Jeff Bell 2012 Tax Return

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Transcript of Jeff Bell 2012 Tax Return

  • COVER PAGE

    Filing Checklist for 2012 Tax Return Filed On Standard Forms

    Prepared on: 12/01/2013 12:18:43 pm

    Return: /Users/luou/Desktop/Jeff Bell 2012 Tax Return.T12

    To file your 2012 tax return, simply follow these instructions:Step 1. Sign and date the return

    Because you're filing a joint return, Jeff and Ivy both need to sign the tax return.If your return is signed by a representative for you, you must have a power of attorney attached that specifically authorizes the representative to sign your return. To do this, you can use Form 2848, Power of Attorney and Declaration of Representative. Step 2. Assemble the return

    These forms should be assembled behind Form 1040 --U.S. Individual Income Tax Return - Schedule A - Schedule B - Schedule C - Schedule D - Schedule E - Schedule SE - Form 4797 - Form 6251 - Form 8582 - Page 1 - - Page 2 (Regular Tax) - - Page 3 (Regular Tax) - Form 8824 - Form 8829 - Form 1040-V

    Staple these documents to the front of the first page of the return: Form W-2: Wage and Tax Statement 1st (MGM) Form W-2c: Corrected W-2

    Step 3. Mail the return

    Mail the return to this address: Department of the Treasury Internal Revenue Service Austin, TX 73301-0002

    We recommend that you use one of these IRS-approved methods to send your return. Retain the proof of mailing to avoid a late filing penalty: - U.S. Postal Service certified mail. - DHL Same Day Service. - FedEx Priority Overnight, Standard Overnight, 2Day, International Priority, or International First. - United Parcel Service Next Day Air, Next Day Air Saver, 2nd Day Air, 2nd Day Air A.M., Worldwide Express Plus, or Worldwide Express.

  • - Form 8824 - Form 8829 - Form 1040-V

    Staple these documents to the front of the first page of the return: Form W-2: Wage and Tax Statement 1st (MGM) Form W-2c: Corrected W-2

    Step 3. Mail the return

    Mail the return to this address: Department of the Treasury Internal Revenue Service Austin, TX 73301-0002

    We recommend that you use one of these IRS-approved methods to send your return. Retain the proof of mailing to avoid a late filing penalty: - U.S. Postal Service certified mail. - DHL Same Day Service. - FedEx Priority Overnight, Standard Overnight, 2Day, International Priority, or International First. - United Parcel Service Next Day Air, Next Day Air Saver, 2nd Day Air, 2nd Day Air A.M., Worldwide Express Plus, or Worldwide Express.

    Step 4. Keep a copy

    Print a second copy of the return for your records. We recommend that you also print and retain these supporting forms, which don't need to be sent to the IRS: - - Background Worksheet - - Dependents Worksheet - - Child Tax Credit Worksheet - - Last Year's Data Worksheet - - Form 1099-INT/OID - - Form 1099-DIV - - Form 1099-G - - Home Mortgage Interest Worksheet - - Charitable Worksheet - - Depreciation Summary - - Depreciation Worksheet - - Vehicle Worksheet - - Rentals & Royalties - - K-1 Partnership/S Corporation

    2012 return information - Keep this for your records

    Here is some additional information about your 2012 return. Keep this information with your records.You will need your 2012 AGI to electronically sign your return next year.Quick SummaryIncome $365,648Adjustments - $2,237 Adjusted gross income $363,411Deductions - $25,301Exemption(s) - $15,200 Taxable income $322,910

    Tax withheld or paid already $61,000Actual tax due - $67,985Refund applied to next year - $0 You Owe $6,985

  • (2) Dependent's social security number

    Head of household (with qualifying person). (See instr.) If the qualifying person is a child but not your dependent, enter this child's name here.

    b Tax-exempt interest. Do not include on line 8a . . . . . . . . . . . . .

    36 Add lines 23 through 35 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    31a Alimony paid b Recipient's SSN

    26

    3031a32

    3435

    37

    15a b Taxable amount . . .16b16a b Taxable amount . . .171819

    20b20a2122

    23

    8b9a9a Ordinary dividends. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . .

    1011121314

    15b14 Other gains or (losses). Attach Form 4797 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .If you did not

    get a W-2,see instructions.

    78a8a Taxable interest. Attach Schedule B if required . . . . . . . . . . . . . . . . . . . . . . . . . .

    Boxes checked on 6a and 6bNo. of children on 6c who:

    Single

    Married filing jointly (even if only one had income)Married filing separately. Enter spouse's SSN above and full name here.

    Qualifying widow(er) with dependent child

    If more than fourdependents, see instructions andcheck here

    6a

    bc

    Yourself. If someone can claim you as a dependent, do not check box 6a . . . . . . .

    Dependents:(1) First name

    Apt. no.

    City, town or post office, state, and ZIP code. If you have a foreign address, also complete spaces below (see instructions). Presidential Election Campaign

    Filing Status

    Check only one box.

    1

    2

    3

    4

    5

    1040 2012Your first name and initial Last name Your social security number

    If a joint return, spouse's first name and initial Last name Spouse's social security number

    Home address (number and street). If you have a P.O. box, see instructions.

    Form

    Enclose, but donot attach, anypayment. Also,please useForm 1040-V.

    28

    IRS Use OnlyDo not write or staple in this space.

    Form 1040 (2012)

    16a Pensions and annuities . . . . . . . . . .17 Rental real estate, royalties, partnerships, S corporations, trusts, etc. Attach Schedule E . . . .18 Farm income or (loss). Attach Schedule F . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19 Unemployment compensation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .20a Social security benefits

    15a IRA distributions . . . . . . . . . . . . . .

    7 Wages, salaries, tips, etc. Attach Form(s) W-2 . . . . . . . . . . . . . . . . . . . . . . . . . .

    13 Capital gain or (loss). Attach Schedule D if required. If not required, check here . . . . . . . . . . . . . . . . . .

    27 Deductible part of self-employment tax. Attach Schedule SE . . . . . . .

    29 Self-employed health insurance deduction . . . . . . . . . . . . . . . .30 Penalty on early withdrawal of savings . . . . . . . . . . . . . . . . . .

    23 Educator expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    26 Moving expenses. Attach Form 3903 . . . . . . . . . . . . . . . . . . .

    28 Self-employed SEP, SIMPLE, and qualified plans . . . . . . . . . . . . .

    KIA For Disclosure, Privacy Act, and Paperwork Reduction Act Notice, see separate instructions.

    AdjustedGrossIncome

    Last name(3) Dependent's

    relationship to you

    d Total number of exemptions claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Dependents on 6cnot entered above

    Add numbers onlines above

    Income

    For the year Jan. 1Dec. 31, 2012, or other tax year beginning , 2012, ending ,20

    Exemptions

    Attach Form(s)W-2 here. Alsoattach FormsW-2G and 1099-R if taxwas withheld.

    b Taxable amount . . . . . . . .

    22 Combine the amounts in the far right column for lines 7 through 21. This is your total income21 Other income. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    37 Subtract line 36 from line 22. This is your adjusted gross income . . . . . . . . . . . . . . .

    Department of the TreasuryInternal Revenue Service (99)

    lived with you did not live with you due to divorceor separation(see instructions)

    Spouse . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Make sure the SSN(s) aboveand on line 6c are correct.

    36

    33 Student loan interest deduction . . . . . . . . . . . . . . . . . . . . . .

    You Spouse

    10 Taxable refunds, credits, or offsets of state and local income taxes . . . . . . . . . . . . . . . .11 Alimony received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12 Business income or (loss). Attach Schedule C or C-EZ . . . . . . . . . . . . . . . . . . . . . .

    U.S. Individual Income Tax Return

    32 IRA deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    25

    34 Tuition and fees. Attach Form 8917.

    27

    b Qualified dividends . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b

    2424 Certain business expenses of reservists, performing artists, and

    fee-basis government officials. Attach Form 2106 or 2106-EZ . . . . . .25 Health savings account deduction. Attach Form 8889 . . . . . . . . . .

    29

    Check here if you, or your spouse if filingjointly, want $3 to go to this fund. Checkinga box below will not change your taxor refund

    35 Domestic production activities deduction. Attach Form 8903 . . . . . . .

    33

    OMB No. 1545-0074

    Foreign country name Foreign province/state/county Foreign postal code

    See separate instructions.

    V (4) if child under age 17 qualifying for child tax credit

    (see instructions)

    Jeff Bell 111-11-1111

    Ivy Bell 123-45-6781

    4326 Orange Blossom Trail

    Dallas TX 75080

    X

    XX

    2

    Anna Bell 123-45-6784 Daughter 2

    Tyler Bell 123-45-6788 Daughter X

    4 100,000 24,000

    0 0

    0 0

    31,664 200,000 0 0 0 5,784 0

    GAMBLING 4,200 365,648

    0 0 0 0 2,237 0 0 0

    0

    0 2,237 363,411

  • If the IRS sent you an Identity ProtectionPIN, enter ithere (see inst.)

    50 Retirement savings contributions credit. Attach Form 8880 . . . . . .

    b Reserved

    40 Itemized deductions (from Schedule A) or your standard deduction (see left margin) . . . . . .

    61 Add lines 55 through 60. This is your total tax . . . . . . . . . . . . . . . . . . . . . . . . .

    77

    Date Your occupation

    Date Spouse's occupation

    DateCheck ifself-employed

    Firm's EIN

    Phone no.

    66

    68

    7273

    75

    62

    64a

    68 Amount paid with request for extension to file . . . . . . . . . . . . . .

    65

    53

    565758

    59b

    44

    48

    52

    42 Exemptions. Multiply $3,800 by the number on line 6d . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .41

    PaidPreparerUse Only

    38

    Payments

    AmountYou Owe

    Tax andCredits

    40

    d 8885 .

    You were born before January 2, 1948, Blind. Spouse was born before January 2, 1948, Blind.

    Your signature

    Print/Type preparer's name

    Firm's name Firm's address

    Spouse's signature. If a joint return, both must sign.

    76 Amount you owe. Subtract line 72 from line 61. For details on how to pay, see instructions

    63 2012 estimated tax payments and amount applied from 2011 return . .

    55

    KIA

    62 Federal income tax withheld from Forms W-2 and 1099 . . . . . . . .

    c Type: Checking SavingsDirect deposit? See instructions.

    OtherTaxes

    SignHere

    76

    39a Check if: 39a

    41 Subtract line 40 from line 38 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    39b

    43 Taxable income. Subtract line 42 from line 41. If line 42 is more than line 41, enter -0- . . . . . . . . . . . . . . 43

    38 Amount from line 37 (adjusted gross income) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    a Form(s) 8814

    42

    b Form 4972

    44 Tax (see instructions). Check if any from:

    54

    47

    52 Residential energy credits. Attach Form 5695 . . . . . . . . . . . . .cb 8801

    54 Add lines 47 through 53. These are your total credits . . . . . . . . . . . . . . . . . . . . . . .55 Subtract line 54 from line 46. If line 54 is more than line 46, enter -0- . . . . . . . . . . . . . .

    71 Credits from Form:

    57 Unreported social security and Medicare tax from Form:

    5958 Additional tax on IRAs, other qualified retirement plans, etc. Attach Form 5329 if required . . . . .

    56 Self-employment tax. Attach Schedule SE . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    74a Amount of line 73 you want refunded to you. If Form 8888 is attached, check here . . . .b Routing numberd Account number

    73 If line 72 is more than line 61, subtract line 61 from line 72. This is the amount you overpaid . . .72 Add lines 62, 63, 64a, and 65 through 71. These are your total payments . . . . . . . . . .

    75 Amount of line 73 you want applied to your 2013 estimated tax

    77 Estimated tax penalty (see instructions) . . . . . . . . . . . . . . . .

    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.

    Page 2Form 1040 (2012)

    45 Alternative minimum tax (see instructions). Attach Form 6251 . . . . . . . . . . . . . . . . . . . . . . . .46 Add lines 44 and 45 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Refund

    51

    47 Foreign tax credit. Attach Form 1116 if required . . . . . . . . . . . . .48 Credit for child and dependent care expenses. Attach Form 2441 . . . .

    4950

    65 Additional child tax credit. Attach Schedule 8812 . . . . . . . . . . . .

    Daytime phone numberJoint return? See instructions.Keep a copy for your records.

    Form 1040 (2012)

    4546

    If you have a qualifying child, attachSchedule EIC.

    Third PartyDesignee

    Do you want to allow another person to discuss this return with the IRS (see instructions)?Designee'sname

    Phoneno.

    Personal indentificationnumber (PIN)

    Yes. Complete below No

    PTIN

    51 Child tax credit. Attach Schedule 8812, if required . . . . . . . . . . .

    61

    74a

    b If your spouse itemizes on a separate return or you were a dual-status alien, check here

    53 Other credits from Form: a 3800

    Total boxeschecked

    b Nontaxable combat pay election . . . . 64b

    69

    a 4137 b 8919 . . . . . . .

    49 Education credits from Form 8863, line 19 . . . . . . . . . . . . . . .

    71

    a Household employment taxes from Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . .b First-time homebuyer credit repayment. Attach Form 5405 if required . . . . . . . . . . . . . . .

    c 8801

    66 American opportunity credit from Form 8863, line 8 . . . . . . . . . . .6767 Reserved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    63

    69 Excess social security and tier 1 RRTA tax withheld . . . . . . . . . .70 Credit for federal tax on fuels. Attach Form 4136 . . . . . . . . . . . . 70

    Preparer's signature

    StandardDeduction for People who check anybox on line39a or 39b or who can beclaimed as adependent, seeinstructions. All others:

    Married filingjointly orQualifyingwidow(er),$11,900Head ofhousehold,$8,700

    Single orMarried filingseparately,$5,950

    59a

    60 Other taxes Enter code(s) from instructions . . . . . . . . . . . . . . . . . . . . . . . . . . 60

    c 962 election .

    a 2439

    64a Earned income credit (EIC) . . . . . . . . . . . . . . . . . . . . . .

    Jeff Bell 111-11-1111 363,411

    0

    25,301 338,110 15,200 322,910 52,788 11,308 64,096

    0 0

    0

    0 0 64,096 3,889 0 0 0 0

    67,985 25,000 36,000

    0

    0 61,000

    XXXXXXXXXXXXXXXXXXXXXXXXXX

    6,985

    X

    Regional Manager 222-222-2222Self-employeed CPA

  • 23 Other expensesinvestment, safe deposit box, etc. List typeand amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    13 Mortgage insurance premiums (see instructions)

    Job Expensesand CertainMiscellaneousDeductions

    SCHEDULE A(Form 1040)

    Department of the TreasuryInternal Revenue Service Attach to Form 1040.

    Itemized DeductionsInformation about Schedule A and its separate instructions is at www.irs.gov/form1040.

    OMB No. 1545-0074

    2012AttachmentSequence No. 07

    Your social security numberName(s) shown on Form 1040

    MedicalandDentalExpenses

    Caution. Do not include expenses reimbursed or paid by others.1 Medical and dental expenses (see instructions) . . . . . . . . .2 Enter amount from Form 1040, line 38 . .3 Multiply line 2 by 7.5% (.075) . . . . . . . . . . . . . . . . . . .4 Subtract line 3 from line 1. If line 3 is more than line 1, enter -0- . . . . . . . . . . . .

    1

    32

    4Taxes YouPaid

    5 State and local (check only one box):

    6 Real estate taxes (see instructions) . . . . . . . . . . . . . . .7 Personal property taxes . . . . . . . . . . . . . . . . . . . . .8 Other taxes. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _9 Add lines 5 through 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    5

    67

    89

    InterestYou Paid

    10 Home mortgage interest and points reported to you on Form 1098 . . . . . . . . . .11 Home mortgage interest not reported to you on Form 1098. If paid

    to the person from whom you bought the home, see instructions and show that person's name, identifying no., and address

    12 Points not reported to you on Form 1098. See instructions forspecial rules . . . . . . . . . . . . . . . . . . . . . . . . . . .

    15 Add lines 10 through 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Investment interest. Attach Form 4952 if required. (See instructions)

    10

    11

    1213

    15Gifts toCharityIf you made agift and got abenefit for it,see instructions.

    16 Gifts by cash or check. If you made any gift of $250 or more,see instructions . . . . . . . . . . . . . . . . . . . . . . . . . .

    17 Other than by cash or check. If any gift of $250 or more, seeinstructions. You must attach Form 8283 if over $500 . . . . . .

    18 Carryover from prior year . . . . . . . . . . . . . . . . . . . . .19 Add lines 16 through 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    16

    1718

    19Casualty andTheft Losses 20 Casualty or theft loss(es). Attach Form 4684. (See instructions.) . . . . . . . . . . . . 20

    21 Unreimbursed employee expensesjob travel, union dues, job education, etc. Attach Form 2106 or 2106-EZ if required. (See instructions.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    22 Tax preparation fees . . . . . . . . . . . . . . . . . . . . . . .

    24 Add lines 21 through 23 . . . . . . . . . . . . . . . . . . . . .25 Enter amount from Form 1040, line 38 . .26 Multiply line 25 by 2% (.02) . . . . . . . . . . . . . . . . . . . .27 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- . . . . . . . . . .

    25

    2122

    2324

    2627

    OtherMiscellaneousDeductions

    28 Otherfrom list in instructions. List type and amount _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    28TotalItemizedDeductions

    29 Add the amounts in the far right column for lines 4 through 28. Also, enter this amounton Form 1040, line 40 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

    KIA For Paperwork Reduction Act Notice, see Form 1040 instructions. Schedule A (Form 1040) 2012

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    30 If you elect to itemize deductions even though they are less than your standard deduction, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    14

    (99)

    a. Income taxes orb. General sales taxes

    . . . . . . . . . . . . . . . . . .

    Note.Your mortgageinterestdeduction maybe limited (seeinstructions).

    Jeff Bell 111-11-1111

    5,000 363,411

    27,256 0

    10,966X

    3,500 5,324

    From Rental 11 19,801

    0

    2,800 0 0

    2,800 1,500

    0 0

    1,500

    0

    0

    OTHER 6,120 6,120

    363,411 7,268

    0GAMBLING

    1,200 1,200 25,301

  • b If you are required to file Form TD F 90-22.1, enter the name of the foreign country where the financial account is located _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    6 Add the amounts on line 5. Enter the total here and on Form 1040A, or Form1040, line 9a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2 Add the amounts on line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Part IInterest

    Note: If youreceived a Form1099-INT, Form1099-OID, orsubstitutestatement froma brokerage firm,list the firm'sname as thepayer and enterthe total interestshown on thatform.

    1 List name of payer. If any interest is from a seller-financed mortgage and thebuyer used the property as a personal residence, see instructions and list this interest first. Also, show that buyer's social security number and address

    Amount

    Amount

    2

    3

    4

    5

    1

    Part II

    OrdinaryDividends

    Note: If youreceived a Form1099-DIV orsubstitute statement froma brokerage firm, list the firm's name as the payer and enter the ordinarydividends shown on that form.

    Part IIIForeignAccountsand Trusts

    7a At any time during 2012, did you have a financial interest in or signature authority over a financialaccount (such as a bank account, securities account, or brokerage account) located in a foreigncountry? See instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Yes No

    KIA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule B (Form 1040A or 1040) 2012

    You must complete this part if you (a) had over $1,500 of taxable interest or ordinary dividends; (b) had aforeign account; or (c) received a distribution from, or were a grantor of, or a transferor to, a foreign trust.

    5 List name of payer ______________________________________________Note: If line 4 is over $1,500, you must complete Part III.

    3 Excludable interest on series EE and I U.S. savings bonds issued after 1989. Attach Form 8815 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4 Subtract line 3 from line 2. Enter the result here and on Form 1040A, or Form1040, line 8a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    8 During 2012, did you receive a distribution from, or were you the grantor of, or transferor to, aforeign trust? If "Yes," you may have to file Form 3520. See instructions. . . . . . . . . . . . . . . . . . . . .

    6

    (See instructions forSchedule B, and theinstructions for Form 1040A, orForm 1040,line 8a.)

    (See the instructions for Schedule B, and theinstructions forForm 1040A, orForm 1040, line 9a.)

    Note. If line 6 is over $1,500, you must complete Part III.

    (Seeinstructions.)

    SCHEDULE B(Form 1040A or 1040)

    Department of the TreasuryInternal Revenue Service

    Attach to Form 1040A or 1040.

    Interest and Ordinary Dividends

    Information about Schedule B (1040A or 1040) and its instructions is a www.irs.gov/form1040.

    OMB No. 1545-0074

    2012AttachmentSequence No. 08(99)

    Name(s) shown on return Your social security number

    If "Yes," are you required to file Form TD F 90-22.1 to report that financial interest or signature authority? See Form TD F 90-22.1 and its instructions for filing requirements and exceptions to those requirements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Jeff Bell 111-11-1111

    City of Dallas 3,000Ford Motor Company 15,000From K-1 6,000

    24,000

    24,000

    K&R 0

    0

    X

    X

    X

  • Other (specify) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    b Deductible meals and entertainment (see instructions) . . .

    F Accounting method:

    SCHEDULE C(Form 1040)

    Department of the TreasuryInternal Revenue Service

    OMB No. 1545-0074

    2012Attachment Sequence No. 09

    Name of proprietor

    A Principal business or profession, including product or service (see instructions)

    E Business address (including suite or room no.) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _City, town or post office, state, and ZIP code

    C Business name. If no separate business name, leave blank.

    H If you started or acquired this business during 2012, check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Yes

    234567

    8

    9101112

    13

    1415

    16a16b

    17

    18Expenses.

    10 Commissions and fees . . .

    19

    20a20b212223

    24a

    2526

    27a

    282930

    31

    Schedule C (Form 1040) 2012

    D Employer ID number (EIN), (see instr.)

    Income

    Social security number (SSN)

    B Enter code from instructions

    7 Gross income. Add lines 5 and 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    32b

    KIA For Paperwork Reduction Act Notice, see your tax return instructions.

    11 Gross receipts or sales. See instructions for line 1 and check the box if this income was reported to you on

    form W-2 and the "Statutory employee" box on that form was checked. . . . . . . . . . . . . . . . . . .

    G Did you "materially participate" in the operation of this business during 2012? If "No," see instructions for limit on losses . . . . . . . . . . . . . . . .

    28 Total expenses before expenses for business use of home. Add lines 8 through 27a . . . . . . . . . . . .

    27a Other expenses (from line 48) . . . .

    Profit or Loss From Business

    5 Gross profit. Subtract line 4 from line 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    9 Car and truck expenses (see instructions) . . . . . . . . .

    17 Legal and professional services

    32 If you have a loss, check the box that describes your investment in this activity (see instructions).

    8 Advertising . . . . . . . . .

    32a

    Part I

    Part II

    (Sole Proprietorship)For information on Schedule C and its instructions, go to www.irs.gov/schedulec

    Attach to Form 1040, 1040NR, or 1041; partnerships generally must file Form 1065.

    29 Tentative profit or (loss). Subtract line 28 from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30 Expenses for business use of your home. Attach Form 8829. Do not report such expenses elsewhere . . . .31 Net profit or (loss). Subtract line 30 from line 29.

    13 Depreciation and section 179expense deduction (not included in Part III) (see instructions) . . . . . . . . .

    14 Employee benefit programs(other than on line 19) . . . .

    15 Insurance (other than health) .16 Interest:

    a Mortgage (paid to banks, etc.) .b Other . . . . . . . . . . . .

    12 Depletion . . . . . . . . . .

    19 Pension and profit-sharing plans . .20 Rent or lease (see instructions):

    a Vehicles, machinery, & equipment .b Other business property . . . . . . .

    21 Repairs and maintenance . . . . . .22 Supplies (not included in Part III) . .23 Taxes and licenses . . . . . . . . .24 Travel, meals, and entertainment:

    a Travel . . . . . . . . . . . . . . . .

    2 Returns and allowances (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3 Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Cost of goods sold (from line 42) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Accrual CashNo

    11 Contract labor (see instructions)

    6 Other income, including federal and state gasoline or fuel tax credit or refund (see instructions) . . . . . . . .

    18 Office expense (see instructions) . .

    25 Utilities . . . . . . . . . . . . . . . .26 Wages (less employment credits) . .

    (1) (3)(2)

    If a profit, enter on both Form 1040, line 12 (or Form 1040NR, line 13) and on Schedule SE, line 2.(If you checked the box on line 1, see instr.) Estates and trusts, enter on Form 1041, line 3.

    If you checked 32a, enter the loss on both Form 1040, line 12, (or Form 1040NR, line 13) and on Schedule SE, line 2. (If you checked the box on line 1, see the line 31 instructions). Estates and trusts, enter on Form 1041, line 3.

    If you checked 32b, you must attach Form 6198. Your loss may be limited.

    All investment is at risk.

    Some investment is notat risk.

    24b

    (99)

    If a loss, you must go to line 32.

    b Reserved for future use . . . . . . 27b

    Yes NoYes No

    I Did you make any payments in 2012 that would require you to file Form(s) 1099? (see instructions) . . . . . . . . . . . . .J If "Yes," did you or will you file required Forms 1099? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Enter expenses for business use of your home only on line 30.

    Ivy Bell 123-45-6781

    Part-time Consulting CPA 531310

    4326 Orange Blossom TrailDallas TX 75080

    XX

    XX

    75,000 6,000 69,000 0 69,000

    69,000

    3,730 0

    0

    6,000 1,000

    5,100

    575

    4,000 10,000

    30,405 38,595 6,931

    31,664

    X

  • 33 Method(s) used tovalue closing inventory:

    Schedule C (Form 1040) 2012 Page 2Cost of Goods Sold (see instructions)

    35

    36

    b Commuting (see instructions) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    Yes

    Yes

    Yes

    No

    No

    No

    48 Total other expenses. Enter here and on line 27a . . . . . . . . . . . . . . . . . . . . . . . . . . . 48

    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 mustfile Form 4562.

    Other Expenses. List below business expenses not included on lines 826 or line 30.

    KIA

    34 Was there any change in determining quantities, costs, or valuations between opening and closing inventory?If "Yes," attach explanation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No

    Yes No

    37

    38

    39

    40

    41

    42

    c Other _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    43 When did you place your vehicle in service for business purposes? (month, day, year) _ _ _ _ _ _ _ _ _ _ _ _ _

    a Business _ _ _ _ _ _ _ _ _ _ _ _

    46 Do you (or your spouse) have another vehicle available for personal use? . . . . . . . . . . . . . . . . . . . . .

    35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation . . . . .

    37 Cost of labor. Do not include any amounts paid to yourself . . . . . . . . . . . . . . . . . . . . . . . .

    39 Other costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    41 Inventory at end of year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    36 Purchases less cost of items withdrawn for personal use . . . . . . . . . . . . . . . . . . . . . . . . .

    38 Materials and supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    40 Add lines 35 through 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . . . . . . . . . .

    44 Of the total number of miles you drove your vehicle during 2012, enter the number of miles you used your vehicle for:

    45 Was your vehicle available for personal use during off-duty hours? . . . . . . . . . . . . . . . . . . . . . . . . .

    47a Do you have evidence to support your deduction? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Part III

    Part IV

    Part V

    Schedule C (Form 1040) 2012

    a Cost b Lower of cost or market c Other (attach explanation)

    b If "Yes," is the evidence written? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    Ivy Bell 123-45-6781

    0

    0

    06/07/11

    4,940 0 9,060

    X

    X

    X

    Subscriptions 1,500

    Dues 250

    Lodging: not at a MGM 4,200

    Lodging: at a MGM 3,300

    car rentals, limos,taxis 750

    10,000

  • 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    14 Long-term capital loss carryover. Enter the amount, if any, from line 13 of your Capital LossCarryover Worksheet in the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 . . . . . . . . . .

    Short-Term Capital Gains and LossesAssets Held One Year or Less

    SCHEDULE D(Form 1040)

    Capital Gains and Losses OMB No. 1545-0074

    AttachmentSequence No. 12

    Department of the TreasuryInternal Revenue Service

    Name(s) shown on return Your social security number

    (g) Adjustments togain or loss from

    Form(s) 8949, Part I,line 2, column (g)

    (h) Gain or (loss)Subtract column (e) fromcolumn (d) and combinethe result with column (g)

    4

    5

    KIA For Paperwork Reduction Act Notice, see your tax return instructions. Schedule D (Form 1040) 2012

    2012

    (d) Proceeds (salesprice) from Form(s)8949, Part I, line 2,

    column (d)

    (e) Cost or other basisfrom Form(s) 8949, Part

    I, line 2, column (e)

    Long-Term Capital Gains and LossesAssets Held More Than One Year

    6

    7

    12

    13

    14

    15

    13 Capital gain distributions. See the instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    15 Net long-term capital gain or (loss). Combine lines 8 through 14 in column (h). Then go to Part III onpage 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    11

    9 Long-term totals from all Forms 8949 with box Bchecked in Part II . . . . . . . . . . . . . . . . . .

    7 Net short-term capital gain or (loss). Combine lines 1 through 6 in column (h). If you have anylong-term capital gains or losses, go to Part II below. Otherwise, go to Part III on next page . . . . . .

    6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital LossCarryover Worksheet in the instructions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Part I

    Part II

    ( )

    Information about Schedule D and its separate instructions is at www.irs.gov/form1040.Use Form 8949 to list your transactions for lines 1, 2, 3, 8, 9, and 10.

    12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedule(s) K-1 .

    5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts fromSchedule(s) K-1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    10 Long-term totals from all Forms 8949 with box C checked in Part II . . . . . . . . . . . . . . . . . .

    Attach to Form 1040 or Form 1040NR.

    ( )

    (99)

    1 Short-term totals from all Forms 8949 with box Achecked in Part I . . . . . . . . . . . . . . . . . .

    2 Short-term totals from all Forms 8949 with box Bchecked in Part I . . . . . . . . . . . . . . . . . .

    3 Short-term totals from all Forms 8949 with box Cchecked in Part I . . . . . . . . . . . . . . . . . .

    8 Long-term totals from all Forms 8949 with box Achecked in Part II . . . . . . . . . . . . . . . . . .

    Complete Form 8949 before completing line 1, 2, or 3.

    Complete Form 8949 before completing line 8, 9, or 10. (d) Proceeds (salesprice) from Form(s)8949, Part II, line 4,

    column (d)

    (e) Cost or other basisfrom Form(s) 8949, Part

    II, line 4, column (e)

    (g) Adjustments togain or loss from

    Form(s) 8949, Part II,line 4, column (g)

    (h) Gain or (loss)Subtract column (e) fromcolumn (d) and combinethe result with column (g)

    This form may be easier to complete if you round off cents to whole dollars.

    This form may be easier to complete if you round off cents to whole dollars.

    Jeff Bell 111-11-1111

    0 0 0 0

    0 0 0 0

    0 0 0 0

    0

    0

    0

    0 0 0 0

    0 0 0 0

    0 0 0 0

    200,000

    0

    0

    200,000

  • The loss on line 16 or ($3,000), or if married filing separately, ($1,500)

    17 Are lines 15 and 16 both gains?

    Schedule D (Form 1040) 2012 Page 2

    Summary

    16

    18

    16 Combine lines 7 and 15 and enter the result . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    19

    18 Enter the amount, if any, from line 7 of the 28% Rate Gain Worksheet in the instructions . . . . .

    Part III

    KIA Schedule D (Form 1040) 2012

    Yes. Go to line 18.No. Skip lines 18 through 21, and go to line 22.

    20 Are lines 18 and 19 both zero or blank?

    21 If line 16 is a loss, enter here and on Form 1040, line 13, or Form 1040NR, line 14, the smaller of:

    19 Enter the amount, if any, from line 18 of the Unrecaptured Section 1250 Gain Worksheet in theinstructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructionsfor Form 1040, line 44 (or in the instructions for Form 1040NR, line 42). Do not completelines 21 and 22 below.

    No. Complete the Schedule D Tax Worksheet in the instructions. Do not complete lines 21and 22 below.

    Note. When figuring which amount is smaller, treat both amounts as positive numbers.

    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 completeline 22.

    If line 16 is zero, skip lines 17 through 21 below and enter -0- on Form 1040, line 13, or Form1040NR, line 14. Then go to line 22.

    ( )21 . . . . . . . . . . . . . . . . . . . . . . . . . .

    22 Do you have qualified dividends on Form 1040, line 9b, or Form 1040NR, line 10b?

    Yes. Complete the Qualified Dividends and Capital Gain Tax Worksheet in the instructions forForm 1040, line 44 (or in the instructions for Form 1040NR, line 42).

    No. Complete the rest of Form 1040 and Form 1040NR.

    Jeff Bell 111-11-1111

    200,000

    X

    0

    0

    X

  • 3 Rents received . . . . . . . . . . . . . . . . . . . . . . . . .

    For each rental real estate property listedabove, report the number of fair rental andpersonal use days. Check the QJV box only ifyou meet the requirements to file as a qualifiedjoint venture. See instructions.

    ( )( )( )

    Attach to Form 1040, 1040NR, or Form 1041.Information about Schedule E and its separate instructions is at www.irs.gov/form1040.

    2012SCHEDULE E

    Department of the TreasuryInternal Revenue Service

    Name(s) shown on return

    Supplemental Income and Loss

    Attachment Sequence No.

    OMB No. 1545-0074

    13Your social security number

    1a Physical address of each property (street, city, state, and ZIP code)ABC

    ABC

    Income:

    Expenses:5 Advertising . . . . . . . . . . . . . . . . . . . . . . . . . .

    19 Other (list) _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _

    4

    5

    13

    1918

    21

    22

    2425

    26

    A B C

    18 Depreciation expense or depletion . . . . . . . . . . . . . .

    20 Total expenses. Add lines 5 and 19 . . . . . . . . . . . . .21 Subtract line 20 from line 3 (rents) and/or 4 (royalties). If result is

    a (loss), see instructions to find out if you must file Form 6198 .22 Deductible rental real estate loss after limitation, if any, on Form 8582 (see instructions) . . . . . . . . . . . . . . .

    26 Total rental real estate and royalty income or (loss). Combine lines 24 and 25. Enter the result here. If Parts II, III, IV, and line 40 on page 2 do not apply to you, also enter this amount on Form 1040, line 17, or Form 1040NR, line 18. Otherwise, include this amount in the total on line 41 on page 2

    KIA Schedule E (Form 1040) 2012

    Part I Income or Loss From Rental Real Estate and Royalties Note. If you are in the business of renting personal property, useSchedule C or C-EZ (see instructions). If you are an individual, report farm rental income or loss from Form 4835 on page 2, line 40.

    678910

    1211

    1415161717 Utilities . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    16 Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . .15 Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Other interest . . . . . . . . . . . . . . . . . . . . . . . . .12 Mortgage interest paid to banks, etc. (see instructions) . . .11 Management fees . . . . . . . . . . . . . . . . . . . . . .10 Legal and other professional fees . . . . . . . . . . . . . .9 Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . .8 Commissions . . . . . . . . . . . . . . . . . . . . . . . . .7 Cleaning and maintenance . . . . . . . . . . . . . . . . . .6 Auto and travel (see instructions) . . . . . . . . . . . . . .

    24 Income. Add positive amounts shown on line 21. Do not include any losses . . . . . . . . . . . .25 Losses. Add royalty losses from line 21 and rental real estate losses from line 22. Enter total losses here. .

    4 Royalties received . . . . . . . . . . . . . . . . . . . . . .

    20

    For Paperwork Reduction Act Notice, see your tax return instructions.

    (From rental real estate, royalties, partnerships, S corporations, estates, trusts, REMICs, etc.)(Form 1040)

    (99)

    Type of Property(from list below)

    Fair RentalDays

    PersonalUse Days QJV

    23a Total of all amounts reported on line 3 for all rental properties . . . . . . . . . . 23a23b23c23d23e

    b Total of all amounts reported on line 4 for all royalty properties . . . . . . . . . .

    e Total of all amounts reported on line 20 for all properties . . . . . . . . . . . . .

    c Total of all amounts reported on line 12 for all properties . . . . . . . . . . . . . d Total of all amounts reported on line 18 for all properties . . . . . . . . . . . . .

    3Properties:

    2

    Type of Property:1 Single Family Residence 3 Vacation/Short-Term Rental 5 Land 7 Self-Rental2 Multi-Family Residence 4 Commercial 6 Royalties 8 Other (describe)

    ( )

    ABC

    1b

    A Did you make any payments in 2012 that would require you to file Form(s) 1099? (see instructions)B If Yes, did you or will you file all required Forms 1099?

    YesYes

    NoNo

    7421 Frankford Rd Dallas TX 75252

    Jeff Bell 111-11-1111

    XX

    4 365 0

    24,000 0 0 0

    0 0 2,992 0 0 0 0 13,962 0 0 0 3,989 0 7,273 0 28,216 0 0

    -4,216 0 0

    4,216 24,000 0 13,962 7,273 28,216

    0 4,216

    NPA -4,216 -4,216

  • ( )

    Name(s) shown on return. Do not enter name and social security number if shown on page 1.

    (c) Check ifforeign

    partnership

    (d) Employeridentification

    number

    Nonpassive Income and Loss(j) Nonpassive income

    from Schedule K-1

    30

    Income or Loss From Estates and Trusts(b) Employer

    identification number

    Nonpassive Income and Loss(e) Deduction or lossfrom Schedule K-1

    (f) Other income fromSchedule K-1

    35

    39

    40Part V Summary

    40 Net farm rental income or (loss) from Form 4835. Also, complete line 42 below . . . . . . . . .

    42 Reconciliation of farming and fishing income. Enter your grossfarming 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, codeU; and Schedule K-1 (Form 1041), line 14, code F (see instructions) . . . 42

    (e) Income from Schedules Q, line 3b

    43

    43 Reconciliation for real estate professionals. If you were a real estateprofessional (see instructions), enter the net income or (loss) you reportedanywhere on Form 1040 or Form 1040NR from all rental real estate activities in which you materially participated under the passive activity loss rules . .

    Schedule E (Form 1040) 2012 Attachment Sequence No. 13

    Part IV Income or Loss From Real Estate Mortgage Investment Conduits (REMICs)Residual Holder

    Part II 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.

    38

    39 Combine columns (d) and (e) only. Enter the result here and include in the total on line 41 below .

    (a) Name (b) Employer identification number

    33AB

    AB

    (a) Name

    Passive Income and Loss(c) Passive deduction or loss allowed

    (attach Form 8582 if required) (d) Passive incomefrom Schedule K-1

    34a Totals

    37 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    28

    ABCD

    (a) Name(b) Enter P forpartnership; S

    for S corporation

    Passive Income and Loss(f) Passive loss allowed

    (attach Form 8582 if required) (g) Passive incomefrom Schedule K-1

    (h) Nonpassive lossfrom Schedule K-1

    29a Totalsb Totals

    32 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 . . . . . . . . . . . . . . . . . . . . . . .

    (i) Section 179 expensededuction from Form 4562

    (c) Excess inclusion fromSchedules Q, line 2c

    (see instructions) (d) Taxable income (net loss)

    from Schedules Q, line 1b

    KIA

    Your Social security number

    ( ) 31

    32

    36

    37

    41

    30 Add columns (g) and (j) of line 29a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .31 Add columns (f), (h), and (i) of line 29b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    35 Add columns (d) and (f) of line 34a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .36 Add columns (c) and (e) of line 34b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    41 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 .

    Part III

    b Totals

    ABCD

    Schedule E (Form 1040) 2012

    Page 2

    27 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

    Yes Nopartnership expenses? If you answered Yes, see instructions before completing this section.

    Caution. The IRS compares amounts reported on your tax return with amounts shown on Schedule(s) K-1.

    (e) Check ifany amount is

    not at risk

    Jeff Bell 111-11-1111

    X

    K&R P

    10,000

    10,000 0 0 0 0

    10,000 0

    10,000

    0 0 0 0

    0 0

    0

    0 0 0 0

    0 5,784

    -4,216

  • 3 Combine lines 1a, 1b, and 2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    2 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 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    6 Deduction for employer-equivalent portion of self-employment tax. If the amount on line 5 is:

    SCHEDULE SE(Form 1040)

    Information about Schedule SE and its separate instructions is at www.irs.gov/form1040.Department of the TreasuryInternal Revenue Service (99)

    Social security number of personwith self-employment income

    OMB No. 1545-0074

    AttachmentSequence No. 172012

    Before you begin: To determine if you must file Schedule SE, see the instructions.

    May I Use Short Schedule SE or Must I Use Long Schedule SE?

    Did you receive wages or tips in 2012?

    Yes

    No

    No

    No

    Yes

    Yes

    Yes

    No

    Yes

    Was the total of your wages and tips subject to social securityor railroad retirement (tier 1) tax plus your net earnings from self-employment more than $110,100?

    Did you receive tips subject to social security or Medicare taxthat you did not report to your employer?

    Section AShort Schedule SE. Caution. Read above to see if you can use Short Schedule SE.

    1a

    23

    4

    5

    Schedule SE (Form 1040) 2012

    6KIA For Paperwork Reduction Act Notice, see your tax return instructions.

    Name of person with self-employment income (as shown on Form 1040)

    You may use Short Schedule SE below You must use Long Schedule SE on page 2

    No

    Are you a minister, member of a religious order, or ChristianScience practitioner who received IRS approval not to be taxedon earnings from these sources, but you owe self-employmenttax on other earnings?

    Are you using one of the optional methods to figure your netearnings (see instructions)?

    Did you receive church employee income (see instructions)reported on Form W-2 of $108.28 or more?

    Yes

    4 Multiply line 3 by 92.35% (.9235). If less than $400, you do not owe self-employment tax; donot file this schedule unless you have an amount on line 1b . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    5 Self-employment tax. If the amount on line 4 is:$110,100 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 $110,100, multiply line 4 by 2.9% (.029). Then, add $11,450.40 to the result.

    Enter the total here and on Form 1040, line 56, or Form 1040NR, line 54. . . . . . . . . . . . .

    1a Net farm profit or (loss) from Schedule F, line 34, and farm partnerships, Schedule K-1 (Form1065), box 14, code A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Self-Employment TaxAttach to Form 1040 or Form 1040NR.

    Note. Use this flowchart only if you must file Schedule SE. If unsure, see Who Must File Schedule SE in the instructions.

    No Yes

    No

    Did you report any wages on Form 8919, Uncollected SocialSecurity and Medicare Tax on Wages?

    b If you received social security retirement or disability benefits, enter the amount of Conservation ReserveProgram payments included on Schedule F, line 4b, or listed on Schedule K-1 (Form 1065), box 20, code Y . 1b ( )

    Note. If line 4 is less than $400 due to Conservation Reserve Program payments on line 1b, see instructions.

    $14,643.30 or less, multiply line 5 by 57.51% (.5751) More than $14,643.30, multiply line 5 by 50% (.50) and add $1,100to the result.Enter the result here and on Form 1040, line 27, or Form1040NR, line 27 . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Ivy Bell 123-45-6781

    0 0

    31,664 31,664

    29,242

    3,889

    2,237

  • Part I Sales or Exchanges of Property Used in a Trade or Business and Involuntary Conversions From Other Than Casualty or TheftMost Property Held More Than 1 Year (see instructions)

    ( )

    Attach to your tax return.

    Sales of Business PropertyForm 4797 2012(Also Involuntary Conversions and Recapture AmountsUnder Sections 179 and 280F(b)(2))Department of the TreasuryInternal Revenue Service

    OMB No. 1545-0184

    Identifying number

    AttachmentSequence No.

    Name(s) shown on return

    1 Enter the gross proceeds from sales or exchanges reported to you for 2012 on Form(s) 1099-B or 1099-S (or substitute statement) that you are including on line 2, 10, or 20 (see instructions) . . . . . . . . . . . . . . . . . . . 1

    (a) Description of property

    2 (b) Date acquired(mo., day, yr.)

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

    (d) Gross sales price

    (e) Depreciationallowed or

    allowable sinceacquisition

    (f) Cost or otherbasis, plus

    improvements andexpense of sale

    (g) Gain or (loss)Subtract (f) from the

    sum of (d) and (e)

    3

    7 Combine lines 2 through 6. Enter the gain or (loss) here and on the appropriate line as follows: . . . . . . . . . . .

    8 Nonrecaptured net section 1231 losses from prior years (see instructions) . . . . . . . . . . . . . . . . . . . . . .

    Partnerships (except electing large partnerships) and S corporations. Report the gain or (loss) following the instructions for Form 1065, Schedule K, line 10, or Form 1120S, Schedule K, line 9. Skip lines 8, 9, 11, and 12 below.

    Part II Ordinary Gains and Losses (see instructions)

    11 Loss, if any, from line 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

    17

    18a

    Form 4797 (2012)KIA For Paperwork Reduction Act Notice, see separate instructions.

    17 Combine lines 10 through 16 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    8

    18b

    a If the loss on line 11 includes a loss from Form 4684, line 35, column (b)(ii), enter that part of the loss here. Enter the part of the loss from income-producing property on Schedule A (Form 1040), line 28, and the part of the loss from property used as an employee on Schedule A (Form 1040), line 23. Identify as from "Form 4797, line 18a." See instructions .

    b Redetermine the gain or (loss) on line 17 excluding the loss, if any, on line 18a. Enter here and on Form 1040, line 14 .

    4567

    1213141516

    3 Gain, if any, from Form 4684, line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Section 1231 gain from installment sales from Form 6252, line 26 or 37 . . . . . . . . . . . . . . . . . . . . . . . .5 Section 1231 gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . . . . . . . . . . . .6 Gain, if any, from line 32, from other than casualty or theft . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    15 Ordinary gain from installment sales from Form 6252, line 25 or 36 . . . . . . . . . . . . . . . . . . . . . . . . . .

    12 Gain, if any, from line 7, or amount from line 8, if applicable . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Gain, if any, from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Net gain or (loss) from Form 4684, lines 31 and 38a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    16 Ordinary gain or (loss) from like-kind exchanges from Form 8824 . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Information about Form 4797 and its separate instructions is at www.irs.gov/form4797. 27

    Individuals, partners, S corporation shareholders, and all others. If line 7 is zero or a loss, enter the amount from line 7 on line 11 below and skip lines 8 and 9. If line 7 is a gain and you did not have any prior year section 1231 losses, or they were recaptured in an earlier year, enter the gain from line 7 as a long-term capital gain on the Schedule D filed with your return and skip lines 8, 9, 11, and 12 below.

    10 Ordinary gains and losses not included on lines 11 through 16 (include property held 1 year or less):

    18 For all except individual returns, enter the amount from line 17 on the appropriate line of your return and skip lines a and b below. For individual returns, complete lines a and b below:

    9

    9 Subtract line 8 from line 7. If zero or less, enter -0-. If line 9 is zero, enter the gain from line 7 on line 12 below. If line 9 is more than zero, enter the amount from line 8 on line 12 below and enter the gain from line 9 as a long-term capital gain on the Schedule D filed with your return (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . .

    Jeff Bell 111-11-1111

    27,000

    0 0 0

    0 0 200,000 200,000

    0

    0

    0 0 0

    0 0 0 0 0

    0

  • Part III Gain From Disposition of Property Under Sections 1245, 1250, 1252, 1254, and 1255Page 2Form 4797 (2012)

    19 (a) Description of section 1245, 1250, 1252, 1254, or 1255 property:

    20

    25a

    26a

    26b

    26c

    27a

    28a

    29a

    These columns relate to the properties on lines 19A through 19D.

    20 Gross sales price (Note: See line 1 before completing.) . .

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

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

    25 If section 1245 property:

    26 If section 1250 property: If straight line depreciation was used, enter -0- on line 26g, except for a corporation subject to section 291.

    b Applicable percentage multiplied by the smaller of line 24 or line 26a (see instructions) . . . . . . . . . . . . . . .

    c Subtract line 26a from line 24. If residential rental property or line 24 is not more than line 26a, skip lines 26d and 26e .

    27 If section 1252 property: Skip this section if you did not dispose of farmland or if this form is being completed for apartnership (other than an electing large partnership).

    a Soil, water, and land clearing expenses . . . . . . . . . . .

    28 If section 1254 property:a Intangible drilling and development costs, expenditures

    for development of mines and other natural deposits, mining exploration costs, and depletion (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . .

    29 If section 1255 property:

    Summary of Part III Gains. Complete property columns A through D through line 29b before going to line 30.

    Part IV Recapture Amounts Under Sections 179 and 280F(b)(2) When Business Use Drops to 50% or Less(see instructions)

    3030 Total gains for all properties. Add property columns A through D, line 24 . . . . . . . . . . . . . . . . . . . . . . . .

    (a) Section179

    (b) Section280F(b)(2)

    3333 Section 179 expense deduction or depreciation allowable in prior years . . . . . . . . . . . . . .

    KIA

    a Additional depreciation after 1975 (see instructions) . . . . .

    212223

    24

    25b

    26d26e26f26g

    27b27c

    28b

    29b

    31

    32

    3435

    32 Subtract line 31 from line 30. Enter the portion from casualty or theft on Form 4684, line 33. Enter the portion fromother than casualty or theft on Form 4797, line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Form 4797 (2012)

    a Applicable percentage of payments excluded from income under section 126 (see instructions) . . . . . . . . .

    d Additional depreciation after 1969 and before 1976 . . . . .e Enter the smaller of line 26c or 26d . . . . . . . . . . . . .f Section 291 amount (corporations only) . . . . . . . . . . .g Add lines 26b, 26e, and 26f . . . . . . . . . . . . . . . . .

    c Enter the smaller of line 24 or 27b . . . . . . . . . . . . . .b Line 27a multiplied by applicable percentage (see instructions) .

    b Enter the smaller of line 24 or 28a . . . . . . . . . . . . . .

    b Enter the smaller of line 24 or 29a (see instructions) . . . .

    31 Add property columns A through D, lines 25b, 26g, 27c, 28b, and 29b. Enter here and on line 13 . . . . . . . . . . .

    35 Recapture amount. Subtract line 34 from line 33. See the instructions for where to report . . . . .34 Recomputed depreciation (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    24 Total gain. Subtract line 23 from line 20 . . . . . . . . . . .

    23 Adjusted basis. Subtract line 22 from line 21 . . . . . . . .22 Depreciation (or depletion) allowed or allowable . . . . . .21 Cost or other basis plus expense of sale . . . . . . . . . .

    a Depreciation allowed or allowable from line 22 . . . . . . .b Enter the smaller of line 24 or 25a . . . . . . . . . . . . . .

    (see instructions)

    ABCD

    Property A Property B Property DProperty C

    Jeff Bell 111-11-1111

    Land in Citrus County 06/06/90 09/02/12

    200,000

    0 0 0 0

    200,000 0 0 0

    0 0 0 0

    0

    200,000

    0

    0

    0 0 0 0 0 0 0

    0 0 0 0

    0 0 0 0

    200,000 0

    200,000

    0 0

  • All others: If line 30 is $175,000 or less ($87,500 or less if married filing separately), multiply line 30 by 26% (.26).Otherwise, multiply line 30 by 28% (.28) and subtract $3,500 ($1,750 if married filing separately) from the result.

    2 Medical and dental. Enter the smaller of Schedule A (Form 1040), line 4, or 2.5% (.025) of Form 1040, line 38. Ifzero or less, enter -0- . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Department of the TreasuryInternal Revenue Service (99) Attach to Form 1040 or Form 1040NR.

    Information about Form 6251 and its separate instructions is at www.irs.gov/form6251.

    OMB No. 1545-0074

    2012AttachmentSequence No.

    Name(s) shown on Form 1040 or Form 1040NR

    Form 6251Your social security number

    1

    Alternative Minimum TaxIndividuals

    23456789

    1011

    3 Taxes from Schedule A (Form 1040), line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4 Enter the home mortgage interest adjustment, if any, from line 6 of the worksheet in the instructions for this line . .5 Miscellaneous deductions from Schedule A (Form 1040), line 27 . . . . . . . . . . . . . . . . . . .

    13

    Part II Alternative Minimum Tax (AMT)

    1819

    21222324252627

    30 Subtract line 29 from line 28. If more than zero, go to line 31. If zero or less, enter -0- here and on lines 31, 33, and 35, and go to line 34. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    33 Tentative minimum tax. Subtract line 32 from line 31 . . . . . . . . . . . . . . . . . . . . . . . . . .

    35 AMT. Subtract line 34 from line 33. If zero or less, enter -0-. Enter here and on Form 1040, line 45 .Form 6251 (2012)

    12

    20

    32 Alternative minimum tax foreign tax credit (see instructions) . . . . . . . . . . . . . . . . . . . . . .

    34 Tax from Form 1040, line 44 (minus any tax from Form 4972 and any foreign tax credit from Form 1040,line 47). If you used Schedule J to figure your tax, the amount from line 44 of Form 1040 must be refigured without using Schedule J (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    29 Exemption. See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    32

    Part I Alternative Minimum Taxable Income (See instructions for how to complete each line.)

    12 Interest from specified private activity bonds exempt from the regular tax . . . . . . . . . . . . . . .

    7 Tax refund from Form 1040, line 10 or line 21 .8 Investment interest expense (difference between regular tax and AMT) . . . . . . . . . . . . . . . .9 Depletion (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . . .

    10 Net operating loss deduction from Form 1040, line 21. Enter as a positive amount . . . . . . . . . .11 Alternative tax net operating loss deduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    14 Exercise of incentive stock options (excess of AMT income over regular tax income) . . . . . . . . .13 Qualified small business stock (7% of gain excluded under section 1202) . . . . . . . . . . . . . . .

    15 Estates and trusts (amount from Schedule K-1 (Form 1041), box 12, code A) . . . . . . . . . . . . .

    17 Disposition of property (difference between AMT and regular tax gain or loss) . . . . . . . . . . . .18 Depreciation on assets placed in service after 1986 (difference between regular tax and AMT) . . . .19 Passive activities (difference between AMT and regular tax income or loss) . . . . . . . . . . . . . .20 Loss limitations (difference between AMT and regular tax income or loss) . . . . . . . . . . . . . . .21 Circulation costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . .22 Long-term contracts (difference between AMT and regular tax income) . . . . . . . . . . . . . . . .23 Mining costs (difference between regular tax and AMT) . . . . . . . . . . . . . . . . . . . . . . . .24 Research and experimental costs (difference between regular tax and AMT) . . . . . . . . . . . . .25 Income from certain installment sales before January 1, 1987 . . . . . . . . . . . . . . . . . . . .26 Intangible drilling costs preference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .27 Other adjustments, including income-based related adjustments . . . . . . . . . . . . . . . . . . .28 Alternative minimum taxable income. Combine lines 1 through 27. (If married filing separately, see . . . .

    instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    17161514

    If you reported capital gain distributions directly on Form 1040, line 13; you reported qualified dividendson Form 1040, line 9b; or you had a gain on both lines 15 and 16 of Schedule D (Form 1040) (as refiguredfor the AMT, if necessary), complete Part III on page 2 and enter the amount from line 54 here.

    31 If you are filing Form 2555 or 2555-EZ, see instructions for the amount to enter.

    ( )

    28

    29

    31

    3233

    34

    30

    . . .

    KIA For Paperwork Reduction Act Notice, see your tax return instructions.

    6 Skip this line. It is reserved for future use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    35

    ( )

    16 Electing large partnerships (amount from Schedule K-1 (Form 1065-B), box 6) . . . . . . . . . . . .

    ( )

    1 If filing Schedule A (Form 1040), enter the amount from Form 1040, line 41, and go to line 2. Otherwise, enter the amount from Form 1040, line 38 and go to line 7. (If less than zero, enter as a negative amount.) . . . . . . . . .

    Jeff Bell 111-11-1111

    338,110 0 19,801 0 0

    0

    0 0

    0 0 0 0

    0 0 0

    0 0

    357,911

    26,772 331,139

    64,096

    0 64,096

    52,788 11,308

  • 54 Enter the smaller of line 52 or line 53 here and on line 31. If you are filing Form 2555 or 2555-EZ, do not enter this amount on line 31. Instead, enter it on line 4 of the worksheet in the instructions for line 31 . . . . . . . . . . .

    Form 6251 (2012)

    Part III Tax Computation Using Maximum Capital Gains Rates

    37 Enter the amount from line 6 of the Qualified Dividends and Capital Gain TaxWorksheet in the instructions for Form 1040, line 44, or the amount from line 13 of the Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040),whichever applies (as refigured for the AMT, if necessary) (see instructions).If you are filing Form 2555 or 2555-EZ, see instructions for the amount to enter .

    38 Enter the amount from Schedule D (Form 1040), line 19 (as refigured for the AMT,if necessary) (see instructions). If you are filing Form 2555 or 2555-EZ, seeinstructions for the amount to enter . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    43 Enter:$70,700 if married filing jointly or qualifying widow(er),$35,350 if single or married filing separately, or$47,350 if head of household.

    39 If you did not complete a Schedule D Tax Worksheet for the regular tax or the AMT, enter the amount from line 37. Otherwise, add lines 37 and 38, and enter the smaller of that result or the amount from line 10 of the Schedule D Tax Worksheet (as refigured for the AMT, if necessary). If you are filing Form 2555 or 2555-EZ, see instructions for the amount to enter . . . . . . . . . . . . . . .

    40 Enter the smaller of line 36 or line 39 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    41 Subtract line 40 from line 36 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .42 If line 41 is $175,000 or less ($87,500 or less if married filing separately), multiply line 41 by 26% (.26). Otherwise,

    multiply line 41 by 28% (.28) and subtract $3,500 ($1,750 if married filing separately) from the result . . . . . . .

    45 Subtract line 44 from line 43. If zero or less, enter -0- . . . . . . . . . . . . .

    46 Enter the smaller of line 36 or line 37 . . . . . . . . . . . . . . . . . . . . . .

    47 Enter the smaller of line 45 or line 46 . . . . . . . . . . . . . . . . . . . . .

    48 Subtract line 47 from line 46 . . . . . . . . . . . . . . . . . . . . . . . . . .

    Page 2

    36

    37

    38

    39

    43

    40

    41

    42

    45

    44

    47

    52

    54

    44 Enter the amount from line 7 of the Qualified Dividends and Capital Gain TaxWorksheet in the instructions for Form 1040, line 44, or the amount from line 14 ofthe Schedule D Tax Worksheet in the instructions for Schedule D (Form 1040),whichever applies (as figured for the regular tax). If you did not complete either worksheet for the regular tax, enter -0- . . . . . . . . . . . . . . . . . . . . .

    46

    KIA Form 6251 (2012)

    51

    49 Multiply line 48 by 15% (.15) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    50 Subtract line 46 from line 40 . . . . . . . . . . . . . . . . . . . . . . . . . .

    51 Multiply line 50 by 25% (.25) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    If line 38 is zero or blank, skip lines 50 and 51 and go to line 52. Otherwise, go to line 50.

    36 Enter the amount from Form 6251, line 30. If you are filing Form 2555 or 2555-EZ, enter the amount from line 3 of the worksheet in the instructions for line 31 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    . . . . . . . .

    52 Add lines 42, 49, and 51 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .53 If line 36 is $175,000 or less ($87,500 or less if married filing separately), multiply line 36 by 26% (.26). Otherwise,

    multiply line 36 by 28% (.28) and subtract $3,500 ($1,750 if married filing separately) from the result . . . . . . . . 53

    48

    49

    50

    Complete Part III only if you are required to do so by line 31 or by the Foreign Earned Income Tax Worksheet in the instructions.

    331,139

    200,000

    0

    200,000 200,000

    131,139

    34,096

    70,700

    122,910

    0

    200,000

    0

    200,000

    30,000

    64,096

    89,219

    64,096

  • Information about Form 8582 and its instructions is available at www.irs.gov/form8582.

    1a Activities with net income (enter the amount from Worksheet 1,column (a)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    d Combine lines 1a, 1b, and 1c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Department of the TreasuryInternal Revenue Service (99)

    Passive Activity Loss LimitationsAttach to Form 1040 or Form 1041.

    See separate instructions.

    OMB No. 1545-1008

    2012AttachmentSequence No.

    Name(s) shown on return Identifying number

    Rental Real Estate Activities With Active Participation (For the definition of active participation see Special Allowance for Rental Real Estate Activities in the instructions.)

    8582Form

    KIA For Paperwork Reduction Act Notice, see instructions. Form 8582 (2012)

    All Other Passive Activities

    1a

    1b

    1c

    3a

    3b

    3c

    4

    567

    8

    15

    16

    6 Enter $150,000. If married filing separately, see instructions . . . .7 Enter modified adjusted gross income, but not less than zero (see instructions) .

    8 Subtract line 7 from line 6 . . . . . . . . . . . . . . . . . . . . . .9 Multiply line 8 by 50% (.5). Do not enter more than $25,000. If married filing separately, see instructions .

    4 Combine lines 1d, 2c, and 3d. If this line is zero or more, stop here and include this form withyour return; all losses are allowed, including any prior year unallowed losses entered on line 1c,2b, or 3c. Report the losses on the forms and schedules normally used . . . . . . . . . . . .

    5 Enter the smaller of the loss on line 1d or the loss on line 4 . . . . . . . . . . . . . . . . . . .

    15 Add the income, if any, on lines 1a and 3a and enter the total . . . . . . . . . . . . . . . . . .16 Total losses allowed from all passive activities for 2012. Add lines 10, 14, and 15. See

    instructions to find out how to report the losses on your tax return . . . . . . . . . . . . . . . .

    1d

    3dd Combine lines 3a, 3b, and 3c . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    91010 Enter the smaller of line 5 or line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    If line 2c is a loss, go to Part III. Otherwise, go to line 15.

    (

    (

    )

    )

    (

    (

    )

    )

    b Activities with net loss (enter the amount from Worksheet 1, column (b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    3a Activities with net income (enter the amount from Worksheet 3,column (a)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    b Activities with net loss (enter the amount from Worksheet 3, column (b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    c Prior years unallowed losses (enter the amount from Worksheet 3, column (c)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    Part I 2012 Passive Activity LossCaution: Complete Worksheets 1, 2 and 3 before completing Part I.

    Part II Special Allowance for Rental Real Estate Activities With Active ParticipationNote: Enter all numbers in Part II as positive amounts. See instructions for an example.

    Part IV Total Losses Allowed

    88

    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.

    Commercial Revitalization Deductions From Rental Real Estate Activities2a Commercial revitalization deductions from Worksheet 2, column (a) . 2a

    Part III Special Allowance for Commercial Revitalization Deductions From Rental Real Estate ActivitiesNote: Enter all numbers in Part III as positive amounts. See the example for Part II in the instructions.

    11 Enter $25,000 reduced by the amount, if any, on line 10. If married filing separately, see instructions12 Enter the loss from line 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .13 Reduce line 12 by the amount on line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . .14 Enter the smallest of line 2c (treated as a positive amount), line 11, or line 13 . . . . . . . . . .

    Caution: If your filing status is married filing separately and you lived with your spouse at any time during the year, do not completePart II or Part III. Instead, go to line 15.

    11

    1314

    12

    If line 4 is a loss and: Line 1d is a loss, go to Part II.Line 2c is a loss (and line 1d is zero or more), skip Part II and go to Part III.Line 3d is a loss (and lines 1d and 2c are zero or more), skip Parts II and III and go to line 15.

    ( )

    c Prior years unallowed losses (enter the amount from Worksheet 1,column (c)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

    b Prior year unallowed commercial revitalization deductions fromWorksheet 2, column (b) . . . . . . . . . . . . . . . . . . . . . .

    c Add lines 2a and 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2b ( )

    2c ( )

    Jeff Bell 111-11-1111

    0 0 0

    0

    0

    10,000

    0

    0 10,000

    10,000

  • 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.)

    Name of activityCurrent year Prior years Overall gain or loss

    (a) Net income(line 1a)

    (b) Net loss(line 1b)

    (c) Unallowedloss (line 1c)