OMB No. 1545-0228 Installment Sale Income

Form 6252

© See separate instructions. © Attach to your tax return.

Department of the Treasury

Internal Revenue Service

© Use a separate form for each sale or other disposition of

property on the installment method.

Attachment

Sequence No. 79

Name(s) shown on return Identifying number

Description of property ©

Date acquired (month, day, year) © / / Date sold (month, day, year) ©

Was the property sold to a related party after May 14, 1980? See instructions Yes No

If the answer to question 3 is “Yes,” was the property a marketable security? If “Yes,” complete Part III. If

“No,” complete Part III for the year of sale and for 2 years after the year of sale Yes No

Gross Profit and Contract Price. Complete this part for the year of sale only.

1

Selling price including mortgages and other debts. Do not include interest whether stated or unstated

Mortgages and other debts the buyer assumed or took the property subject

to, but not new mortgages the buyer got from a bank or other source

2a

3

Subtract line 6 from line 5

4

Cost or other basis of property sold

5 5

Depreciation allowed or allowable

6

6

Adjusted basis. Subtract line 9 from line 8

7 7

Commissions and other expenses of sale

8 8

Income recapture from Form 4797, Part III. See instructions

9 9

Add lines 10, 11, and 12

10 10

Subtract line 13 from line 5. If zero or less, stop here. Do not complete the rest of this form

11

If the property described on line 1 above was your main home, enter the total of lines 14 and

22 from Form 2119. Otherwise, enter -0-

11

12

Gross profit. Subtract line 15 from line 14

12

13

Subtract line 13 from line 6. If zero or less, enter -0-

13

Contract price. Add line 7 and line 17

14 14

Installment Sale Income. Complete this part for the year of sale and any year you receive a payment or

have certain debts you must treat as a payment on installment obligations.

15

Gross profit percentage. Divide line 16 by line 18. For years after the year of sale, see instructions

15

16

For year of sale only—Enter amount from line 17 above; otherwise, enter -0-

16

17

Payments received during year. See instructions. Do not include interest whether stated or unstated

17

18

Add lines 20 and 21

18

Payments received in prior years. See instructions. Do not include

interest whether stated or unstated

19 19

20

Installment sale income. Multiply line 22 by line 19

20

21

Part of line 24 that is ordinary income under recapture rules. See instructions

21

Subtract line 25 from line 24. Enter here and on Schedule D or Form 4797. See instructions

22 22

Related Party Installment Sale Income. Do not complete if you received the final payment this tax year.

Name, address, and taxpayer identifying number of related party

Did the related party, during this tax year, resell or dispose of the property (“second disposition”)?

If the answer to question 28 is “Yes,” complete lines 30 through 37 below unless one of the following conditions is

met. Check only the box that applies.

The second disposition was more than 2 years after the first disposition (other than dispositions

of marketable securities). If this box is checked, enter the date of disposition (month, day, year) © / /

The first disposition was a sale or exchange of stock to the issuing corporation.

The second disposition was an involuntary conversion where the threat of conversion occurred after the first disposition.

The second disposition occurred after the death of the original seller or buyer.

It can be established to the satisfaction of the Internal Revenue Service that tax avoidance was not a principal purpose

for either of the dispositions. If this box is checked, attach an explanation. See instructions.

23

Selling price of property sold by related party

23

24 24

Enter contract price from line 18 for year of first sale

25 25

Enter the smaller of line 30 or line 31

26 26

Total payments received by the end of your 1995 tax year. See instructions

27

Subtract line 33 from line 32. If zero or less, enter -0-

28

Multiply line 34 by the gross profit percentage on line 19 for year of first sale

29

Part of line 35 that is ordinary income under recapture rules. See instructions

30

Subtract line 36 from line 35. Enter here and on Schedule D or Form 4797. See instructions

30

For Paperwork Reduction Act Notice, see separate instructions. Form 6252 (1995)

Part II

Part I

Part III

Yes No

Cat. No. 13601R

b

a

b

c

d

e

31

32

33

34

35

36

37

31

32

33

34

35

36

37

/ /

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