Schedule D-1 (Form Continuation Sheet for Schedule D

Department of the Treasury
(99)
Internal Revenue Service

2009

©

©

See instructions for Schedule D (Form 1040).
Attach to Schedule D to list additional transactions for lines 1 and 8.

Name(s) shown on return

Part I

OMB No. 1545-0074

Continuation Sheet for Schedule D
(Form 1040)

SCHEDULE D-1
(Form 1040)

Attachment
Sequence No.

12A

Your social security number

Short-Term Capital Gains and Losses—Assets Held One Year or Less

(a) Description of property
(Example: 100 sh. XYZ Co.)

(b) Date
acquired
(Mo., day, yr.)

(d) Sales price
(see page D-7 of the
instructions)

(c) Date sold
(Mo., day, yr.)

(e) Cost or other basis
(see page D-7 of the
instructions)

(f) Gain or (loss)
Subtract (e) from (d)

1

2

Totals. Add the amounts in column (d). Also, combine the
amounts in column (f). Enter here and on Schedule D, line 2 ©

2

For Paperwork Reduction Act Notice, see Form 1040 or Form 1040NR instructions.

Cat. No. 10424K

Schedule D-1 (Form 1040) 2009

Schedule D-1 (Form 1040) 2009

Attachment Sequence No.

Name(s) shown on return. Do not enter name and social security number if shown on other side.

Part II

12A

Page

2

Your social security number

Long-Term Capital Gains and Losses—Assets Held More Than One Year

(a) Description of property
(Example: 100 sh. XYZ Co.)

(b) Date
acquired
(Mo., day, yr.)

(c) Date sold
(Mo., day, yr.)

(d) Sales price
(see page D-7 of the
instructions)

(e) Cost or other basis
(see page D-7 of the
instructions)

(f) Gain or (loss)
Subtract (e) from (d)

8

9

Totals. Add the amounts in column (d). Also, combine the
amounts in column (f). Enter here and on Schedule D, line 9 © 9
Schedule D-1 (Form 1040) 2009