47 9 7 Supplemental Schedule of Gains and Losses OMB No. 1845-0184
Form (Includes Gains and Losses From Sales or Exchanges of Assets 1 9 83
Department of the Treasury Used in a Trade or Business and Involuntary Conversions)
Internal Revenue Service P Tobe filed with Form 1040, 1041, 1065, 1120, etc.—See Separate Instructions 28
Name(s) as shown on return Identifying number

PART I.—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: /f 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. Depreciation f. Cost or other Loss
a. Description of |b, Date acquired ¢. Date sold 4. Gross sales allowed basis, plus rhinos the h.GAIN
property (mo., day, yr.) (mo., day, yr.) price (or allowable) improvements and i ‘dand (d plus e minus f)
since acquisition expense of sale sum of dande)
1
2 Gain, if any, from Form 4684, line27,. se Be ee ee ee
3 Section 1231 gain from installment sales from Form 6252, ‘ine 21 or 29

4 Gain, if any, from line 29, Part Ill, on back of this form from other than casualty and theft.
5 Add lines 1 through 4 in column g and column h
6 Combine columns g and h of line 5. Enter gain or (loss) here, and on anthe appropriate line as follows:

(a) For all except partnership returns:
(1) If ine 6 is a gain, enter the gain as a long-term capital gain on Schedule D. See instruction E.

(2) If line 6 is zero or a loss, enter that amount on line 7. (S corporations, enter on Schedule K (Form 1120S), line 7.)
(b) For partnership returns: Enter each partner's share of line 6 above, on Schedule K-1 (Form 1065), line 8.

PART II.—Ordinary Gains and Losses

e.Depreciation | 4. Cost or other Loss

‘a. Description of |b. Date acquired c. Date sold d. Gross sales ‘allowed basis, plus Sinus the

property (mo., day, yr) (mo., day, yr.) price (oraliowable) | improvements and | (rary Sirey
since acquisition | ” expense of sale

fh. GAIN
(d plus e minus f)

7 Loss, if any, from line 6(a)(2)

8 Gain, if any, from line 28, Part Ill on back of this form

9 Net gain or (loss) from Form 4684, lines 19 and 26a

10 Ordinary gain from installment sales from Form 6252, line 20 or 28 . ry

11 Recapture of section 179 deduction (see instructions)

12 Other ordinary gains and losses (include property held 1 year or less):

13 Add lines 7 through 12incolumngandcolumnh . . . . se

14 Combine columns g and h of line 13. Enter gain or (loss) here, and on the appropriate line as follows:
(a) For all except individual returns: Enter the gain or (loss) from line 14, on the return being filed. See instruction F for specific
line reference.

(b) For individual returns:
(2) Ifthe loss online 7 includes a loss from Form 4684, Pat I, column B(i), enter that part ofthe loss here and on line 21 of

Schedule A (Form 1040). Identify as from “Form 4797, line 14(b)(1)". a
(2) Redetermine the gain or (loss) online 14, excluding the toss (any) on line 14(0)(). Enter here and on Form 1040,
ine 1

——

For Paperwork Reduction Act Notice, see page 1 of Separate Instructions.

Form 4797 (1983)


Form 4797 (1983) Page 2

PART IIl.—Gain From Disposition of Property Under Sections 1245, 1250, 1251, 1252, 1254, 1255
Skip lines 23 and 24 if you did not dispose of farm property or farmland, or if a partnership files this form.

15 Description of sections 1245, 1250, 1251, 1252, 1254, and 1255 property: Cane apauires mae.
(A)
(B)
(©)
(D)
Property Property Property Property
Relate lines 15(A) through 15(D)tothese columns >» > > > A) (B) (c) (0)

16 Gross sales price .
17 Cost or other basis plus expense o of sale . :
18 Depreciation (or depletion) allowed (or allowable) .
19 Adjusted basis, subtract line 18 from line 17
20 Total gain, subtract line 19 from line 16_.

21 If section 1245 property:
(2) Depreciation alowed (or allowable) after applicable date (see
instructions). .
(b)_Enter smaller ofline 200r2(a)_.
2B ~ If section 1250 property: (If straight ine depreciation used, enter zero
on line 22(f).)
(a) Additional depreciation after 12/31/75
(b) Applicable percentage times the smaller of line 20 or ‘line 22(2)
(see instruction G.4) re

(©) Subtract line 22(a) from line 20. If line 20 is not more than line
22(a), skip lines 22(d) and 22(e) : :
(d) Additional depreciation after 12/31/69 and before 21/1/76
() Applicable percentage times the smaller of line 22¢0) or 220) (see
instruction G.4) Le :
(f)_Add lines 22(b), and 22(e)
23 If section 1251 property:

(a) _Iffarmiand, enter soil, water, and land clearing expenses for current
year and the four preceding years Loe

(b) If farm property other than land, subtract line 21(b) from line 20; if
farmland, enter smaller of line 20 or 23(a)

(c) Excess deductions account (see instruction G.5)
(d)_Enter smaller of line 23(b) or 23(c)
24 If section 1252 property:
(a) Soil, water, and land clearing expenses nn
(b) Amount from line 23(d), ifnoneenterzero . . . woe

(©) Subtract line 24(b) from line 240) Ifline 24) is more than line
24(a), enter zero Loe . .

(4) Line 24(c) times applicable percentage (see instruction G.5).
(e) Subtract line 24(b) from line 20
(f)_Enter smaller of line 24(d) or 24(e)
25 If section 1254 property:
(@) Intangible drilling and development costs deducted after
12/31/75 (see instruction G.6)
(b) Enter smaller of line 20 or 25(a)

26 If section 1255 property:
(2) Applicable percentage of payments excluded from income under
section 126 (see instruction G.7;
(b)_Enter the smaller of line 20 or 26(a)

Summary of Part Ill Gains (Complete Property columns @) through (D) through line 26(b) before going to line 27)
27 Total gains for all properties (add columns (A) through (D), line 20) .
28 Add columns (A) through (D), lines 21(b), 22(f), 23(d), 24(f), 25(b) and 26(b). Enter here and on Part Il, lines

29 Subtract line 28 from line 27. Enter the portion from casualty and theft on Form 4684, line 21; enter the portion from other than
casualty and theft on Form 4797, Partl,line4_.

PART IV.—Complete this Part Only if You Elect Out of the Tnstallment Method And Report a y Note or r 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 > _
Enter the percentage of valuation of the note or other obligation >