Taxpayer Information:

Taxpayer's Name:
Filing status this year:	Single MFJ MFS HOH QSS
Date sold:		☚ Enter these dates before answering questions below!
Date obtained:
How did you obtain the home:	Purchase Inherited Gift Like-kind (§1031) exchange
Was this your main home?	Yes No
Was the home jointly owned with a spouse?	Yes No	If No, answer questions as if you are the taxpayer.
Were you divorced between and ?	Yes No
Were you divorced after 7/18/1984?	Yes No
Did that spouse die between and ?	Yes No	Check if community property state
Were you remarried on ?	Yes No
OWNERSHIP TEST:
Did you and/or your spouse own the home for any 24 months (730 days) between and	Yes No	Up to 10 years extension for period of duty if on duty outside the US as military, diplomatic, intelligence or peace corps (applies to residency also)
Due to unforseeable events?	Yes No	(eg: home destroyed, condemned, casualty loss, divorce, legal separation, multiple births, loss of employment)
RESIDENCY TEST:
Did you live in the home for any 24 months (730 days) between and	Yes No	Vacations count. Licensed care facilities count if lived in home for 12 months. But choose No if you did not own the home during this period.
Due to work or health relocation?	Yes No	New job location must be at least 50 miles further than old job location for anyone in the home
Due to extended qualified government duty?	Yes No	More than 90 days and at least 50 miles from home
Did your spouse live in the home for any 24 months (730 days) between and	Yes No	(Notes in previous line apply here too)
Due to work or health relocation?	Yes No	New job location must be at least 50 miles further than old job location for anyone in the home
Due to extended qualified government duty?	Yes No	More than 90 days and at least 50 miles from home
LOOKBACK TEST:
Have you or your spouse taken a home sale exclusion since	Yes No
SCOPE TESTS:
Is there postponed gain or depreciation from a previous home sold prior to 5/7/1997?	Yes No
Was the home ever used for business (including rental for more than 14 days) between 5/6/1997 and	Yes No
Was there any time when this home was not used as the main home for either taxpayer or spouse?	Yes No	(Check yes if used as a vacation or second home during this period)

Home sale details:
  When filing Married Filing Seperately, only enter your portion of the amounts below.
 

Was a Form 1099-S issued?	Yes No
Was a Form 1099-C issued?	Yes No
Due to foreclosure or bankruptcy?	Yes No
Are you financing the buyer's purchase of your home?	Yes No
Sale price
Money received:	$
Value of other property/services:	$
Value of debts assumed by buyer:	$	(eg: notes, mortgages)
Real estate taxes paid by buyer on your behalf:	$
TOTAL SALE PRICE	$
Expenses
Realtor commissions:	$
Advertising and staging:	$
Legal fees:	$
Buyer's expenses you agreed to pay:	$	(eg: mortgage points, loan charges)
Other expenses:	$
TOTAL SALE EXPENSES	$

Home purchase details:
  When filing Married Filing Seperately, only enter your portion of the amounts below.
 

	$
Tax assessments:	$	List these in the Home improvements tab
Expenses (Increases to basis)
Legal fees:	$
Survey and recording fees:	$
Title insurance:	$
Seller fees you agreed to pay:	$	(eg: real estate taxes prior to sale, title/mortage fees, repair charges, real estate agent commissions)
Abstract and recording fees:	$
Transfer of stamp fees:	$
Other fees:	$	(eg: sales tax on a mobile home or houseboat used as the home)
TOTAL PURCHASE EXPENSES	$
Adjustments (Decreases to basis)
Payments received for easement, conservation restriction or right-of-way:	$
Energy credits or subsidies:	$	Subtract these credits from the related cost in the home improvements tab
Adoption credits claimed or nontaxable payments from an employer-sponsored adoption assistance program:	$
Real estate taxes the seller paid on your behalf:	$
Mortgage points the seller paid on your behalf:	$
Sales tax paid on a mobile home or houseboat...	$	...to the extent claimed as a deduction on a federal tax return
Other	$
TOTAL PURCHASE ADJUSTMENTS	$
Adjusted basis
Home improvements before spouse died	$	(From home improvements tab)
Adjusted basis after spouse died	$
Fair Market Value when spouse died	$
HOME COST BASIS NOW	$
Home improvements	$	(From home improvements tab)
ADJUSTED COST BASIS FOR SALE	$

Home improvements:
 
Examples of improvements you can not include in your basis

• Do not include any costs of repairs or maintenance that are necessary to keep your home in good condition but don't add to its value or prolong its life. Examples include painting (interior or exterior), fixing leaks, filling holes or cracks, or replacing broken hardware.
• Do not include any costs of any improvements that are no longer part of your home (for example, wall-to-wall carpeting that you installed but later replaced).
• Do not include any costs of any improvements with a life expectancy, when installed, of less than 1 year.
• Do not enter individual amounts if they are part of a larger renovation project

Exception: The entire job is considered an improvement if items that would otherwise be considered repairs are done as part of an extensive remodeling or restoration of your home. For example, if you have a casualty and your home is damaged, increase your basis by the amount you spend on repairs that restore the property to its pre-casualty condition.

Examples of improvements you can include in your basis

• If the same improvement was made more than once, only use the cost for the most recent improvement.
• Subtract any tax credits, subsidies, or grants received from the cost of any improvements.
• Check the box after the cost amount if the improvement was made after .
• When filing Married Filing Seperately, only enter your portion of the amounts below.

Systems
Air/water filtration systems	$		Furnace	$
Central air conditioning	$		Heating system	$
Central humidifier	$		Lawn sprinkler system	$
Central vacuum	$		Security system	$
Duct work	$		Wiring	$
	$			$
Additions
Bedroom	$		Garage	$
Bathroom	$		Patio	$
Deck	$		Porch	$
	$			$
Grounds
Driveway	$		Retaining wall	$
Fence	$		Swimming pool	$
Landscaping	$		Walkway	$
	$			$
Pipes and duct work
Filtration system	$		Soft water system	$
Plumbing	$		Water heater	$
Septic system	$			$
Interior
Built-in appliances	$		Kitchen modernizaton	$
Fireplace	$		Wall-to-wall carpeting	$
Flooring	$			$
Exterior
New roof	$		Satellite dish	$
New siding	$		Storm windows/doors	$
	$			$
Insulation
Attic	$		Walls	$
Floors	$			$
Tax Assessments
Sidewalks	$		Streets	$
HOA/Condominium assessments	$			$
Remodeling projects
For repairs done as part of larger project — See the exception note above.