SCHEDULE D
Capital Gains and Losses
OMB No. 1545-0092
(Form 1041)
2012
Attach to Form 1041, Form 5227, or Form 990-T.
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Information about Schedule D (Form 1041) and its separate instructions is at
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Department of the Treasury
Internal Revenue Service
Name of estate or trust
Employer identification number
Note: Form 5227 filers need to complete only Parts I and II.
Part I
Short-Term Capital Gains and Losses—Assets Held One Year or Less
(f) Gain or (loss) for
(a) Description of property
(b) Date acquired
(c) Date sold
(e) Cost or other basis
(d) Sales price
the entire year
(see instructions)
(Example: 100 shares 7% preferred of “Z” Co.)
(mo., day, yr.)
(mo., day, yr.)
Subtract (e) from (d)
1a
b Enter the short-term gain or (loss), if any, from Schedule D-1, line 1b .
1b
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2
Short-term capital gain or (loss) from Forms 4684, 6252, 6781, and 8824 .
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2
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3
Net short-term gain or (loss) from partnerships, S corporations, and other estates or trusts .
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4
Short-term capital loss carryover. Enter the amount, if any, from line 9 of the 2011 Capital Loss
Carryover Worksheet .
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4 (
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5
Net short-term gain or (loss). Combine lines 1a through 4 in column (f). Enter here and on line 13,
column (3) on the back
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Part II
Long-Term Capital Gains and Losses—Assets Held More Than One Year
(f) Gain or (loss) for
(a) Description of property
(b) Date acquired
(c) Date sold
(e) Cost or other basis
(d) Sales price
the entire year
(see instructions)
(Example: 100 shares 7% preferred of “Z” Co.)
(mo., day, yr.)
(mo., day, yr.)
Subtract (e) from (d)
6a
b Enter the long-term gain or (loss), if any, from Schedule D-1, line 6b
6b
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7
Long-term capital gain or (loss) from Forms 2439, 4684, 6252, 6781, and 8824 .
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7
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Net long-term gain or (loss) from partnerships, S corporations, and other estates or trusts .
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9
Capital gain distributions .
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9
10
Gain from Form 4797, Part I .
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10
11
Long-term capital loss carryover. Enter the amount, if any, from line 14 of the 2011 Capital Loss
Carryover Worksheet .
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11 (
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Net long-term gain or (loss). Combine lines 6a through 11 in column (f). Enter here and on line 14a,
column (3) on the back
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For Paperwork Reduction Act Notice, see the Instructions for Form 1041.
Schedule D (Form 1041) 2012
Cat. No. 11376V