//1ä1FORM 2119ò SALE OF YOUR HOMEò 1990 * 20Ýò =OMB No. 1545-0072Ýò-OÝò 4| Your SSN:ßãNAME*ßDãSSN*Ýò-4|ò-ÝGive Address Only If |ò | Spouse SSN:ßDãSS2*ÝNot Attaching Form to |ò |ÝYour Tax Returnò |ò |Ýò=OÝPART I - GENERAL INFORMATIONÝ 1a. Date your former main home was soldò.>>>ßEîáïÝ b. Enter the face amount of any mortgage, note, or otherÝ financial instrument on which you'll receive payments.....>>>ßEîáïÝÝ 2. Have you bought or built a new main home?ò. [ ] Yes [ ] NoßCâ,YßLâ,NÝ 3. Are any rooms rented or used for business?ò. [ ] Yes [ ] NoßCâ,YßLâ,NÝò=OÝPART II. GAIN ON SALEò +|Ý 4. Selling price of home (Do not include personal property)...4.|ßEîáïÝ 5. Expenses of sale. (Include commissions, advertising, etc)..5.|ßEîáïÝ 6. Subtract line 5 from line 4ò.6.|ßEîáïÝ 7. Basis of home soldò.(7.|ßEîá ïÝ 8a. Subtract line 7 from line 6ò.8a.|ßEîá ïÝò A|ò- Ý b. If you haven't replaced your home, do you planÝ to do so within the replacement period?ò.[ ] Yes [ ] NoßCâ ,YßLâ ,NÝò=OÝPART III. ONE-TIME EXCLUSION FOR TAXPAYERS AGE 55 OR OLDERÝ 9a. Were you 55 or over on date of sale?ò.[ ] Yes [ ] NoßCâ ,YßLâ ,NÝ b. Was your spouse 55 or over on date of sale?ò.[ ] Yes [ ] NoßCâ ,YßLâ ,NÝ c. Did you use property as main home for 3 of last 5 years?....[ ] Yes [ ] NoßCâ,YßLâ,NÝ d. If 9c is "Yes", do you elect one-time exclusion of gain?....[ ] Yes [ ] NoßCâ,YßLâ,NÝ e. At time of sale, who owned the home?ò.[ ] You, [ ] Spouse [ ] Bothß4îáïß>îáïßJîáïÝ f. SSN of spouse at time of sale, if different from aboveò.|ßDîáïÝò A|ò- Ý g. Smaller of line 8 or $125,000/$62,500ò.9g.|ßEîáïÝò=OÝPART IV. ADJUSTED SALES PRICE, TAXABLE GAIN, AND ADJ BASIS OF NEW HOMEÝ10. Subtract ln 9g from ln 8a. If zero, stop. Otherwise, see |Ý instructions on how to report the gainò.10.|ßEîáïÝ11. Fixing-up expensesò.'11.|ßEîáïÝ12. Subtract line 11 from line 6 (adjusted sales price)ò.12.|ßEîáïÝ13a. Date you moved into new home: [ò ]. (b) Costò.13b.|ß%îáïßEîáïÝ14a. Add line 9g and line 13bò. 14a.|ßEîáïÝ b. Subtract line 14a from line 12 (but not less than -0-)...14b.|ßEîáïÝ c. Taxable gain. Smaller of lines 10 or 14b (see instr).....14c.|ßEîáïÝ15. Postponed gain. Subtract line 14c from line 10ò. 15.|ßEîáïÝ16. Adjusted basis of new home. Subtract ln 15 from ln 13b...16.|ßEîáïÝò=OÝ SIGN | Under penalty of perjury, I declare that I have examined this formÝ ONLY IF| and attachments and to the best of my knowledge and belief, it isÝ NOT | true, correct, and complete.Ý ATTACH-|Ý ING TO | ò_. Date ò_Ý YOUR |Ý RETURN.| ò_. Date ò_Ýò=OÝFor Paperwork Reduction Act Notice, see instructionsò Form 2119 (1990)ÝAM Software H838ð//2ä1ôN9021191*ß" XÝÝßF2119ÝÝÝÝÝÝßãNAME*ßCãSSN*ÝÝßCãSS2*ÝÝÝÝßEáÝÝßEáÝßHâ,YßMâ,NÝßHâ,YßMâ,NÝÝßEáÝßEáÝßEáÝßEá ÝßEá ÝÝÝßHâ ,YßMâ ,NÝÝÝÝßHâ ,YßMâ ,NÝßHâ ,YßMâ ,NÝÝÝßHâ,YßMâ,NÝßHâ,YßMâ,NÝß8áß>áßHáÝÝßDáÝßEáÝÝßEáÝÝÝÝÝßEáÝßEáÝß'áßEáÝßEáÝßEáÝßEáÝÝÝÝßEáÝßEáðÿÿÿ