. Number of days offered for rent (and not rented, not personal use) . . . . . . . . . . . . . . . . . . . . .
0
c. Number of days of personal use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of days included on line c. for which you used
i.
property as main home if: (i) you rent or try to rent
property at fair rental price for 12 or more consecutive months
before or after using as main home; or (ii) you rent or
try to rent property at fair rental price for less than
12 consecutive months after using as main home, and period
ends because you sell or exchange property . . . . . . . . . . . . . . . . . . . . . . .
Number of days included on line c. for which you used
ii.
property for personal purposes while it was rented at
fair rental price . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of days included on line c. for which you rented
iii.
the property at less than fair rental price . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Total days owned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 365
e. Check here if the rental unit is a "residence" AND it was rented for
less than 15 days . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f. Check here if the rental unit is a "residence" AND it was rented for
15 days or more . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
g. If box 1f is checked, select an allocation method for itemizable expenses:
IRS Method
Tax Court method
h. Percentage for allocation of non-itemizable expenses related to
dwelling: (1a + 1b)/1d, but if 1c > 0, then
(1a + 1c.ii)/(1a + 1c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .100.00%
i. Percentage for allocation of itemizable expenses: Same as line 1h,
but if Tax Court's allocation method chosen, then (1a + 1c.ii)/1d . . . . . . . . . . . . . . . . . . 100.00%
III.
DAYS OF USE -- NON-DWELLING
1a. Number of days rented . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b. Number of days offered for rent (and not rented, not personal use) . . . . . . . . . . . . . . . . . . . . .
c. Total days owned . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Percentage for allocation of expenses related to non-dwelling:
(1a + 1b)/1d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 0.00 %
IV.
AT-RISK/PASSIVE ACTIVITY QUESTIONS
1.
2.
3.
Check here if you are subject to the at-risk rules and some of
your investment is NOT at risk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Amount at risk at end of 2011 (or allowed loss from Form 6198): . . . . . . . . . . . . . . . .
Skip questions 3 - 7 if this is a royalty.
Check here if you were a "real estate professional" and materially
participated in this rental activity in 2011 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5.
6.
7.
2.
3.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
Income/
Expense
INCOME
Rents/royalties received
(excluding merchant card
and third party payments)
a. From 1099-MISC, K-1 . . . . . . . . . .
b. Other rent/royalty income . . . . . . . .
Merchant card and third party
payments
a. Total . . . . . . . . . . . . . . . . . . . . . . . .
b. Portion of line a that is
not income (sales tax,
processing fees, tips,
"cash back" amounts from
merchant cards on 1099-K)
Total income . . . . . . . . . . . . . . . . . . . . .
VI.
EXPENSES
Advertising . . . . . . . . . . . . . . . . . . . . . .
Auto and travel . . . . . . . . . . . . . . . . . . .
a. Std mlg & vehicle exp . . . . . . . . . . .
b. Other auto and travel . . . . . . . . . . .
c. Total travel . . . . . . . . . . . . . . . . . . .
Cleaning and maintenance . . . . . . . . . .
Commissions . . . . . . . . . . . . . . . . . . . .
Depletion . . . . . . . . . . . . . . . . . . . . . . . .
Depreciation . . . . . . . . . . . . . . . . . . . . .
FICA & employment taxes . . . . . . . . . .
Insurance . . . . . . . . . . . . . . . . . . . . . . .
Legal and professional fees . . . . . . . . .
Management fees . . . . . . . . . . . . . . . . .
Non-mortgage interest . . . . . . . . . . . . .
Mortgage interest and points . . . . . . . .
a. Mortgage interest paid to
banks and shown on Fm 1098 . . . .
b. Other mortgage interest . . . . . . . . .
c. Points paid to banks and
shown on Form 1098 . . . . . . . . . . .
d. Other points . . . . . . . . . . . . . . . . . .
Property taxes . . . . . . . . . . . . . . . . . . . .
Other taxes . . . . . . . . . . . . . . . . . . . . . .
Repairs . . . . . . . . . . . . . . . . . . . . . . . . .
Supplies for rental activity . . . . . . . . . . .
Utilities . . . . . . . . . . . . . . . . . . . . . . . . .
Other expenses related just
to rental activity . . . . . . . . . . . . . . . . . . .
Type
Depreciation Expense
Ownership
Portion
Rental
Portion
Amount
Allowed
24,000
24,000
24,000
24,000
24,000
0
3,000
0
0
0
0
0
0
0
0
0
3,000
0
0
0
0
0
0
0
0
0
3,000
0
0
0
0
0
0
0
0
14,000
14,000
0
14,000
0
0
0
4,000
0
0
0
0
0
0
3,000
14,000
4,000
4,000
0
0
0
0
0
0
4,000
0
0
0
0
7,000
7,000
0
7,000
0
7,000
0
0
0
0
0
0
0
-4,000
0
2011
RENTALS/ROYALTIES
Jeff
J Bell
VII.
(1)
Is this a
passive
activity?
Y
VIII.
(1)
Is this a
passive
activity?
Y
-4,000
(5)
This year
unallowed
loss.
4,000
2011
111-11-1111
(6)
Allowed income
or loss this
year.
0
-4,000
4,000
SCHEDULE K-1
K-1 (PARTNERSHIP/S CORPORATION) WORKSHEET
(Partnership/S Corporation)
Jeff
J Bell
SSN:
Information About the Partnership/Corporation
1.
2.
3.
4.
5.
1.
2.
3.
11-1111111
Partnership/corporation employer id no:
KR partnership
Partnership/corporation name:
Type of entity (check one)
Partnership
S corporation
Check if foreign partnership:
Check if publicly traded partnership:
Information About the Partner/Shareholder
(Partners only) Type of partner:
General partner or LLC member-manager
Limited partner or other LLC member
Check if entire investment at risk:
Check if you are reporting (i) any loss not allowed in a prior year
due to the at-risk or basis limitations, or (ii) unreimbursed
partnership expenses:
Partner/Shareholder's Share of Current Year Income,
Deductions, Credits, and Other Items
1.(1)
2.(2)
3.(3)
4.
5.(4)
Interest income:
If you'll be using a state edition of our program, enter
here the portion of box 5(4) that is from U.S. Treasury
obligations:
6a.(5a)
Ordinary dividends:
If you'll be using a state edition of our program, enter
here the portion of box 6a(5a) that is from U.S. Treasury
obligations:
6b.(5b)
Qualified dividends:
7.(6)
Royalties:
Copy number of Rentals & Royalties Wksht:
Be careful not to use a copy on which
you've entered data for another
rental or royalty activity.
6,000
2011
111-11-1111
8.(7)
9a.(8a)
9b.(8b)
9c.(8c)
10.(9)
11.(10)
12.(11)
13.(12)
Other deductions
Activity type:
Activity type:
Activity type:
Activity type:
Activity type:
Activity type:
Activity type:
Activity type:
Credits
Foreign transactions
Name of country/U.S. possession (code A):
Other information reported in box 16 (14):
17.(15)
Foreign source
(b)
Total foreign taxes
(1) Tax withheld at source on
dividends
(2) Taxes withheld at source on
rents/royalties
Amount on preceding line related
to non-passive rents/royalties
(3) Tax withheld at source on
interest
(4) Other foreign taxes paid or
accrued.
Alternative minimum tax (AMT) items
16.
Other information
20.(17)
Page 2
6,000
0
0
0
0
0
6,000
0
0
(2)
Rental real
estate w/ active
participation?
N
(3)
Activity's
net income
or loss
6,000
0
0
(4)
Prior year
unallowed
loss (or 0)
(5)
This year
unallowed
loss
(6)
Allowed income
or loss this
year
0
0
0
6,000
0
0