Schedule D1 Individual - Sale Or Exchange Of Principal Residence - 2012

Schedule D1 Individual

Rev. Feb 19 13

SALE OR EXCHANGE OF PRINCIPAL

2012

RESIDENCE

Taxable year beginning on _________________, _____ and ending on ________________, _____

Taxpayer's name

Social Security Number

Computation of Gain

42

/

/

1.

Date in which the old residence was sold (day, month, year) ................................................................................................................

(01)

2.

Was the residence occupied by the seller and/or his/her family for a continuous period during the last two (2) years previous to the sale?

1 Yes

2 No

(02)

If you answered “Yes”, complete the rest of the form.

If you answered “No”, go to line 3 and then to Schedule D Individual, Part I or II, as applicable.

3.

Were funds from an Individual Retirement Account (IRA) used to acquire the residence?

..................................

1 Yes

2 No

(03)

00

If the answer is "Yes", enter here and in Part IV of Schedule F Individual the amount of the withdrawn contributions ......................................

(04)

00

4.

Selling price of the residence (Do not include personal property items sold with your residence) ..................................................................

(05)

00

5.

Selling and fixing-up expenses (See instructions) .................................................................................................................................

(06)

00

6.

Total realized (Subtract line 5 from line 4) .............................................................................................................................................

(07)

00

7.

Adjusted basis of residence sold.

Includes prepayment:

1 Yes

2 No

(See instructions) ......................................................

(08)

(09)

8.

Gain realized on sale (Subtract line 7 from line 6) (See instructions)

If it is zero or less, enter zero.

If it is more than zero, transfer this amount to Schedule IE Individual, Part II, line 10 ............................................................................

00

(10)

Retention Period: Ten (10) years