6252 Installment Sale Income | __OMB No. 1545-0228
Form

> See separate instructions. > Attach to your tax return. 1991
Department of the Treasury Use a separate form for each sale or other disposition of Attachment
Internal Revenue Service property on the installment method. Sequence No. 79
Name(s) shown on return Identifying number

Description of property »
Date acquired (month, day, and year)» L___/ _/ | © Date sold (month, day, and yea) B L_/ /
Was the property sold to a related party after May 14, 1980? See instructions . . . . . .0 Yes 1) No
If the answer to D is “Yes,” was the property a marketable security? If “Yes,” complete Part Mi. If “No,”

complete Part Ill for the year of sale and for 2 years after the year of sale... ... .[) Yes [) No

mou>

Part I Gross Profit and Contract Price (Complete this part for the year Of sale only)

Selling price including mortgages and other debts. Do not include interest whether stated or unstated 1

ny

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,
Subtract line 2 from line 1.

Cost or other basis of property sold

Depreciation allowed or allowable

Adjusted basis. Subtract line 5 from line 4

Commissions and other expenses of sale. .

Income recapture from Form 4797, Part Ill. See instructions

Add lines 6,7,and8 . . . . . re

1 JN Jo Jor | Joo [ro

Subtract line 9 from line 1. If zero or less, do not complete the rest of this form... 10

>SoeCmI MH Aw

If the property described in question A above was your main home, enter the total of lines of
and 1 from Form 2119. Otherwise, enter-O- 2 2. 2 2. 2 ee

12 Gross profit. Subtract line 11 fromline10 . 2 2. ee ee LD

13 Subtract line 9 from line 2. If zero or less, enter-O- . 2 2... ee ee eee LNB

14 Contract price. Add line 3 andline 13... 14

Part Il 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 12 by line 14. For years after the year of sale, see instructions 15

16 For year of sale only—Enter amount from line 13 above; otherwise, enter-0- . . . . 16

17 Payments received during year. See instructions. Do not include interest whether stated or unstated 17

18 Addlines16and17. . . . 18

19 Payments received in prior years. "See it instructions. ‘Do not include

interest whether stated or unstated. . . . . .

20 Installment sale income. Multiply line 18 by line 15. . 20

21 Part of line 20 that is ordinary income under recapture rules. See instructions rn a

22 Subtract line 21 from line 20. Enter here and on Schedule D or Form 4797... 22

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

F Name, address, and taxpayer identifying number of related party

G _ Did the related party, during this tax year, resell or dispose of the property (“second disposition” . 0 Yes 0 No
H__ If the answer to question G is “Yes,” complete lines 23 through 30 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), . > /

0) The first disposition was a sale or exchange of stock to the issuing corporation.
O The second disposition was an involuntary conversion where the threat of conversion occurred after the first disposition.
O The second disposition occurred after the death of the original seller or buyer.
CO 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 . 2 2. 2. 2 2 eee 23
24 Enter contract price from line 14 for year of firstsale. 2 2 2... 2. woe La
25 Enter the smaller of line 23 or line 24... es a)
26 Total payments received by the end of your 1991 tax ‘year. Add lines 18 and 19. oe. £26
27 Subtract line 26 from line 25. If zero or less, enter-O- . . . . wee LRT
28 Multiply line 27 by the gross profit percentage on line 15 for year of ‘frst sale. tee [28
29 Part of line 28 that is ordinary income under recapture rules. See instructions . . . . . . 29
30__ Subtract line 29 from line 28. Enter here and on Schedule D or Form 4797_. . 7. ss . | 30
For Paperwork Reduction Act Notice, see separate instructions. Cat. No. 13601R, Form 6252 (1991)

*U.S. Government Printing Otice: 1991 — 285-378