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k 3 . W%CInCATIONS
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M 8E REYOVED BEFORE PRMTlHO
m M "24, PA[Y 7 01 4
WGNS
TOP l+m rh'~.CENTER SMS
PLPER WIE mm*rG, WU al
FLAT SIZE 2t6 mrn IbH'I rn 1 4 mm ( l l ' b
m ~ m
nmo TO n m
N K BLACK
UkeKlnd Exchanges
(and ascum 1 w 3 C M m k t - O f - ( n ~ ~st a h )
t
N W . I f NLB pope?y d e s c M Dn nne f or tine 2 Is I& w m
n
#
lacst& wrnde !he UrdM Statss, mdrccrtrr IM chniry
DescnplM oi like-klnd property glven UD
...........................................................................
3
Date I I ~ O - K I Iproperty
~~
glue" up was orlgindly awulred (monte, day, ye&
4
Oslo y~ aci~nllytranslsned your p-oprty I0 01hM party (rnorrth, aay, y u a q
9
oat# Ilke-hnd pm-y
you reoslved was IWernWa by written notlcs to mmher party (month,
day, yearl. See 1muucrlOn3for 45-day wmtm nulcs requ~remem
b
Oat* ymactuallyrecslved theike-kina empertyfromolbwpaly(monlh,day,
I
Was lkm exchange d thw ppropaty g m up u m x i v d made with a d a t e d pa*, &er
(wen IIS vlrwgh an ~ m e r r r m i a r y p . h I 4 t u l Party Exchange l n l m t l a n
8
~amdneum~
9
h r i n g mis tan
........................................................................................................................
.
. . . . . . . .
y
l
r
w.Sea ~ m r r u c t ~ n s
u
direclly or und*rectly
Z
l
"
~-H-
@ar (and before the dwa rnat is 2 y e a n atel me laar transfer of property that was uan of tna
excnmgm). dlrl tna ce~atedp a q d r m a y w l n d l m l y (such *s mmugn an Intmnsdlary) ~ lorl disposv or any
pan of tho ~ ~ k n - ~pr~perfy
nd
recsrved tmm y u ~
in t b elrcnange?. . .
. . . . . . .
~
numaa
Oms UHO
[Xlting thrs tax year (md bsrors the date tM IS 2 y e a r s a m the Isn trmslw ol prewrry that wa3 pan of tne
wdrwgel, dia yw sell or d b v of any pan of the I r h e h d property you rem~ved?
10
. . . . . . Ohm OHO
ff
oom Gnat 9 and 10 am 'No" and ihs rs the +01 ma exchmqe, p m P M 111
or
ma ,-
w-nor I-
slcp here. R
Ifbolh Imws 9 and id ere "No' and Ihfs ts not me
h9 9 Urn 10 rs " Y e ' cpnLusm Pen If1 ma rspwr on mfs&5
try mum the d e M
II w e s .
lm l m 24
~ unless om 01 rho WopW M h e
If om of tho eacepllcns below appllas to the dlspmtlm. Fhsck the applrcable wx
1f
a
0
b [7
c
CI
The alsposlfion
was alter (ha death of either of tho relMed partr-.
me ailpsmon was an Involuntary mnversion, and the threat or wnversbon o c c u m atlm the eichanga.
YW can -lsn
princlpet p ~
to the satisfaction of Ul8 IRS thaf rdther r h . sxchange nor the dlsposrtion had lax aoldance as ~ t s
r Uptnls
~ b x rs E M @
Skach
, an exptmatlen (see ~ m t r d l m s ) .
1
1.n 9. SPWIRCITIONS
TO BL RWWU~REFORE PR~NTIHO
I M m 4 c n M S TO PRtNER
F W M 8823, PAGE 2 016
PRINTS HmO TO HEbD
MAAGMS. TOP 13 mm 5 ' ) C E m SIOES.
INK. WK
PAPEA: WITF WRITIN& s i ~ 20.
i
FtATSUE.218mnW4')d 179mm[11')
WNMPR!+4TCI W D O T P R M T - W H O T P W - 0 0 H O I P R l N T
Cwllon:C w kmslerred and mubd (*I mcxe ttrvl cns wato or -M
m~nm
w IhJcasn or o m mot Ye+mdj -o
rss ~ d n OI gmuw-asw1 ~ ~ s h l r r p r athe
h.&itnoa: Conplate llms 12 thmvgh Id m& I f y w p v e up pmperr). t t u i was not tika-Mm, O t m l s e , go foline 15.
I 2 F r r rnakel value (FMV) of omef p w m y glven up . . .
19 A
d
w
e
d basls of O ~ propew
W
g ~ v mup . . . . . . . .
Ga~nor (loss) recognized on dhur property g l m up Suntract Iltw \ 3 from Hne 12. R e w n tne
gain or (loss; on me same manner as d the echanp. had w a n a 'sale
Caulion: It lhs m p*en up was used p-eor Fun+ as a h e , see P r o m uasd
as horns in tkn rn3bvcnoos
15
cagh r m w . FW DI MM p r ~ p e r t yr m , phe nm l l e b ~ l sasumed
r~
by omsr OW,
reducsd
(but not h ~ o w
rwo] by my exchange axp8ngas yw incurred (sag insrrucrmn91 . . . . . .
. . . . . . . .
I
. . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . .
1% F M v of like-Mnd propem you received
17 &idliwul5andl6.
18 Ad(ustd W s of like-k~ndp w n y you gave up, net arnounfs pad 10 OThm wrty, plus any
s~ehangeexpenses not used on tlnm 15 1lmtNctiom)
19 R u l l ~ ~ l n o c f l w s ~ . S u M r a n l l n s l B t o m U ~ 1 7
20 E n t ~ m e m ~ l e r d l i n e 1 5 o r l l m l @ . ~ u l r o t l ~ ~ a n m .
under r s c a p t w rub. Enter hero and br Fam 4197, line 18 (minsbvclimsl
21 minary
. . . . . . . . . . . .
. . . . . . . . . .
. . . . . .
.
23
M
25
m ,,
5:
14
Zz
,
15
18
II
18
18
2Q
21
Sublaet Hrm 21 trm Hne 20 It mu w h s , emer -&. li more M m a , errter here and on Schedulo
m
O a F m 4797. u n l m tta innallment meMod W l m [sep l n m o p l ~
2.9
RseogrlrsdgPkr. Add llnss2l andn
24 1
Ddened gah or [bml-Slauaa nm 23 han llm 19. If a MUM pmly sxctmqe. W Elnsnuclims
~ ~ l l r a f 1 h l d n d ~ m s l v s d % ~ 1 i n 0 1 5 f m m t h e s u m o f r 1 n ~ 1 ~ a251
d ~ 3 .
Deferral o t O a l n From Swztlm t 0 u CoMlct-of-Intomst Sals-
. . . . . . .
. . . . . . . . . . . . . . . . . .
.
Notr:
wth
ma rn 1s to Pe ~ s e oonly b/
o
m ol Bmployees of
me m u &
I
m c n ol hw Feuera1 G o v e m m f w ,ucnc.ar
or rm F m m d Gonvnmanf h x rapamrg r o r v ~ n ol
m garn v w rscDw f0-U on rtm we ~f m d n f 10 cwnprf
im c m I I I C t a l - ~ n r mm@Awwnro h a p m am be usedonly r l lhe m s r of me replecemenr p r w a f y rs more tnan rhe
~ O l t M d l v e S t e d ~ .
w mtw t
h number f
m t h upper
~
r l g comer
~
d yarrceltkale or dlbwititUr9. (Do nM
oopy ol your oertlflcsts. K w p ihw cemflcwe wlm your -1.
27
28
anacn a
. . . . . . . . .
.-
F -
..........................................................................................
.....................................................................................................................
Oescriptlm of replacement pmpem, .........................................
.....................................
..............................................................................................................................
Descriptlm ot dluested
2a
Data dnwted pmperfy was sold (manlh, day. y w l
. . . . . . . . .
3[L
Salaswcs 01 dlwrled property {seeInsrrwrlws).
. . . .
91
Basis ot dlvened pmpBrtY.
. . . . . . . . . . . . .
. . . . . .
32
R m l l w d galm. S u M m IrnsJt horn lhe 3I)
33
Cast ot replacement pmpatr purcnased wlthln 80 days after date
a l sde
34
Subhwi line 33 horn lms 30.
. . . . . . . . . . . . . . . . . . .
M zem M
less. enler
U-
. . . . . . . . . . .
36 Ordinary I n m und* -we
r u l e Emw hem and rn Form 4797, Une l O { p e a rmlructlms)
98 S u m d llne 35 horn line 311. 11zero or I-,
m t a O H mom than zerp, mer hem and on
Scneaule D or Form 4797 [seelnstnrctbrs) . . . . . . . . . . . . . . . . .
37
,~
s
r gmln.
n
SuMract tho sum of l l n w 35 and 38 fmm line 32
. .
.
.
-1
File Type | application/pdf |
File Modified | 2007-09-14 |
File Created | 2007-09-14 |