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Schedule D Corporation

GAINS AND LOSSES FROM SALE

Rev. 04.13

OR EXCHANGE OF PROPERTY AND

20___

COMPUTATION OF TAX AT

PREFERENTIAL RATES

Taxable year beginning on ____________, ____ and ending on ____________, _____

Taxpayer's Name

Employer Identification Number

Part I

Short-Term Capital Assets Gains and Losses (Held 6 months or less)

(A)

(B)

(D)

(E)

(F)

(C)

Description and Location of Property

Date Acquired

Date Sold

Sale Price

Adjusted Basis

Selling Expenses

Gain or Loss

(Day/Month/Year)

Net short-term capital gain (or loss) .....................................................................................................................................................

(1)

Net short-term capital gain (or loss) from investment funds (Submit Schedule Q1) ...............................................................................

(2)

Distributable share on net short-term capital gain (or loss) from Partnerships and Special Partnerships ..............................................

(3)

Net short-term capital gain (or loss) attributable to direct investment and not through a Capital

Investment Fund (Submit detail) ..........................................................................................................................................................

(4)

Net capital loss carryover (Submit detail) ............................................................................................................................................

(5)

Net short-term capital gain (or loss) (Add lines 1 through 5) ........................................................................................................

(6)

Part II

Long-Term Capital Assets Gains and Losses (Held more than 6 months)

(A)

(B)

(F)

Description and Location of

Fill in if you

(C)

(D)

(E)

(G)

Date Acquired

Date Sold

Gain or Loss (Act 132-2010

Prepaid

Sale Price

Adjusted Basis

Selling Expenses

Gain or Loss

Property

(Day/Month/Year)

and Act 216-2011. See inst.)

Net long-term capital gain (or loss) ......................................................................................................................................................

(7)

Distributable share on net long-term capital gain (or loss) from Partnerships and Special Partnerships ................................................

(8)

Net long-term capital gain (or loss) attributable to direct investment and not through a Capital

Investment Fund (Submit detail) ..........................................................................................................................................................

(9)

10.

Net long-term capital gain (or loss) (Add lines 7 through 9) .........................................................................................................

(10)

Part III

Long-Term Capital Assets Gains and Losses (Held more than 6 months) Realized under Special Legislation

(A)

(B)

Fill in if you

(D)

(E)

(C)

(F)

Description and Location of Property

Date Acquired