Depreciation and Amortization OMB No. 1545-0172

Form 4562 (Including Information on Listed Property)

Department of the Treasury

Internal Revenue Service

Attachment

© See separate instructions. Sequence No. 67

Name(s) shown on return Identifying number

Business or activity to which this form relates

Election To Expense Certain Tangible Property (Section 179) (Note: If you have any “Listed Property,”

complete Part V.)

1 Maximum dollar limitation (see instructions) 1 $10,000

2 Total cost of section 179 property placed in service during the tax year (see instructions) 2

3 Threshold cost of section 179 property before reduction in limitation 3 $200,000

4 Reduction in limitation—Subtract line 3 from line 2, but do not enter less than -0- 4

5 Dollar limitation for tax year—Subtract line 4 from line 1, but do not enter less than -0- 5

(a) Description of property (b) Cost (c) Elected cost

6

7 Listed property—Enter amount from line 26 7

8 Total elected cost of section 179 property—Add amounts in column (c), lines 6 and 7 8

9 Tentative deduction—Enter the lesser of line 5 or line 8 9

10 Carryover of disallowed deduction from 1990 (see instructions) 10

11 Taxable income limitation—Enter the lesser of taxable income or line 5 (see instructions) 11

12 Section 179 expense deduction—Add lines 9 and 10, but do not enter more than line 11 12

13 Carryover of disallowed deduction to 1992—Add lines 9 and 10, less line 12 © 13

Note: Do not use Part II or Part III below for automobiles, certain other vehicles, cellular telephones, computers, or

property used for entertainment, recreation, or amusement (listed property). Instead, use Part V for listed property.

MACRS Depreciation For Assets Placed in Service ONLY During Your 1991 Tax Year (Do Not Include

Listed Property)

(b) Mo. and yr.

placed

in service

(c) Basis for depreciation

(Business/investment use 

only—see instructions)

(d) Recovery

period (a) Classification of property (e) Convention (f) Method (g) Depreciation deduction

14 General Depreciation System (GDS) (see instructions):

a 3-year property

b 5-year property

c 7-year property

d 10-year property

e 15-year property

f 20-year property

27.5 yrs. MM S/L g Residential rental property 27.5 yrs. MM S/L

31.5 yrs. MM S/L h Nonresidential real property 31.5 yrs. MM S/L

15 Alternative Depreciation System (ADS) (see instructions):

a Class life S/L

b 12-year 12 yrs. S/L

c 40-year 40 yrs. MM S/L

Other Depreciation (Do Not Include Listed Property)

GDS and ADS deductions for assets placed in service in tax years beginning before 1991 (see

instructions)

16

16

17 Property subject to section 168(f)(1) election (see instructions) 17

18 ACRS and other depreciation (see instructions) 18

Summary

19 19 Listed property—Enter amount from line 25

Total—Add deductions on line 12, lines 14 and 15 in column (g), and lines 16 through 19. Enter here

and on the appropriate lines of your return. (Partnerships and S corporations—see instructions)

20

20

21 For assets shown above and placed in service during the current year, enter

the portion of the basis attributable to section 263A costs (see instructions) 21

For Paperwork Reduction Act Notice, see page 1 of the separate instructions. Cat. No. 12906N Form 4562 (1991)

Part IV

Part I

Part II

Part III

© Attach this form to your return.
Form 4562 (1991) Page 2

Listed Property.—Automobiles, Certain Other Vehicles, Cellular Telephones, Computers, and Property

Used for Entertainment, Recreation, or Amusement

If you are using the standard mileage rate or deducting vehicle lease expense, complete columns (a) through (c) of

Section A, all of Section B, and Section C if applicable.

Section A.—Depreciation (Caution: See instructions for limitations for automobiles.)

22a Do you have evidence to support the business/investment use claimed? Yes No 22b If “Yes,” is the evidence written? Yes No

(i)

Elected

section 179

cost

(h)

Depreciation

deduction

(g)

Method/

Convention

(f)

Recovery

period

(e)

Basis for depreciation

(business/investment

use only)

(d)

Cost or

other basis

(c) Business/

investment 

use 

percentage

(b)

Date placed in

service

(a)

Type of property (list

vehicles first)

23 Property used more than 50% in a qualified business use (see instructions):

%

%

%

24 Property used 50% or less in a qualified business use (see instructions):

% S/L –

% S/L –

% S/L –

25 Add amounts in column (h). Enter the total here and on line 19, page 1 25

26 Add amounts in column (i). Enter the total here and on line 7, page 1 26

Section B.—Information Regarding Use of Vehicles—If you deduct expenses for vehicles:

(f)

Vehicle 6

(e)

Vehicle 5

(d)

Vehicle 4

(c)

Vehicle 3

(b)

Vehicle 2

(a)

Vehicle 1 Total business/investment miles driven during

the year (DO NOT include commuting miles)

27

28 Total commuting miles driven during the year

Total other personal (noncommuting)

miles driven

29

Total miles driven during the year—

Add lines 27 through 29

30

Yes No Yes No Yes No Yes No Yes No Yes No

Was the vehicle available for personal

use during off-duty hours?

31

Was the vehicle used primarily by a more

than 5% owner or related person?

32

Is another vehicle available for personal

use?

33

Section C.—Questions for Employers Who Provide Vehicles for Use by Their Employees

(Answer these questions to determine if you meet an exception to completing Section B. Note: Section B must always

be completed for vehicles used by sole proprietors, partners, or other more than 5% owners or related persons.)

Yes No

Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting,

by your employees?

34

Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your

employees? (See instructions for vehicles used by corporate officers, directors, or 1% or more owners.)

35

36 Do you treat all use of vehicles by employees as personal use?

Do you provide more than five vehicles to your employees and retain the information received from your

employees concerning the use of the vehicles?

37

38 Do you meet the requirements concerning qualified automobile demonstration use (see instructions)?

Note: If your answer to 34, 35, 36, 37, or 38 is “Yes,” you need not complete Section B for the covered vehicles.

Amortization

(e)

Amortization

period or

percentage

(b)

Date amortization

begins

(c)

Amortizable

amount

(d)

Code

section

(f)

Amortization

for this year

(a)

Description of costs

39 Amortization of costs that begins during your 1991 tax year:

40 Amortization of costs that began before 1991 40

41 Total. Enter here and on “Other Deductions” or “Other Expenses” line of your return 41

● Always complete this section for vehicles used by a sole proprietor, partner, or other “more than 5% owner,” or related person.

● If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.

Part VI

Part V

Par