Form 8949
Department of the Treasury Internal Revenue Service
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Sales and Other Dispositions of Capital
Assets
? Information about Form 8949 and its separate
instructions is at www.irs.gov/form8949.
? File with your Schedule D to list your transactions for
lines 1b, 2, 3, 8b, 9, and 10 of Schedule D.
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OMB No. 1545-0074 |
2016
Attachment
Sequence No. 12A
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Name(s) shown on return
Charu Khanna |
Social security number or taxpayer identification
number |
Before you check Box A, B, or C below, see whether you
received any Form(s) 1099-B or substitute statement(s) from your
broker. A substitute statement will have the same information as
Form 1099-B. Either will show whether your basis (usually your
cost) was reported to the IRS by your broker and may even tell you
which box to check. |
Part
I |
Short-Term. Transactions involving
capital assets you held 1 year or less are short term. For
long-term transactions, see page 2. |
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Note: You may aggregate all short-term
transactions reported on Form(s) 1099-B showing basis was reported
to the IRS and for which no adjustments or codes are required.
Enter the totals directly on Schedule D, line 1a; you aren't
required to report these transactions on Form 8949 (see
instructions). |
You must check Box A, B, or C below.
Check only one box. If more than one box applies for your
short-term transactions, complete a separate Form 8949, page 1, for
each applicable box. If you have more short-term transactions than
will fit on this page for one or more of the boxes, complete as
many forms with the same box checked as you need. |
? (A) Short-term transactions reported on
Form(s) 1099-B showing basis was reported to the IRS (see
Note above) |
? (B) Short-term transactions reported on
Form(s) 1099-B showing basis wasn't reported to
the IRS |
? (C) Short-term transactions not reported to
you on Form 1099-B |
1 |
(a)
Description of property (Example: 100 sh. XYZ Co.) |
(b)
Date acquired (Mo., day, yr.) |
(c)
Date sold or disposed (Mo., day, yr.) |
(d)
Proceeds (sales price) (see instructions) |
(e)
Cost or other basis. See the Note below and see
Column (e)in the separate instructions |
Adjustment, if any, to gain or
loss. If you enter an amount in column (g), enter a code
in column (f). See the separate instructions. |
(h)
Gain or (loss).Subtract column (e) from column (d)
and combine the result with column (g) |
(f)
Code(s) from instructions |
(g)
Amount of adjustment |
4,000 shares Green Co. |
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2 |
Totals. Add the amounts in columns
(d), (e), (g), and (h) (subtract negative amounts). Enter each
total here and include on your Schedule D, line 1b
(if Box A above is checked), line
2 (if Box B above is checked), or
line 3 (if Box C above is
checked) ? |
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Note: If you checked Box A above
but the basis reported to the IRS was incorrect, enter in column
(e) the basis as reported to the IRS, and enter an adjustment in
column (g) to correct the basis. See Column (g) in the
separate instructions for how to figure the amount of the
adjustment. |
For Paperwork Reduction Act Notice, see
instructions. |
Cat. No. 37768Z |
Form 8949 (2016) |
Form 8949 (2016) |
Attachment Sequence No. 12A |
Page 2 |
Name(s) shown on return. Name and SSN or taxpayer
identification no. not required if shown on other side
Charu Khanna |
Social security number or taxpayer identification
number |
Before you check Box D, E, or F below, see
whether you received any Form(s) 1099-B or substitute statement(s)
from your broker. A substitute statement will have the same
information as Form 1099-B. Either will show whether your basis
(usually your cost) was reported to the IRS by your broker and may
even tell you which box to check. |
Part
II |
Long-Term. Transactions involving
capital assets you held more than 1 year are long term. For
short-term transactions, see page 1. |
|
|
Note: You may aggregate all long-term
transactions reported on Form(s) 1099-B showing basis was reported
to the IRS and for which no adjustments or codes are required.
Enter the totals directly on Schedule D, line 8a; you aren't
required to report these transactions on Form 8949 (see
instructions). |
You must check Box D, E,
or F below. Check only one box. If more than one
box applies for your long-term transactions, complete a separate
Form 8949, page 2, for each applicable box. If you have more
long-term transactions than will fit on this page for one or more
of the boxes, complete as many forms with the same box checked as
you need. |
? (D) |
Long-term transactions reported on Form(s) 1099-B showing basis
was reported to the IRS (see Note above) |
? (E) |
Long-term transactions reported on Form(s) 1099-B showing basis
wasn't reported to the IRS |
? (F) |
Long-term transactions not reported to you on Form 1099-B |
1 |
(a)
Description of property (Example: 100 sh. XYZ Co.) |
(b)
Date acquired (Mo., day, yr.) |
(c)
Date sold or disposed (Mo., day, yr.) |
(d)
Proceeds (sales price) (see instructions) |
(e)
Cost or other basis. See the Note below and see
Column (e) in the separate instructions |
Adjustment, if any, to gain or
loss. If you enter an amount in column (g), enter a code
in column (f). See the separate instructions. |
(h)
Gain or (loss).Subtract column (e) from column (d)
and combine the result with column (g) |
(f)
Code(s) from instructions |
(g)
Amount of adjustment |
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2 |
Totals. Add the amounts in columns
(d), (e), (g), and (h) (subtract negative amounts). Enter each
total here and include on your Schedule D, line 8b
(if Box D above is checked), line
9 (if Box Eabove is checked), or
line 10 (if Box F above is
checked) ? |
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Note: If you checked Box D above
but the basis reported to the IRS was incorrect, enter in column
(e) the basis as reported to the IRS, and enter an adjustment in
column (g) to correct the basis. See Column (g) in the
separate instructions for how to figure the amount of the
adjustment. |
Form 8949 (2016) |
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