Form Ftb 3840 Draft - California Like-Kind Exchanges - 2017 Page 2

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TAXABLE YEAR
CALIFORNIA FORM
2017
3840
California Like-Kind Exchanges
For the calendar year 2017 or fiscal year beginning (mm/dd/yyyy)
, and ending (mm/dd/yyyy)
.
Name(s) as shown on your California tax return.
California corporation number
SSN or ITIN
Spouse’s/RDP's SSN or ITIN
FEIN
Additional information. See instructions.
California Secretary of State file number
Street address (suite/room no.)
PMB no.
City (If you have a foreign address, see instructions.)
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
A
Individual
Estate
Trust
C corporation
S corporation
Partnership
Limited liability company
Exempt organization
B
Initial FTB 3840
Amended FTB 3840
Annual FTB 3840
Final FTB 3840 (see instructions)
If the "Annual FTB 3840" or "Final FTB 3840" box is checked, enter the taxable year the exchange occurred (yyyy):
C
This exchange involves:
Real property
Personal property
Related party. If the "related party" box is checked, enter:
Name of the related party:
Related party's SSN/ITIN or FEIN:
.
Part I Information on Like-Kind Exchange. See instructions.
1
Description of like-kind property given up:
2
Description of like-kind property received:
3
Date like-kind property given up was originally acquired (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4
Date you actually transferred your property to other party (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
5
Date like-kind property you received was identified by written notice to another party (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . 5
6
Date you actually received the like-kind property from other party (mm/dd/yyyy) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Part II Realized Gain or (Loss), Recognized Gain, and Basis of Like-Kind Property Received. See instructions.
7
Fair market value (FMV) of other property given up. . . . . . . . . . . . . . . . . . . . . . . . .
7
00
8
Adjusted basis of other property given up . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
00
9
Gain or (loss) recognized on other property given up. Subtract line 8 from line 7. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9
00
10
Cash received, FMV of other property received, plus net liabilities assumed by the other party, reduced
(but not below zero) by any exchange expenses incurred . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
00
11
FMV of like-kind property received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
00
12
Add line 10 and line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
00
13
Adjusted basis of like-kind property given up, net amounts paid to other party, plus any exchange expenses not used on line 10. 13
00
14
Realized gain or (loss). Subtract line 13 from line 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
00
15
Enter smaller of line 10 or line 14, but not less than zero. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
00
16
Ordinary income under recapture rules. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
00
17
Subtract line 16 from line 15. If more than -0-, enter here. If zero or less, enter -0-. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
00
18
Recognized gain. Add line 16 and line 17. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
18
00
19
Deferred gain or (loss). Subtract line 18 from line 14. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
00
20
Basis of like-kind property received. Subtract line 10 from the sum of line 13 and line 18.. . . . . . . . . . . . . . . . . . . . .
20
00
To learn about your privacy rights, how we may use your information, and the consequences for not providing the requested information, go to
ftb.ca.gov/forms and search for 1131. To request this notice by mail, call 800.852.5711.
Sign here
Under penalties of perjury, I declare that I have examined this return and to the best of my knowledge and belief, it is true, correct and complete.
if you are
Your signature
Date (mm/dd/yyyy)
Telephone
filing this form
separately and
(
)
not with a tax
return. See
Spouse's/RDP's signature (if filing jointly, both must sign)
Date (mm/dd/yyyy)
Telephone
instructions.
(
)
It is unlawful
Signature of owner, officer, or representative
Title
Date (mm/dd/yyyy)
to forge a
spouse’s/RDP’s
signature.
Firm’s name
Firm’s address
8421173
FTB 3840 2017 Side 1

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