4797 Supplemental Schedule of Gains and Losses -““***
Form (Includes Gains and Losses From Sales or Exchanges of Assets 1981
Department of the Treasury Used in a Trade or Business and Involuntary Conversions)
Internal Revenue Service To be filed with Form 1040, 1041, 1065, 1120, etc.—See Separate Instructions 31
Name(s) as shown on return Identifying number

WEZTNMM Sales or Exchanges of Property Used in a Trade or Business, and Involuntary Conversions From Other
Than Casualty and Theft—Property Held More Than 1 Year (Except for Certain Livestock)
Note: Use Form 4684 to report involuntary conversions from casualty and theft.
Caution: If you sold property on which you claimed the investment credit, you may be
liable for recapture of that credit. See Form 4255 for additional information.

‘e. Deprecia.
i d. Gross sales | tion allowed | f. Cost or other g. LOSS h. GAIN
a ae papery By Date aouiced Foote ny rice minus (or allow- basis, plus (f minus. the (¢ plus e
+ GY. Ye 7 Gye expense of sale | able) since improvements sum of d and e) minus f)

acquisition

3 Gain, if any, from line 26, Part Ill, on back of this form from other than casualty and theft
4 Add lines 1 through 3 in column g and column h. . . - . 2 2 © 6 ee ew ee
5 Combine line 4, column g and line 4, column h. Enter gain or (loss) here, and on the appropriate line as follows:
(a) For all except partnership returns:
(1) If line 5 is a gain, enter the gain as a long-term capital gain on Schedule D (Form 1040, 1120,
etc.) that is being filed. See instruction E.
(2) If line 5 is zero or a loss, enter that amount on line 6.
(b) For partnership returns: Enter the amount shown on line 5 above, on Schedule K (Form 1065), line 8.

Part Il Ordinary Gains and Losses

2 (a) Gain, if any, from Form 4684, Part Il, li Ce V/
(b) Section 1231 gain from installment sales from Form 6252, line 19 or 27 . . . . ee 7 -_
¢ )

@ Depiecia:
d. Gross sales | tion allowed | §, Cost or other g. Loss h. GAIN
. Kind of ‘b. Date od :. De Id 5
and description fino days yt) | (mony days 7t) | UES, mls, | able improvements | sim of'd and’) minus 9
seauisition
6 Loss, if any, from line 5(a)(2). 6 eee ee | j)wwhiuUtddé
7 Gain, if any, from line 25, Part Ill on back of thisfom. ...........+..++(G0’«’0zy

8 (a) Net gain or (loss) from Form 4684, lines 17 and 24a. . . -

(b) Ordinary gain from installment sales from Form 6252, line 18or 26... ee ee VY Y/
9 Other ordinary gains and losses (include property held 1 year or less): W

10 Add lines 6 through 9 in column gandcolumnh. . . «ee 6 ee ee ee ¢
11 Combine line 10, column g and line 10, column h. Enter gain or (loss) here, and on the appropriate line as follow:
(2) For all except individual returns: Enter the gain or (loss) shown on line 11, on the line provided on the re- Y

turn (Form 1120, etc.) being filed. See instruction F for specific line reference. Yj
(b) For individual returns: GEST
(1) If the loss on line 6 includes a loss from Form 4684, Part Il, column B(ii), enter that part of the loss here

and on line 29 of Schedule A (Form 1040). Identify as from “Form 4797, line 11(b)(1)". - - + +
(2) Redetermine the gain or (loss) on line 11, excluding the loss (if any) entered on line 11(b)(1). Enter here
and on Form 1040, line 14... ew ee ee et
Gain From Disposition of Property Under Sections 1245, 1250, 1251, 1252, 1254, 1255
Skip lines 20 and 21 if there are no dispositions of farm property or farmland, or if this form is filed by a partnership.

Date sold
(mo., day, yr.)

12 Description of sections 1245, 1250, 1251, 1252, 1254, and 1255 property:

Part Ii! is continued on page 2.

For Paperwork Reduction Act Notice, see page 1 of separate instructions. 343-177-1 Form 4797 (1981)


Form 4797 (1981) Page 2

Property Property Property Property
Relate lines 12(A) through 12(D) to these columns > > > (A) (8) () (D)
13 Gross sales price minus expense of sale. . . . . ~
14 Cost or other basis. © 2 2. . ee ee ee

15 Depreciation (or depletion) allowed (or allowable) .
16 Adjusted basis, subtract line 15 from line14. . . 2.
17 Total gain, subtract line 16 from line 13... .
18 If section 1245 property:

(a) Depreciation allowed (or allowable) after applicable
date (see instructions) . . ae oe

(b) Enter smaller of line 17 or 18(a). . . . .
19 If section 1250 property: (If straight line depreciation used,
enter zero on line 19(i).)

(a) Additional depreciation after 12/31/75 (see instruc-

tions). ee ee

(b) Applicable percentage times the smaller of line 17 or
line 19(a) (see instructionG.4). . . 2...
(c) Subtract line 19(a) from line 17. If line 17 is not more
than line 19(a), skip lines 19(d) through 19(h) .
Additional depreciation after 12/31/69 and before
VWW/76 © ew we ee
Applicable percentage times the smaller of line 19(c)
or 19(d) (see instruction G4). . 2. . 2 2 we
(f) Subtract line 19(d) from line 19(c). If line 19(c) is not
more than line 19(d), skip lines 19(g) and 19(h) .
Additional depreciation after 12/31/63 and before
yils7Oo.. 2 . . .. .
(h) Applicable percentage times the smaller of line 19(f)
or 19(g) (see instruction G4). . . . «6 2 ee
(i)_Add lines 19(b), 19(e), and 19(h). . - .

20 If section 1251 property:
(a) If farmland, enter soil, water, and land clearing ex-
penses for current year and the four preceding years .
(b) If farm property other than land, subtract line 18(b)
from line 17; if farmland, enter smaller of line 17 or

@

(e)

@

20a). 2 ee
(c) Excess deductions account (see instruction G.5). .
(d) Enter smaller of line 20(b) or 20(c). . . . . -
21 If section 1252 proper

(a) Soil, Water, and land clearing expenses made after
/'

(b) Amount from line 20(d), if none enter zero . . .
(©) Subtract line 21(b) from line 21(a). If line 21(b) is
more than line 21(a), enter zero... we we
(d) Line 21(c) times applicable percentage (see instruc-
tionG.5). . . . eee ee ee

(e) Subtract line 21(b) from line 17 . eee ee ee
(f) Enter smaller of line 21(d) or 21(e). . . .

22 If section 1254 property:
(a) Intangible drilling and development costs deducted
after 12/31/75 (see instructionG.6). . . . . .

(b) Enter smaller of line 17 or 22(a). . « . . .

23 if section 1255 property:
(a) Applicable percentage of payments excluded from in-
come under section 126 (see instruction G.7). . .
(b) Enter the smaller of line 17 or 23(a). .

Summary of Part Ill Gains (Complete Property columns (A) through (D) through line 23(b) before going to line 24)
24 Total gains for all properties (add columns (A) through (D), line 17). 6 6 we ee ee ee ee J,
25 Add columns (A) through (D), lines 18(b), 19(i), 20(d), 21(f), 22(b) and 23(b). Enter here and on Part Il, line 7.

26 Subtract line 25 from line 24. Enter the portion from casualty and theft on Form 4684, line 19; enter the Portion
from other than casualty and theft on Form 4797, Partl,line3. . . .

Complete this Part Only if You are Electing Out of the installment Method And are Reporting a Note or
Other Obligation at Less Than Full Face Value
( Check here if you elect out of the installment method.

Enter the face amount of the note or other obligation p>.
Enter the percentage of valuation of the note or other obligation >

‘4 US, GOVERNMENT PRINTING OFFICE : 198—O-343-177 343-177-1