Form Schedule D 1040 Schedule D 1040 Capital Gains and Losses

Caution: DRAFT FORM
This is an advance proof copy of an IRS tax form.
It is subject to change and OMB approval before it
is officially released. You can check the scheduled
release date on our web site (www.irs.gov).
If you have any comments on this draft form, you can
submit them to us on our web site. Include the word
DRAFT in your response. You may make comments
anonymously, or you may include your name and
e-mail address or phone number. We will be unable
to respond to all comments due to the high volume
we receive. However, we will carefully consider
each suggestion. So that we can properly consider
your comments, please send them to us within 30
days from the date the draft was posted.

3
TLS, have you
transmitted all R
text files for this
cycle update?

Date

Form

I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
INSTRUCTIONS TO PRINTERS
FORM 8689, PAGE 1 of 2
MARGINS: TOP 13mm (1⁄ 2 ”), CENTER SIDES.
PRINTS: HEAD to HEAD
PAPER: WHITE WRITING, SUB. 20.
INK: BLACK
1
FLAT SIZE: 216mm (8 ⁄ 2 ”) x 279mm (11”)
PERFORATE: (NONE)
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

8689

Name(s) shown on Form 1040

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

O.K. to print
Revised proofs
requested

OMB No. 1545-0074

2006

Attachment
Sequence No.

Attach to Form 1040.

©

1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

©

28
29

Adjusted Gross Income From the U.S. Virgin Islands

Archer MSA deduction
Certain business expenses of reservists, performing artists, and fee-basis
government officials

19
20
21
22
23
24
25
26
27
28
29

Health savings account deduction
Moving expenses
One-half of self-employment tax
Self-employed SEP, SIMPLE, and qualified plans
Self-employed health insurance deduction
Penalty on early withdrawal of savings
IRA deduction
Student loan interest deduction
Jury duty pay you gave to your employer
Add lines 17 through 27
Subtract line 28 from line 16. This is your adjusted gross income

17
18
19
20
21
22
23
24
25
26
27

Allocation of Tax to the U.S. Virgin Islands

30

Enter amount from Form 1040, line 63

30

31

Enter the total of the amounts from Form 1040, lines 58, 59, 62, 66a, and 68. Include any uncollected social security
and Medicare or tier 1 RRTA tax, tax on golden parachute payments, or excise tax on insider stock compensation
reported on line 63. Also include any amount from Form 5329, Parts III, IV, V, VI, VII, or VIII reported on line 60
Subtract line 31 from line 30
33
Enter amount from Form 1040, line 38

31
32

Divide line 29 above by line 33. Enter the result as a decimal (rounded to at least 3 places). Do not enter more than 1.000
Multiply line 32 by line 34. This is your tax allocated to the U.S. Virgin Islands

34
35

32
33
34
35

Part IV
36
37
38
39
40
41
42
43
44

85

Your social security number

Income From the U.S. Virgin Islands

17
18

Part III

Signature

f
o
s
a
6
t
0
f
0
a
2
r
/
D /14
7
0
©

Wages, salaries, tips, etc.
Taxable interest
Ordinary dividends
Taxable refunds, credits, or offsets of local U.S. Virgin Islands income taxes
Alimony received
Business income or (loss)
Capital gain or (loss)
Other gains or (losses)
IRA distributions (taxable amount)
Pensions and annuities (taxable amount)
Rental real estate, royalties, partnerships, S corporations, trusts, etc.
Farm income or (loss)
Unemployment compensation
Social security benefits (taxable amount)
Other income. List type and amount. ©
Add lines 1 through 15. This is your total income

Part II

Date

Allocation of Individual Income Tax
to the U.S. Virgin Islands

Department of the Treasury
Internal Revenue Service

Part I

Action

3

.

Payments of Income Tax to the U.S. Virgin Islands

36
Income tax withheld by the U.S. Virgin Islands
37
2006 estimated tax payments and amount applied from 2005 return
38
Amount paid with Form 4868 (extension request)
©
Add lines 36 through 38. These are your total payments
Enter the smaller of line 35 or line 39. Also, include this amount in the total on Form 1040, line 72. On
the dotted line next to line 72, enter "Form 8689" and show this amount
Overpayment to the U.S. Virgin Islands. If line 39 is more than line 35, subtract line 35 from line 39
©
Amount of line 41 you want refunded to you
©
43
Amount of line 41 you want applied to your 2007 estimated tax
Amount you owe to the U.S. Virgin Islands. Subtract line 39 from line 35. Enter the amount that you
are paying here and on Form 1040, line 72. Next to line 72, enter “Form 8689” and the amount paid ©

For Paperwork Reduction Act Notice, see back of form.

Cat. No. 64603D

39
40
41
42

44
Form

8689

(2006)