Publication 523 - Selling Your Home - 2003 Page 22
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31OMB No. 1545-0074
SCHEDULE D
Capital Gains and Losses
2003
(Form 1040)
Attach to Form 1040.
See Instructions for Schedule D (Form 1040).
Attachment
Department of the Treasury
12
Use Schedule D-1 to list additional transactions for lines 1 and 8.
(99)
Sequence No.
Internal Revenue Service
Name(s) shown on Form 1040
Your social security number
Peter and Betty Clark
000 00 0000
Short-Term Capital Gains and Losses—Assets Held One Year or Less
Part I
(b) Date
(d) Sales price
(e) Cost or other basis
(f) Gain or (loss) for
(g) Post-May 5 gain
(a) Description of property
(c) Date sold
acquired
(see page D-6 of
(see page D-6 of
the entire year
or (loss)*
(Example: 100 sh. XYZ Co.)
(Mo., day, yr.)
(Mo., day, yr.)
the instructions)
Subtract (e) from (d)
(see below)
the instructions)
1
2
Enter your short-term totals, if any, from
2
Schedule D-1, line 2
3
Total short-term sales price amounts.
3
Add lines 1 and 2 in column (d)
4
Short-term gain from Form 6252 and short-term gain or (loss) from Forms 4684,
4
6781, and 8824
5
Net short-term gain or (loss) from partnerships, S corporations, estates, and trusts
5
from Schedule(s) K-1
6
Short-term capital loss carryover. Enter the amount, if any, from line 8 of your
(
)
6
2002 Capital Loss Carryover Worksheet
7a
Combine lines 1 through 5 in column (g). If the result is a loss, enter the result.
Otherwise, enter -0-. Do not enter more than zero
(
)
7a
b
Net short-term capital gain or (loss). Combine lines 1 through 6 in column (f)
7b
Part II
Long-Term Capital Gains and Losses—Assets Held More Than One Year
(b) Date
(d) Sales price
(e) Cost or other basis
(f) Gain or (loss) for
(g) Post-May 5 gain
(a) Description of property
(c) Date sold
acquired
(see page D-6 of
(see page D-6 of
the entire year
or (loss)*
(Example: 100 sh. XYZ Co.)
(Mo., day, yr.)
(Mo., day, yr.)
the instructions)
the instructions)
Subtract (e) from (d)
(see below)
8
main home
3/5/62
2/5/03
695,000
42,250
652,750
section 121
exclusion
(500,000)
9
Enter your long-term totals, if any, from
9
Schedule D-1, line 9
10
Total
long-term
sales
price
amounts.
695,000
10
Add lines 8 and 9 in column (d)
11
Gain from Form 4797, Part I; long-term gain from Forms 2439 and 6252; and
11
long-term gain or (loss) from Forms 4684, 6781, and 8824
12
Net long-term gain or (loss) from partnerships, S corporations, estates, and trusts
12
from Schedule(s) K-1
13
13
Capital gain distributions. See page D-2 of the instructions
14
Long-term capital loss carryover. Enter the amount, if any, from line 13 of your
(
)
14
2002 Capital Loss Carryover Worksheet
15
15
Combine lines 8 through 13 in column (g). If zero or less, enter -0-
152,750
16
Net long-term capital gain or (loss). Combine lines 8 through 14 in column (f)
16
Next: Go to Part III on the back.
*
Include in column (g) all gains and losses from column (f) from sales, exchanges, or conversions (including installment payments received) after
May 5, 2003. However, do not include gain attributable to unrecaptured section 1250 gain, “collectibles gains and losses” (as defined on page
D-8 of the instructions) or eligible gain on qualified small business stock (see page D-4 of the instructions).
For Paperwork Reduction Act Notice, see Form 1040 instructions.
Schedule D (Form 1040) 2003
Cat. No. 11338H
Page 22
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