Supplemental Schedule of Gains and Losses
vom 4197 1972

Department ofthe Treasury Sales, Exchanges and Involuntary Conversions under Sections 1231, 1245, 1250, etc.
Internal Revenue Service To be filed with Form 1040, 1041, 1065, 1120, etc.—See Instruction A

Name Identifying number as shown on page 1
of your return
Sales or Exchanges of Property Used in Trade or Business and/or Involuntary Conversions

(Section 1231)
SECTION A.—Involuntary Conversions Due to Casualty and Theft (See Instruction D)
|

. Cost or other basis, |
cost of subsequent im:

a, Kind of property (if necessary, . Depreciation al

‘attach statement of descriptive b, Date acquired | ¢. Date sold 4. Gross sales | fgwed (or allowable) | provements (if not pur- | Gain on (loss)
details not shown below) (mo., day, yr.) | (mo., day, yr.) price ‘since acquisition | chased, attach explana- (d plus e less f)
tion) and expense of sale

_ alee |
2 Combine the amounts on line 1, enter here and also on the appropriate line as follows .
(a) For all returns, except partnership returns:
(1) If line 2 is zero or a gain, enter such amount in column g, line 3.
(2) If line 2 is a loss, enter the loss on line 5.
(b) For partnership returns: Enter the amount shown on line 2, on line 6, Schedule K (Form 1065).

SECTION B.—Sales or Exchanges of Property Used in Trade or Business and Certain Involuntary Conversions (Not Reportable
in Section A) (See Instruction D)

4 Combine the amounts on line 3, enter here and also on the appropriate line as follows .
(a) For all returns, except partnership returns:
(1) If line 4 is a gain, enter such gain as a long-term capital gain on the Schedule D (Form 1040, 1120, etc.) that is
being filed—see instruction D.
(2) Ifline 4 is zero or a loss, enter such amount on line 6.
(b) For partnership returns: Enter the amount shown on line 4, on line 7, Schedule K (Form 1065).

Ordinary Gains and Losses

i | f. Cost or other basis,

a. Kind of property and how acquired - | e. Depreciation al- | i.

(if necessary, attach statement of de- Date acquired) c. Date sold d. Gross sales | jowed (or allowable) eave subsequent g. Gain or (loss)
scriptive details not shown below) ims day, ¥) | (Wo. dy, ¥) price Since sequistion. | ere et sale G plus e tess )

Amount, if any, from line 2(a)(2) 6 6 6 ee ee |
Amount, if any, from line 4(a)(2) 20. ee
Gain, if any, from line 21 .

9 Combine lines 5 through 8, enter here and also on the appropriate line as follows .

(a) For all returns, except individual returns: Enter the gain or (loss) shown on line 9, on the line provided
for on the return (Form 1120, etc.) being filed—see instruction E, for specific line reference.

(b) For individual returns:

(1) If the gain or (loss) on line 9, includes losses which are to be treated as an itemized deduction on
Schedule A (Form 1040) (see instruction E), enter the total of such loss(es) here and include on
line 30, Schedule A (Form 1040)—identify as loss from line 9(b)(1), Form 4797 . on

(2) Redetermine the gain or (loss) on line 9, excluding the loss (if any) entered on line 9(b)(1). Enter
here and on line 37, Form 1040... . . - ee

.



Form 4797 (1972)

Page 2

Gain From Disposition of Property Under Sections 1245, 1250,
1251, 1252—Assets Held More than Six Months (See Instruction F)

Lines 18 and 19 should be omitted if there are no dispositions of farm property or farmland; or, if this form is filed by a partnership.

10 Description of sections 1245, 1250, 1251, and 1252 property:

Date acquired
(mo., day, yr.)

Date sold
(mo., day, yr.)

Correlate lines 10(A) through 10(E)
> re

with these columns >

Property
(A)

Property
(D)

Property
(E)

11
12
13
14
15

Gross sales price :
Cost or other basis and expense of sale .
Depreciation allowed (or allowable) .

Adjusted basis, line 12 less line 13 .
Total gain, subtract line 14 from line 11

16

if section 1245 property:
(a) Depreciation allowed (or allowable) after
applicable date (see instructions) .

(b) Line 15 or line 16(a), whichever is smaller

17

If section 1250 property:
(a) Enter additional depreciation after
12/31/63 and before 1/1/70 .

(b) Enter additional depreciation after
12/31/69. 6 - ee eee

Enter line 15 or line 1700) whichever is is
smaller .

(C)

() Line 17(c) times applicable percentage
(See instruction F.4)

Ce) Enter excess, it any, of fine 15 over
line 17(6) .) . .

(f) Enter line 17(a) or line 17), wt whichever
is smaller .

(g) Line 17(f) times applicable percentage
(see instruction F.4) . .

(h) Add tine 17(d) and line 17(g) .

18

If section 1251 property:

(a) If farmland, enter soil, water, and land
clearing expenses for current year and
the four preceding years .

(b) If farm property, other than land, sub-
tract line 16(b) from line 15; OR, if farm-
fand, enter line 15 or line 18(a), which-
ever is smaller (see instruction’ F.5) .

(6) Excess deductions account (see instruc:
tion F.5)

(4) Enter tne 18(b) or ine 18(¢), whichever
is smaller. .

19

if section 1252 property:
(a) Enter soil, water, and land clearing ex-
penses made after 12/31/69. .

(b) Enter amount from tine 18), if any:
otherwise, enter a zero.

(c) Enter excess, if ay, of om line © 19(6) « over
line 19(b) .

(4) Line 19(c) times applicable percentage
(see instruction F.5)

(@) Line 15 less line 19(b) .

(f) Enter smaller of line 19(4) or line 19(e)

Summary of Part Ill Gains (Complete Property columns

20 Total of Property columns (A) through (E), line 15. : :
21 Total of Property columns (A) through (E), lines 16(b), 17(h), 18), and 1900. Enter here and on line 7.

22 Subtract line 21 from line 20. Enter here and in appropriate Section in Part | (see instructions D and F.2) .

‘Yr U.S. GOVERNMENT PRINTING OFFICE :1972—O-458-264

(86-1663680)