//1ä1ÝFORM 4684ò CASULATIES AND THEFTSò 1990 * 26Ýò =OMB NO. 1545-0177Ýò-OÝò =SSN:ßãNAME*ßDãSSN*Ýò=OÝSECTION A - PERSONAL USE PROPERTYÝò-OÝ 1. Property A:ßîáïÝ Property B:ßîáïÝ Property C:ßîáïÝ Property D:ßîáïÝò ò-/Ýò |ò A |ò B |ò C | DÝò |ò- |ò- |ò- |ò- Ý 2. Cost or other basisò.2.|ò |ò |ò |ß"áß.á ß:áßFáÝò |ò- |ò- |ò- |ò- Ý 3. Insurance or reimburse....3.|ò |ò |ò |ß"áß.á ß:áßFáÝò |ò- |ò- |ò- |ò- Ý 4. Gain, if 3 more than 2....4.|ò |ò |ò |ß"áß.áß:áßFáÝò |ò- |ò- |ò- |ò- Ý 5. Fair mkt value bef loss...5.|ò |ò |ò |ß"áß.áß:áßFáÝò |ò- |ò- |ò- |ò- Ý 6. Fair mkt value aft loss...6.|ò |ò |ò |ß"áß.áß:áßFá Ýò |ò- |ò- |ò- |ò- Ý 7. Subtract ln 6 from ln 5...7.|ò |ò |ò |ß"á ß.áß:áßFá!Ýò |ò- |ò- |ò- |ò- Ý 8. Smaller of ln 2 or ln 7...8.|ò |ò |ò |ß"á ß.áß:áßFá"Ýò |ò- |ò- |ò- |ò- Ý 9. Subtract ln 3 from ln 8...9.|ò |ò |ò |ß"á ß.áß:áßFá#Ýò ò-"|ò- Ý10. Casualty or theft loss. Add amounts from line 9ò. 10.|ßFá$Ýò C|ò- Ý11. Enter amount from line 10 or $100, whichever is smallerò.11.|ßFá%Ýò C|ò- Ý12. Subtract line 11 from line 10ò.12.|ßFá&Ýò C|ò- Ý13. Add amounts from line 12 from all Forms 4684, Section Aò.13.|ßFá'Ýò C|ò- Ý14. Add amounts from line 4 from all Forms 4684, Section Aò.14.|ßFá(Ýò C|ò- Ý15. o If line 14 more than line 13, enter difference here and on |Ýò Schedule D. Do not complete the rest of this Section.ò |Ý o If line 14 is less than line 13, enter -0- and continue.ò |Ý o If line 14 is equal to line 13, enter -0- and stopò.15.|ßFá)Ýò C|ò- Ý16. If line 13 more than line 14, enter differenceò.16.|ßFá*Ýò C|ò- Ý17. Enter 10% of adjusted gross incomeò.17.|ßFá+Ýò C|ò- Ý18. Subtract line 16 from line 15. Enter on Sch A, line 18ò.18.|ßFá,Ýò=OÝFor Paperwork Reduction Act Notice, see instructionsò Form 4684 (1990)ÝAM Software H838ðä2ÝFORM 4684 (1990)ò Attaching Sequence 26ò Page 2Ýò-OÝò =SSN:ßãNAME*ßEãSSN*Ýò=OÝSECTION B - BUSINESS AND INCOME-PRODUCING PROPERTYÝò-OÝPart I - Casualty or Theft LossÝò-OÝ 1. Property A:ßîá-ïÝ Property B:ßîá.ïÝ Property C:ßîá/ïÝ Property D:ßîá0ïÝò ò-/Ýò |ò A |ò B |ò C | DÝò |ò- |ò- |ò- |ò- Ý 2. Cost or other basisò.2.|ò |ò |ò |ß"îá1ïß.îá9ïß:îáAïßFîáIïÝ 3. Insurance or reimburse....3.|ò |ò |ò |ß"îá2ïß.îá:ïß:îáBïßFîáJïÝ 4. Gain, if 3 more than 2....4.|ò |ò |ò |ß"îá3ïß.îá;ïß:îáCïßFîáKïÝ 5. Fair mkt value bef loss...5.|ò |ò |ò |ß"îá4ïß.îá<ïß:îáDïßFîáLïÝ 6. Fair mkt value aft loss...6.|ò |ò |ò |ß"îá5ïß.îá=ïß:îáEïßFîáMïÝ 7. Subtract ln 6 from ln 5...7.|ò |ò |ò |ß"îá6ïß.îá>ïß:îáFïßFîáNïÝ 8. Smaller of ln 2 or ln 7...8.|ò |ò |ò |ß"îá7ïß.îá?ïß:îáGïßFîáOïÝ 9. Subtract ln 3 from ln 8...9.|ò |ò |ò |ß"îá8ïß.îá@ïß:îáHïßFîáPïÝò ò-#|ò- Ý10. Casualty or theft loss. Add amounts from line 9ò. 10.|ßFîáQïÝò=OÝPart II - Summary of Gains or LossesÝò-OÝ Property Held One Year or Lessò | (i) Trade or | (ii) Income |Ý (a) Identify casualtyò | business LOSS| prodcng LOSS| (c) GainÝò-OÝ11.ò "|ò |ò |ßîáRïß*îáSïß8îáTïßFîáUïÝò %|ò |ò |ßîáVïß*îáWïß8îáXïßFîáYïÝ12. Add amounts on line 11ò.12.|ò |ò |ß*îáZïß9îá[ïßFîá\ïÝò %ò-)Ý13. Combine amounts on line 12ò.!13.|ßFîá]ïÝ14. Enter amount from line 12, column(i) here and on Sch Aò.14.|ßFîá^ïÝò-OÝ Property Held More than One Year | (i) Trade or | (ii) Income |Ý (a) Identify casualtyò | business LOSS| prodcng LOSS| (c) GainÝò-OÝ15. Casualty or theft gains from Form 4797, Part II, line 14....15.|ßFîá_ïÝ16.ò "|ò |ò |ßîá`ïß*îáaïß8îábïßFîácïÝò %|ò |ò |ßîádïß*îáeïß8îáfïßFîágïÝ17. Total lossesò.17.|ò |ò |ò# ß*îáhïß8îáiïÝ18. Total gainsò.018.|ßFîájïÝ19. Add amounts on line 17, columns (i) and (ii)ò.19.|ßFîákïÝ20. If loss on line 19 is more than gain on line 18:ò |Ý a. Combine line 17,(i) and line 18. Enter on Form 4797....20a.|ßFîálïÝ b. Enter amount from 17,(ii) here and on Sch A, line 21...20b.|ßFîámïÝ21. If loss on line 19 equal or smaller than gain on line 18,ò |Ý combine lines and enter on Form 4797ò.21.|ÝßFîánïÝò=OÝAM Software H838ò /Form 4684 (1990)ð//2ä1ôN9046841*ß" XÝÝßF4684ÝÝÝÝÝÝß ãNAME*ßBãSSN*ÝÝÝÝÝßáÝßáÝßáÝßáÝÝÝÝÝß!áß-á ß9áßEáÝÝß!áß-á ß9áßEáÝÝÝÝÝÝß!áß-áß9áßEáÝÝß!áß-áß9áßEáÝÝß!áß-áß9áßEá ÝÝß!á ß-áß9áßEá!ÝÝß!á ß-áß9áßEá"ÝÝÝß!á ß-áß9áßEá#ÝÝßEá$ÝÝßEá%ÝÝßEá&ÝÝßEá'ÝÝßEá(ÝÝßEá)ÝÝÝÝßEá*ÝÝßEá+ÝÝÝßEá,ðä2ôN9046842*ß" XÝÝÝÝÝß ãNAME*ßBãSSN*ÝÝÝÝÝßá-Ýßá.Ýßá/Ýßá0ÝÝÝÝß!á1ß-á9ß9áAßEáIÝÝß!á2ß-á:ß9áBßEáJÝÝÝÝÝÝß!á3ß-á;ß9áCßEáKÝß!á4ß-á<ß9áDßEáLÝß!á5ß-á=ß9áEßEáMÝß!á6ß-á>ß9áFßEáNÝß!á7ß-á?ß9áGßEáOÝÝÝÝß!á8ß-á@ß9áHßEáPÝßEáQÝÝÝÝÝÝßáRß-áSß9áTßEáUÝßáVß-áWß9áXßEáYÝß-áZß9á[ßEá\ÝÝßEá]ÝÝßEá^ÝÝßEá_Ýßá`ß-áaß9ábßEácÝßádß-áeß9áfßEágÝß-áhß9áiÝßEájÝßEákÝÝÝßEálÝÝßEámÝÝßEánðÿÿÿ