Professional Documents
Culture Documents
9 ~~ ~
s° ~ ~ ~~+~~ ~~~ ~ ~~i~."'~~'#$ Y~~ R~.t~n1 ~~=' ~ ~ OMBN0.15d&-007d ~i5tlaageitt--Aom#tsri~em einda~ a.
Fa the year Jan.1={I~c.9f.2012,nt a~}`s~ tex YeAr!~&utfng .2092, enclin9 .20 S88 58~I2t~Et~ ietSti'UC31ons.
Your first nine and iriitisl Lest names YcKa sock~l sae~r42y number
Bernard Sanders
H a point r~Qurn, spouse's first rras~ end initial last name ffi~o~ase's soraaF~nw9s6ar
Jane 0 Sanders
Home ~ddrass(nurr~r azid stet). H you have a PA,box,see instructions. Ap?. rro. ~~ y~
a~td on ~e 6c ~e cstreet.
CRy,ta~+°i o~ pttst cvt#rae, slate,and code, ff you have a foreign address, else cpmpt~te spaces taw;see InstnectionsJ.
~ciet~eAY~+xD'~ ~ 9
Foa~gncovrrtryn~n~s Foreign provinco/statelcourrty Foreig~tp~Le!ct~de atx~l~b~Ori~3mg,to R~9.wag
v~ ~d chaff year ~c ar
p Yom, p ,.
~ ❑ Sir~9 4 ❑ ifs~d aP f~th Gaosflnj. )M
~1+~. .#S
2 ~ t►~~rrivd Ptirtig jointt~ {ten if onty one heel in °+a) tho ~ ~ gz~an ~s a creed b~ yar , e~aor ~s
Ch~c1c arty ~ 8 Q A+Far~sct ftiin9 a ter+/. Errtear spouse`s SSN above ct~9d~s nee hero. ►
box. ~~rd fits{ name hire.i 5 ~ Qu~ifyi~ w~iow~r} with chart
~a " ~ Yvtars~t. tF someone can claim you as a . do na4 ch~k box 6a . ~sd
EX@rit
~~~ b ~ tWa of cl~►en 2
c ~3 s #~ Ps i on +Bc
flr ~er~dit • g e«i rr~ yam,
(t) F tt last trine ~t~ n~~ ~ ~' ~saa • ~a ~e ~w. win
W-2~ii ~d #8 Tax~s#a t'~h.~nt~s, cr~iit~, or oifssts of state and toes# income ta~cas i 2$1.
108A-R N i~x 41 ,4SireaQny re~roued . f
waa wi~fteld. t' —938.
12 irbcvrne ar({oss). Aft~h Scfroedu~e C or C-~Z .
13 _ C~ or {tt~). Att~cfi S~cherduta D if r~quire~d. If not r~t}uired, ctr~ck hs~re ► ❑ 1 547.
Ef yvu did not t4 OtPsar fees or(taste). Attach Farrrf 4787.
g~ a W-2,
1~ fRA dIa#r~butions 15~ b Taxa~e ~xwr~t b
see instructisrts. - .
f6a P arxi ~nutti~s 16~
arx b Ta~c amount 4 4 812.
1'7 R~rrtai red estate, rolraPtaas. K~aetnershi~s,5 corpar~etio+et~ 4ruusts~
r eic. Afta~it Schedule E ' 0.
Ett~tas~s, but do 18 F~rnt irscor+t~ ar(use). Atfiach Sefseclu#s F . e
t~rtat afit~h,~y
i8 tt npi~~r~rtfi i
ayrir~rrt. R}so
p~~~
Fam 1D46-V.
20a
21
Sod~t i4y
Qtl~r irtc~rr~. East t
34 297
~_1._...._...._....~.~...__~~
d amata~k
b Ta3c amaur~t 2.5, 667 ,
2:t Cort~#ir►8 ~'iQunEs iY7 t~ ft~' rigi~t ca4urrm t~► 7 it~ciU~ 2t. Ttfi
Ttti~ i5 yDur ~ttt ► ! 280;954.
.•~ ~d ~
~dJUs#ed
~~0•~$ ~ ~.~'$3 3'~~4~t'f7ft~t12fl II:` ~T FLttRi 2~(~Tf3i``~~~~`~ ',~~ .. .
It1COtYt@ 25 H saw ac~c~c~sC ~ .Attach Femn-&989 ; >
` .: . , ^ ffi, hAovirt~ - - Pt#isch Farmm ?8 ~ 2~
V, 27 beducti#~ art of s~ti-~yment 4~.1 t. SE 27
2$ S+~i-errt~o~4 S~F'~ ^.sd~LE, 8tad 4staii~E,~d pEans Y$
~ .. .
2~ ~d 29
30 esn !y tvi'd'~ sir .. ~D - ~ '.
32 ERA ue#ign . 9~
3`3 Stt rt [c.~°~ irrEar+~st ct~lUctk3n _ 33
- 34 Tttikiwn d f~as. tnftach Farm 8817. a 3~i
~ Lb+r c promotion sctiv#ses cfactucti~n. Ai~ar~ Fcann 6903 35 ,~`
96 lir° 23 throtrg~ 35 `~
37 .'~.f1l1)tl`3Ct ~1iIL' ~6 h'011'1 IIl18 22. l`~S IS ~Qt{i:~];lSt@!} ~{[D8$ ~ICd~fi$E , ~► ,.,~
~dH ~ Cy AGt,- 8fld A 7MQrk R~Fdct101f /IiC!' ~EOtiCa, a~Q 86p~N8{~, ~1°p3~11CtlO~IS. gam'
Rte/ ~OYT98 TTp Form 7 tJ~i#). j2t112)
FarttsiQ&d~(2Ql2}. C~.,,,, ~
1~3 ,'
'~4fn
n EA°x~pis of P~~°Y. 1 a that 1 haUe red tts~ raa~r~ stud dt ~xJ tner+ta, pct to then tart of my know ~rrcf 3a~a1,
may bate, comxt, ~itl cbntp~ete. Declat~ion of MeR~~' (oar tl~i+ Yer} ds an a~'r+x~omra~art oP ~Y~&ctr hat snY ~ Fs'-`.
H@r`$
Youe sigrs~ture O~te Your abrcup~tion - ~Dhaso miter
Jc~R non? Sae
Govexnmen~ SeruiCe
+ ~ ~Y ~+' $ms's taxi. tf ~ }trirrt r~iim. r rrwst sign. Date S s's occ~lr~iian k tEre ff3S S+~x+ xr la# #y Arote~aa
` Self -em to ed
P~ ,, PrirtGT3R~ Psi +''s name Rrsparer's signature .. bane ~ Check ~ iP ~~
~~ seS#-empioy~d
Pxm's r~r~as ~ SELF `PREPAi2EI7 €~rrt'e E3P~ 9►
Ll5$ O!'Ely
f~ttq'ss ~ddt~;ss ► P#~e no.
REVQ~it371t3TT0 F4t»~ ~Q~ (2012)
sc~~au~ a Itemized Deductions ~~~ No. 1545-0074
c~°~,,°~' X012
Dep~rtrnent of the Tr~sury ►kdOtmation Strout Schedule A and its separa~s instructions is at www.aa.gov/farn1040. Attachment
mterr~ai Reve~we ServiceIse) ►Attach to Form 1040. No. 07
Names) shown ai Farm 1040 Your aosial nrxnber
Bernard & Jane O Sanders
~~~~ Caution. Do not include expenses reimbursed or paid by others. _,.,~
~ 1 Medical and dental expenses (see instructions} 1
p~~ 2 inter amount from Fam 1040, line 38 2
~$ 3 Mukipty line 2 by 7.5% (.075} .3
4 Subtract Line 3 from line 1. !f tine 3 is more than line 1, enter -b- . 4
78Xes You 5 State and local (check c►nty one box):
paid a ~ Income taxes, or 5 13 ,19 6.
b ❑General sales taxes }
fi Real estate taxes(see instructions} 6 11,Q00.
7 Personal Arope►tY taues 7
8 Qther taxes. List type and amount ►
8
9 Add lines 5 throw h 8. . . . . . . . . . . . . . . . . . . . . . ~ 2 4 ,19 6.
I nterest 10 Home mortgage interest and paints reported to you on Form 1098 10 46, 7 93 .
yp~ p~ 11 Home mortgage interest not reported to you on Form 1098. ff paid
to the person from whom you bought the home, see instructions
Note. and show that person's name, identifying na., and address►
Your mo►tga~e ~ -
irrterest ----------------------------~-------------------------------------------------------• <. ,.
deduction may 11
be limited (see 12 Points not reported to you on Form 1098. See instructions for
instructions). Spg~ial rules . 12
93 Morkgage insurance premiums (see instructions} . y3
14 Invest interest. Attacfi Form 4952 'rf required. {See instructions.) 14 _
15 Add lines 10 throw h 14 . . . . . . . . . . . . . . . . . . . . . 15 46, 793 .
C~#s to 16 Gifts by cash ar check. ff you made any gift of $250 or more, .,~t
C#18rity see instructions. 16 1, 900.
If you made a 17 Other than by cash or check. If any gift of $250 or more, see
gift arM gat a insfrvctions. You must attach Form 8283 'rf over $5~ 17
~"~~ f~ ~~ 1B Carryover from prior year 18
see instructions, 19 1, 9 0 0 .
18 Add lines i6 throw h 18 .
Casualty and
Theft LO&ses 20 Casu or theft foss es .Attach Form 4684. See instructions. 20
~ 21 Unreimbursed employee expenses —job travel, union dues,
~ job education, etc. Attach Form 2105 or 2106-EZ if required.
M+ a (See insUvctions.} ►Deductible expenses from Form 2106 21 5, 073.
22 Tax preparation fees 22 99 .
29 Clther e~enss~s—investmerrt, safe deposit box, etc. List type
Attorne and Accountin Fees
and amount ► --------------- .~.
,_
-----------------------------g-------------_.
23 56 000.
?A Add lines 21 through 23 . 24 61 172 .
25 Eller amount from Fom~ 1040, fine 36 25 2 8 0, 9 5 4 .
2fi Multiply line 25 by 2% (.02} . 26 5, 619 _
~7 Subtract line 26 from line 24. If line 26 is more than line 24, enter -0- 2~ 55,.553 .
Ot~ror 28. QfFe~r—from list in instructions. Ust type and amourrt ►
M
D@d~c~t ~g
Total 2'9 Add the amounts in the far right column for linos 4 through 28. Also, enter this amount
Itemized on Form 1040, line 40 29 128, 442 .
Det#.~ctinns._ 30 ff you elect to itemize deductions even though they are less than your standard
deduction, check here ► ❑ ~ :?, ~Y' =~.;
For Paperwork Reduction Act Notice,see Famt 1040 irtstrvctions. BAA ~v ov~ons rro Schedalb A (Fam 104 2012
Fam 1040 j201,~ Pape 2
T~~ 9s~ /1sno~mt hom sine 87(adjusted gross income) 38 280. 95~.
Youa~t~ boom be#ote:lan(~ety>2, 1948, ~ ❑ Blind: t Tdt~ boic~ ,r:
C1'8dlt3 ~ ~h~Cir ~~ ~l]~
ff:~ ~ Spare was ban before January 2,19 8; - ❑ Biind. l ~n ►~ 1 .
s~~r►d~~d~_b tf ~rot~ spouse itemizes on a separa#e return or you were adual-status a~en, check here►. rt
ta,— 40 Etsen~ted deduotiona (from Schedule A) or your standard deduction (sae left margin} :, . .:. . +W 12 8, 4 42.
• People whu 41 Subtract tine 40 from line 38 _.. _ 4i_: . '. 152, 512 .
check any ,~
box on line ~'~~~s. MutdPly $3,800 by the number on line 6d> .rt. 42 7 ~ 6 0 0.
39a or 39b or 4g ~{ Subtract line 42 from line 41. tf line 42 is more tijan Nne 41, errter -0- ° a ~3 ~ 14 4, 912 .
who cart be
claimed as a 44 Tax {d~ee ir~stnjc#i~s). Check 'rf wry Iran: a ❑ Form(s)8814 b ❑Form 4972 a(]982 S 44 2 8, 2 81.
' 45 Al~tirnsEiere rn~imum tax (sse insbvctiorts). Attach Form £x,251 ,. U ., 46 - 16 826.
instructions. 46 Add lines 44 and 45 .. .. ~ s ~► +!B 45, 1.07 .
~I~tohers:
S 47 Foreign tax credit: Attach Form 1116 if required . _
Married filing 48 Cred#:#or child ar~d cfeper~derrt cars expenses. Attach Form 2441
47Y
48
'"`
~parately, "~ ~
$5,950 49 Edus8t3on credits from Fonn 8863, line 19 49
Married filing 50 He4ia~metrt savings contributions credk. Attach Form 8880 50 ~~` ~'
join or
q~~y;n 5f Chif~ #ax Credit Attach SCheslute 88'12, 'rf required. 51
widow(er~ 52 Residential energy credits. RttaCh Form 5695 52
$11.900
Ne,~d of 53 Uthei' Ct~difis from Farm: a .D 3800 b D 8801 c ❑ 53
hausehoid, 54 Add iin~s A7 through 53.Theme are your fiatal a a c"radits
58~70Q ,54"_
56 Subdact line 54 from I'rrte 46. tf tine 54 is more chars line 4fi, enter -0- .. ~~~ir g5 45,1Q'7
58 Seff-~einployment tax. Attach Schedute 3E 58
~1@r
57 Urn~rorted social security ar~d Msdicareta~ctrom ~rnm: a~Q 4137 b Q 8919 5T
T3X0$
~s a~d~ai~n~ pax o~iRas,other gt~atif~d retirement plans, etc. Attach Form 5329 'rf required 58
59a ' Hoeu~hold empbyrnerrt taxes from Schedule H 59a
b Frcsi-lima homebuyer cratiit repayment,Attach Form 5405•~f re~qui►ed ..: 5'9b
6U Otltertaxes. Errter axi~(sj from k3~ructlorts 80
61 Add lines 55 thro 6Q, This is our tctai tax ! ~8i ~4 5,1b 7 .
Paym811ts ~ Federal income tax wfthheld tmafa Forms YU-2 and f 098 62 ° . 4 6, 118. t
63 2Qi~'astimated.tax pa}nnents and ~ourrt applied from 2Q11 return 63
M you have a ~ incean~ crodif (ESC) ' 64a `~:
QUalrfy~ng
child, attach b Npnfax~ie combat pay elaclian ' 64b
Schedule E1C. 65 Aadditibnaf child tax credit. Aftach Schedtde 8812 .. 66
86 American opparhmity credk tram Form eS63, tine 8:. 4 68 .
87 ft+~sacved
.. . ,' _.. • _. .. 67 `z° ,. , , _ ,nom,
68 Atnatptt Raid vyith request hsr exkension to file 68 1, 2 4 0 .
~ Facce~s ~clal security and tier 1 Rfi'fA tax withheld 69
70 Crptll# tnr federal tax on fuels. Attach Form 4135 ; . 70
71 CrediHs from Fam: a [] 2-039 b Fused c ❑89Q't d Q 888~a 7i '
~4
72 Add liters 62,63,64a, and 65 ihtougM 71. These are your total payments . ► ~2 4 7 35 8 .
Refund 73 H line 72 ~s more than lirre 61, subtract line 61 from ling 72. This is the amount you merpsid . 78 2 2 51.
74a ARnatfnt bt Ifie 73 you wart reduna~ed to you. If Form 8866 is attached, check here ;.~ , h❑ 7d~s ~ 2 2 51.
pirect dapost? ► b Rotttit~g number ► c Type: ~ Checki~ ❑ Savir~
~ ► d Account number ~ ~ ~ ' ~ ~
~ng~1O~' 75 Amount of Gn~a 73 u want to 2M3 eatim d tax ► 75 a
Amolltit 78 M~a~t rou yaws. Subtract fins ~2 from line 67, for details an how to pay, see instructiarr~c ~ 78
You OWe 77 Esfimated ta~c en see insiructiarts .. 77 ~~•-,; ..
~h~,~ P~ Do you went to allow another pecsca►i to discuss this return with the 4RS (see instructions)? Q Yea Gprripf~t#e FJg6ow. ~] Na
Designlee t '~ . Pt,one personal irianutirariwi . ',
~c name i► no. A numE~ (f'~M _ !>, ~~
alga Under persa$liss of p~}ury, l dsr~'e ttmt 1 have eacamiried airs return aa~d accompan}aig schsduie~ and statem~ta, and to the treat of my IatowOedga~+cf 2ief€ef.
Het'e ass' ~~,ao~c, ~,d ao no„ or w cotne~~ t~~ ~ ~a w~ ~u;~ro~„~s;«, or wn~~n n~ a~,y ~ow~a~. ,;:
Your signature Date Ywx aoaupation L}a e phone rnrmber
Jam rohun? See
ir,sweram. Government Service
~ a iC°pY ~ Spouse's signature. H a joint r um, botfi must sign. pate Spouse's accupAfion N tl~e ~ a~et you arc We~Ay Protection
~ ~5~ Self—emplo ed t~bre~~~ut.
Pr1nUType preparers n.:me Praparer's signature Data °~N
Paid cn~x ❑;r
~~,~, self-errtploysd
35 Inventory at beginning of year. If different from last year's closing inventory, attach explanation 35 ~
3~6 Purchases less cost of items withdrawn for personal use 36 1,811.
39 Other costs.
42 Cost of goods sold. Subtract line 41 from line 40. Enter the result here and on line 4 . 42 1,S 11.
Information on Your Vehicle. Complete this part only if you are claiming car or truck expenses on line 9
and are not required to file Form 4562 for this business. See the instructions for line 13 to find out if you must
file Form 4562.
43 When did you place your vehicle in service for business purposes?(month, day, year} t
44 Of the total number of mites you drove your vehicle during 2012, enter the number of miles you used your vehicle for:
45 Was your vehicle availaBle for personal use during off-duty hours? ~ Yes ~ No
4S Do you (or your spouse) have another vehicle available for personal use?. ~ Yes ~ No
Short-Term Capital Gains and Losses —Assets Held Ong Year or Less
Cornplets Form 8949 before cornpleting line 1, 2, or 3. 1~1 P~~~s (saes ~~ustrnerits to m} ca'v, a(~
price) fran Forms) (e) Cost
~,~ a other
F~~S~ P~ (9~
~9basis gam or Ins from S~traG column {e) from
easier to complete if you round off cents to 8949oPartn,~tl~ 2, i, Ime 2, column (e) F°i
whole~dollarsy ~ e'~2~ ~
S umP~(y~ ~• =f nWm~~'r~~
1 Short-term totals from all Forms 8949 with box A
checked in Part 1 .
2 Short-term totals from all Forms 8949 with box B
checked in Part 1 .
3 Short-term totals from alt Forms 8949 with box C
checked in Part f .
4 Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684, 6781, and 8824 4
5 Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts from
Schedules) K-1 5
6 Short-term capital loss carryover. Enter the amount, if any, from line 8 of your Capital Loss Carryover
Worksheet in the instructions B ( )
7 Net short-term capital gain or (lass). Combine lines 1 through 6 in column (h). If you have any long-
term capita( gains or losses, go to Part 11 below. Otherwise, go to part !IE on the back 7
~- Long-Term Capi#~al Gains and Losses—Assets Held More Than C3rre Year
Cornplets Form 8949 before cornpleting line 8, 9, or' 10. (dl Proceeds sales (g) Adjustments to mi « n~~
price) from Forms} {e) Cost a other basis gain or loss from Subtract column (e) from
from Forrn(s) 8949, Part
This form may be easier to complete if you round off cents to ~~ il, line 4, column (e) F~;~a, 8r,~o~im~(q~~~' m~;~t~win~~b~(q)
tivhole dollars. > 4~
umni~dne e
8 Long-term totals from all Forms 8949 with box A
checked in Part li
9 Long-term totals from all Forms 8949 with box B
checked in Part tl
1d Long-term totals from aH Forms 8949 with box C
265, 000. 235, 000. -29, 453. 547.
checked in Part 11.
11 Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and long-term gain or (loss)
from Forms 4684, 6781, and 8824 11
12 Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts from Schedules) K-1 12
• tf E[t~ 16 iS ~ g~Fi►1, enter the amourrt from line 16 on Fprm 1t?~10, fine 13, or Form 1040NR, line
14. Then go to line 17 below. £Q ~,
• tf Cine i6 is a Itass, skis lures 17 through 20 t~lo~a. Ttt~n go to liege 21. Also be sure to complete
i~~~ zz.
If tine 16 is a~sro, skip fires 17 tttt'ough 2i glow and enter -p- on Fcx~ri iU40, line i3, or dorm
1t~AQt~R, line i4. Thy go to line 22.
18 Enter the amount, rf may, €rar+n line ? of the 28°/a Rate Gain Worksheet in the instrtactions ►
19 Enter the amount, if any, from (it~e 18 of 4he i,tnr~~~rtuxed ~ec#icrr► 1250 Gain d4(orksheet in the >``-
instructions ► ~79
f
2q Are lines 18 end 19 k~rth zero or btarrk?
~ Yes. Complete tt~e Quali#ied IDivid~ds and C~a^tal fain Tax i~atoricshea# in the instructiort~
far Form i(3=10, line 4Q (or in the instrucciorr~ for Form 1~40hlR, line 42~. Da got complete lines
21 and 22 below.
❑ Ho. Comple#s the Sch~ciuie D Ta~c 1~Works~SseR in the instructions. tau not cor°rtplets line. 21
and 22 below.
21 If iin~ 16 is a loss, enter here and_ on Forrr►1040, (ire i3, or Form iQ40iVR, line 14, the sma~er of:
~o#e. When #igurinc~ wrt~ich amount is smaller, treat both amounts as posiiiv~ nurr~i~rs.
22 Do you have qualrfier! dividends on ~w~n 1(}4U, iin~ fib, or Fprm i(}~O~R, line 1~?
❑ Yes. Camp#e the Qualified Dividsnd~ ~rtd C~s Gin Tax ~tdor#csh~et in tl~e instructions
for Form '1040, line 44 {q~ in the instructions for Form 1(?440►~R, Sine 42).
A
f3
G
ib Type of Property 2 for ~ac~Fr rental real estate property lister Rental flays ~' ~
~~
~~~~ QJV
{tram list bela~v) ~
pasVon'aiuseda~jrs~Check th~alQJV~~d
~ ~ only if,ypu meet tt~ requirements to file as A 1S0 0
g a qu~l~~ked joint venture.S~ instructions, g
C C
~ ~'Q r
1 Single F~nily ~iesidenc~ 3 Vacation/5hnrt-Term Rental 5 Land 7 Setf-Rsrrta!
7 AA.~hLC~.,,[h. t?meA.n.,na A P`s,mmorni~l F l~nualti~ac & Miy~,.r lAnanr;ine~\
4 Totefs. Add the ~rvraurrts in cc~lurrPrgs (cf~~ (a). (91~ ar+d (h} (subtract <,
rt~ative ou►fits}. Enter each total hie a+~d inciucfE on your
scnedube a, bins s (if Box A anove is ch~k~c4l. ~Brs~ g (~f &ox s
2 6 5 0 0 0.0 0 ~ 3 5 0 Q 0. 0 0 ,`` — 299 53.0 0 5 9 7. O Q
abovs is ctte~lcec~, cu lip 1~ {ri Brix G above is ct~ck~ ►
rc~u+~~ w ~~ ~~ ~~ yu, ~ «. ~„«~ u~
Notes. If you checked Box A above but the basis reported to the t~t5 was incorr~tx, ev~ter m co~umn ~~~ urn; c~as~s a5 of tip ~djusitr~rrt.
tt~ amoun#
adjustmen4 in column (g) to correct the basis. Sep Calurrrn fig) in the s~ar~te instructions far hor~a to figure
~vo,roar,arro Farm (zay2)
AlteCilafiVe I~II11i11t1R1 TaX--Individuals o~snso. t~as..oa~a
~~m 6251 C,~..~1~1
t of ~ Tr ssry ►1r~fiarena3~an ~liout fosrn 6251 aid iCs inatructis~s is a# ta~vrw.irs.g~v/fon►s4~51. Attachment
trre~naf fdev~rue S~rce (~3} ►l~tt~t ttt F~x~t11040 ter Fomt 1 uence No. 32
P#~n~~) st~aaun an Fcwm tU9Q cx Form 1~40NFi Y nurr~aer
Bernard & Jane 0 Sanders
~_.~ /allC~.dliYRlioTRf f+0iIf11IIlYyf1 ~ aa~u~ r~t~:urr~~ ~~~ ir,~~ruc.~~ons ror nOW t0 COmpt~fie @aCtt Ifl~
t tf filing Sch~ciute A jFc~rm 1040), en#sr the amount from Form 1(340, line 41, and ga to lirt~ 2. Otfien~rise,
en4~r the amouett e from dorm 1q40, litre 38, and go #o line 7. (tf tees than zero, errter as a negative a~maunt;} 1 152,512.
2 Medical and deaital. Enter the srna!#~ of Schec#t~t~ A (Form 1(140), ling Q, or 2.5% (.Q25) of Form 1f}4U, line
38. if zero or tess, e~►ter -0- 2 0.
3 Taxes from Schedule R (dorm 104fl}, line 9 3 24,196.
4 Enter the horrt~ mortgage interest adjustm~f, if any, from lire 8 of the ~rorksheet in t1~ instructions for this line 4
5 Misc~F#ane~ous d~duciions from 5chedute A (~txm it140), line 27. 5 55, 553.
6 Skip this line. ft is nerved far future use . 6
7 Tax re~fuund from Form 1040, line 1d or Gne 21 , 7 ( 281, )
8 Inv~trr~it ingest expense (diffie~'~ce i~tv~esn regular tax and HAA'p. B
9 Dept~Yion {difference between regular t~ix and AMA e
10 hie4 c~r ng toss d~iuction frQrn Form 1Ud0, liras 21. Enter as a positive arnourrt . Q
1i Alt~rrtaeive P.~c net mating loss deciuc:tian . 1 ~ )
92 rot e from specified ~r+rate activity bonds e~npt from the regular tax 2
13 Qualifi~i smat! business stock (7`t(i of gain excluded undue section 1202) . _ _ 3
f 4 ~cgrcjse of incerstive stock a~tsot~rs (excess of AMT income over regular tax income} . .
i5 Est~tss and trusts (amount from Sch~duls IC-1 {~or~r+ it141}, box 12, ca~i~ A}
iS Electing large p~rtrse€'ships (arnouttt fircxt't Sctt~iut~ #(-1 (Form 1tD~5-B), box 8)
, [1~
17 Di~rosiiics~t aF propErty (difter~ce bete AMT and regular t~ gain or lass}
i8 t3~prsciation on assets placead in service attear 1986 (difi#erencs bet►ve~n regular 4ax and A~AT}
e C~~
t~ Passive activities (di~Ner~;nce i~4va~en AMT and regular fasc income or loss)
~ Loss timit~tior~s (difiference t r~n AMT and regular tax income or loss) .
21 Circut~tion costs (diffierence 1~et~eresn r~gut~r t~vc and A~tlT)
.
22 Lang-t~rr» contracts (c~i~`aa~~ce be#ween Ats~T and i~r,~ui~r tax income}
B3 Niinsng costs {diffea~e~rca b rreet~, regut~r ta~c and AM"~
24 R~;s~~ch and sxt~erimen~z! costs (drf~~r~ce b~twe~ regular tax and AtviT} .
2~ Income from c~itain inskallmant sales i~fare January 1,1987
2S intarigibd~ ri~illing casts preferene~ . _
27 dt~s~r adjus~rnenfs, #secluding income-ba d r€~afad adjustrn~t s
28 6t#tsrr~~#iv~ menianum ti e income. Combine fines 1 through 27. (Sf marries! filing separator, see
28 ~ 231r 980 .
instruckions.
Aitem~ti~a I~iiriimum Tax 2g ~ 5 $, 255.
29 E~s~n~fiion. See instructions .
31. tf x~ro or toss, e~fer -0- here ar~d on tines 3i,
~D Sub4ract lirt8 29 iz-om tine 2$. if more titan zero, go to line , ~p 173, 725.
33, and 35, end go to {ine 3~4 .
s for the amount to enter.
31 • If you a~~ filing Fcxm 2555 or 2555-~, see inst►uctiorr
ri~i coital gin distributions direcHy an Porsn i(1~0. Nne 13; Yau wed qua!'~ivd dividends
o I# you
15 Dui 16 of Sc#~sdu4~ Q {fcxm 1040} (as
on Ft~n°r it,D90, line fib; ~ you had a g~ ai both lines . 45,107.
), c~Ptete Pmt NI on ttre tsadc ~d ~rter the amount from lire 54 hers. ~9
re~igur~ct far the Ah4'f, i~
087,500 or less if marrted flfing s8paratedy),
• A}I other: tf 6ine 3d is X175,000 caa 4ess zg~o ~.ze~ ~d s►,~~r~ct
muitt~y ~~ne ~o ~y
muter un~ ~o ~~ ~s~ {.2s~, ati~iise,frarn
se~ae~t4s4y) ti`~e result.
~3,5U0 09,750 if marrr}ed filing 32
instructions) .
3~2 A#4 fiva minsmum tax far~ig~ t~ credit (
_ 33 X5,107.
32 from ling 31
33 7~r~ainr~ minimum tax. Subtract tine
cradi# fror'n Fam
any #ax from Form 4972 and any foreign tax
34 Tax drum i=orm 1tk~, lire ~44 {minus your tax, tfiE amount from 4ie~ 44 of Farm 14=10 must be
itk~0, line ~7}. tf yaes used Scheciu#e J to frgure 3~4 2 $,281.
insteucfions)
re~#ured euithauY using Sch~dute J {sue
~.6, 826.
en4er -0-. Enter hire and nn Form 104Q lire 45 .
3a T. Subtract line 34 from line 33. tf zero ar less, Rev ~ztfzri2 rra tom, 6251 (zo~z)
~nstruc'~~ar►s. flM
i=or P Reduc°tfon Act kot~ce, s~ ycsA.~r teat r~t~urn
Farm 6257(201 Page ~
• ., 8. ~~ FRi .~ ~ 40'4 ~Q&
\iRJ°8 iF
Compte4e Part 111 or~iy if you are required to do sn byline 31 or by the ~oraign Eamed Ir+come Tax Worksheet in the ins#ructions.
3S Enter the amaurrt from Form 6251, tine 80. tf you are filling Form 2555 ar 265S-Q meter the amaurrt frnrst
iirre 3 c~tthe tvarksheet in the ins#ructions for line 31 _ _ ~ 173,725.
37 Enter 4#~e arnourrt from line 6 of the QusliPrsd dividends and Capital Gain Tax
Wcxlesh~it in t9~e instn~ctions foY Form 1(34q, line 44, or ttt~ amaunY from lire
13 of tt~e Schedule D'fax Warfa~h~t in fits instnactions for ach$duis D (Forrri
1040), v~hicFr~ver appii~s (as refiguret~ for the AMT, if r~ec y) (see
ierstructions). if you are filing ~orrn 2555 or 255~rEZ> sse ins4ructions for the
amount to en4er _ 37 569.
38 Enter tyre amount €rom Schedule D {Fc~rrn 1040}, line 19 (as refigured for 4ha
AMT, rf net~s~t}r){see insfn~tions). {f you are ftling Ftx°m 2555 or 2555-EZ,
see instnactions for the amount to enter 38 -
39 if you did not ccvmpt~te a Schedule D T~ Warksh~:t for the regul~ tax o►- tha
RMT, ernes the amount !mm line 37. Oth~ruaise, add fines 37 and 38, and
tenter tfite ~rrta~sa^ of that result pr the amount from iin~ 10 of t1t~ Sch~duE~ D '
Ta~c Warksl~~;t {as refigured for the AMT, rf nec~;sa~y}. !f you are filing dorm
2555 ar 2555-EZ, see instnactions for the amount to eta 39 5 ~ 4 . ~ • ~.
40 Enter the ambler of I~ne 36 or line 39 40 5 64 .
4;5 8ub#ract tine 44 frnm Gne 43. if zero or less, enter -0- 45 0.
ff line 38 is zero or blank, skip lines 50 arrd 51 anti go 4o tine 52. , go to l~~e rU.
50 Subtract ling 4~ from line 40 . { `st?
b Activities avi#h net toss (~n#er the amount fi~am Worksheet 1, cotumn <' ~ ,~ ,
c Prior years unaltowed fosses (enter the amount fvarn Wot~csheet ~, f~F { , x: ~r~.
cnlurrr~ {c}} 1c ( 6, 2 4 5. }
d Carnbine lines 1a, 7b, and 1~ `1d" _ -26, 2Q1.
rtte~ci~ Revi~~F~#irxt D~€d~ctisa~rs From Renter Reai Estate Activ~tie~s
2~ Cammerc al r~vifaiization cl~ductians from Wor~Cshe~;t 2, column (a) . 2.~ ( ) _.::.. _
b Rrior year unallow~i commercial revitaliza#ion d~ciuctions from ~
Workst~~Ht 2, +r.~lumtl(h) Zb E
c /kdd iirt~ 22 attd 2b ?.c C )
/A,U ter P~ssisre Actiaiti~
3a ~tivitie~ vadth net incorrt~ (enter the amount bran Wor#~sh~t 3, ~ ~~3~
b Activities with net loss (~rrter the amount hom Worksheet 3, cofumn
To#at ► ~ ,pp
warKsneet ~--~411ocation of imailawe~tl Losses (see ►nstructions.)
Form or sct~dule
Name of activity and #ine number ~a) ~
to t~ rrc~orted on (b) Ratio (c) Unaltowed loss
(see ir~irtactions)
E Ln 22 26,201. 1.000040Q0 26,201.
1 Complete Part II. Multiply line 8a by 55.5 {.555). Enter the result here .
2 Parking fees, tolls, and transportation, including train, bus, etc., that did not involve overnight
travel or commuting to and from work 2 600 .
3 Travel expense while away from home overnight, including lodging, airplane, car rental, etc. Do
not include meals and entertainment ,
4 Business expenses not included on lines 7 through 3. Qo not include meals and
entertainment
6 Total expenses. Add lines 1 through 5. Enter here and on Schedule A (Form 1040), line 21 (or
on ~schedufe A (Form in40NR), line 7). (Armed Forces reservists, fee-basis state or local
government officials, qualified performing artists, and individuals with disabilities: See the
instructions for special rules on where to enter this amount.) g 5, 073 .
• Information on Your Vehic4e. Complete this part onty if you are claiming vehicle expense on line 1.
7 When did you place your vehicle in service for business use? (month, day, year) ►
8 Of- the total number of miles you drove your vehicle during 2012, enter the number of miles you used your vehicle for:
9 Was your vehicle available for personal use during off-duty hours? ❑Yes ❑ No
10 po you (or your spouse) have another vehicle available for personal use? . ❑Yes ❑ No
~~. ► i.ao
aEv i2lza~i2'['To ~orrrr X582 (2092)