Form 990-Ez - Return Of Organization Exempt From Income Tax

Form 4562 (2012)

Page 2

Listed Property ( Include automobiles, certain other vehicles, certain computers, and property used for

entertainment , recreation , or amusement.)

Note : For any vehicle for which you are using the standard mileage rate or deducting lease expense,

complete only 24a , 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.

Section A - De p reciation and Other Information ( Caution : See the instructions for limits for p assen ger automobiles. )

24a Do you have evidence to support the business / investment use claimed? fl Yes fl No

24b If 'Yes," is the evidence written? 1 Yes F No

(a)

(b)

Business/

(d)

Basis for depreciation

(f)

(g)

(h)

Elected

Type of property (list

Date placed in

investment

Cost or other

(business/investment

Recovery

Method/

Depreciation/

section 179

vehicles first)

service

use

basis

use only)

period

Convention

deduction

cost

percentage

25Special depreciation allowance for qualified listed property placed in service during the tax year and used more than

50% in a qualified business use (see instructions)

26 Property used more than 50% in a qualified business use

27 Prooerty used 50% or less in a auallfled business use

S/L-

S/ L -

28 Add amounts in column ( h), lines 25 through 27 Enter here and on line 21 , page 1

29 Add amounts in column ( I), line 26 Enter here and on line 7, page 1

Section B-Information on Use of Vehicles

Complete this section for vehicles used by a sole proprietor, partner, or other more than 5% owner," or related person

Tf vnu nrnvuderl vehicles to vnur PmnlnvPPs_ first answer the niiestinns in Section C to SPP if you meet an Pxcention to comnlefinn this section for those vehicles

30Total business/investment miles driven during the

l d

( a)

Vehicle 1

(b)

Vehicle 2

(c)

Vehicle 3

(d )

Vehicle 4

( e)

Vehicle 5

(f)

Vehicle 6

year ( o no

e commu ing mi es)

inc u

31 Total commuting miles driven during the year

32 Total other persona I(noncommuting) miles driven

33 Total miles driven during the year Add lines 30

through 32

34 Was the vehicle available for personal use

Yes

during off-duty hours?

35 Was the vehicle used primarily by a more than 5%

owner or related person?

36Is another vehicle available for personal use?

Section C-Questions for Employers Who Provide Vehicles for Use by Their Employees

Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than

5% owners or related p ersons ( see instructions )

37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by your

Yes

employees?

38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your

employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners

39 Do you treat all use of vehicles by employees as personal use?

40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of

vehicles, and retain the information received?

41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions )

Note : If your answer to 37, 38, 39, 40, or 41 is "Yes," do not complete Section B for the covered vehicles

Amortization

(a)

Date

izatlon

A mort

Amortzable

Code

Amortization for

Description of costs

amortization

period or

amount

section

this year

begins

percentage

42 Amortization of costs that begins during your 2012 tax year ( see instructions)

43 Amortization of costs that began before your 2012 tax year

44 Total . Add amounts in column (f) See the instructions for where to report

Form 4562(2012)

Form 990-Ez - Return Of Organization Exempt From Income Tax - 2012 Page 15

Related Articles

Related forms

Related Categories