8853 Archer MSAs and Long-Term Care Insurance Contracts

U.S. Individual Income Tax Return

8853

U.S. Individual Income Tax Return

OMB: 1545-0074

Document [pdf]
Download: pdf | pdf
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.

5
TLS, have you
transmitted all R
text files for this
cycle update?

Date

I.R.S. SPECIFICATIONS

TO BE REMOVED BEFORE PRINTING

INSTRUCTIONS TO PRINTERS
FORM 4835, PAGE 1 of 2
MARGINS: TOP 13mm (1⁄ 2 "), CENTER SIDES.
PAPER: WHITE, WRITING, SUB. 20
FLAT SIZE: 203mm (8") 3 279mm (11")
PERFORATE: (NONE)

PRINTS: HEAD TO HEAD
INK: BLACK

DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT

Form

4835

Department of the Treasury
Internal Revenue Service

Action

Date

O.K. to print
Revised proofs
requested

OMB No. 1545-0074

Farm Rental Income and Expenses
(Crop and Livestock Shares (Not Cash) Received by Landowner (or Sub-Lessor))

2006

f
o
s
a
6
t
0
f
0
a
2
r
/
D /12
6
0
(Income not subject to self-employment tax)

©

Signature

Attach to Form 1040 or Form 1040NR.

Name(s) shown on tax return

©

Attachment
Sequence No.

See instructions on back.

37

Your social security number
Employer ID number (EIN), if any

A Did you actively participate in the operation of this farm during 2006 (see instructions)?

Part I
1
2a
3a
4
a
b
5
a
c
6
7

8

9
10
11
12

1
2b
3b

4a
4c

5b
5d
6
7

Expenses—Farm Rental Property. Do not include personal or living expenses.

Car and truck expenses (see
Schedule F instructions). Also
attach Form 4562
Chemicals

21 Pension and profit-sharing
plans
8
9

Conservation expenses (see
instructions)
Custom hire (machine work)

10
11

Depreciation and section 179
expense deduction not
claimed elsewhere

12

13

Employee benefit programs
other than on line 21 (see
Schedule F instructions)
14 Feed
15 Fertilizers and lime
16 Freight and trucking
17 Gasoline, fuel, and oil
18 Insurance (other than health)
19 Interest:
a Mortgage (paid to banks, etc.)
b Other
20 Labor hired (less employment
credits) (see Schedule F
instructions)

13
14
15
16
17
18
19a
19b

20

22a
22b
23
24
25
26
27
28
29

30a
30b
30c
30d
30e
30f
30g
31

©

Total expenses. Add lines 8 through 30g (see instructions)

32

Net farm rental income or (loss). Subtract line 31 from line 7. If the result is income, enter
it here and on Schedule E, line 40. If the result is a loss, you must go to line 33
If line 32 is a loss, check the box that describes your investment in this activity
(see instructions)
You may have to complete Form 8582 to determine your deductible loss, regardless of which
box you checked (see instructions). If you checked box 33b, you must complete Form 6198
before going to Form 8582. In either case, enter the deductible loss here and on
Schedule E, line 40

For Paperwork Reduction Act Notice, see instructions on back.

21

22 Rent or lease:
a Vehicles, machinery,
and equipment (see
instructions)
b Other (land, animals, etc.)
23 Repairs and maintenance
24 Seeds and plants
25 Storage and warehousing
26 Supplies
27 Taxes
28 Utilities
29 Veterinary, breeding, and
medicine
30 Other expenses
(specify):
a
b
c
d
e
f
g

31

33

No

Gross Farm Rental Income—Based on Production. Include amounts converted to cash or the equivalent.

Income from production of livestock, produce, grains, and other crops
Cooperative distributions (Form(s) 1099-PATR) 2a
2b Taxable amount
Agricultural program payments (see instructions) 3a
3b Taxable amount
Commodity Credit Corporation (CCC) loans (see instructions):
CCC loans reported under election
4b
CCC loans forfeited
4c Taxable amount
Crop insurance proceeds and federal crop disaster payments (see instructions):
5a
Amount received in 2006
5b Taxable amount
If election to defer to 2007 is attached, check here ©
5d Amount deferred from 2005
Other income, including federal and state gasoline or fuel tax credit or refund (see instructions)
Gross farm rental income. Add amounts in the right column for lines 1 through 6. Enter the
©
total here and on Schedule E (Form 1040), line 42

Part II

Yes

Cat. No. 13117W

32

%

33a
33b

All investment is at risk.
Some investment is not at risk.

33c
Form

4835

(2006)


File Typeapplication/pdf
File Title2005 Form 1040
SubjectU.S. Individual Income Tax Return
AuthorSE:W:CAR:MP
File Modified2006-12-30
File Created2006-12-30

© 2024 OMB.report | Privacy Policy