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- !STMT
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- VEHICLE EXPENSES
- !NAME SSN: !SSN !
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- THIS STATEMENT SUPPORTS FORM 2106 !S0 , PART II
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- **** SECTION A - GENERAL INFORMATION ***********
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- DESCRIBE CAR : #00
- 1. DATE PLACED IN SERVICE ................... 1. #01 / #02 / #03
- 2. TOTAL MILEAGE USED IN 1985 ............... 2. #04
- 3. BUSINESS MILEAGE ......................... 3. #05
- 4. PERCENT USED IN BUSINESS ................. 4. #07 %
- 5. AVG. DAILY ROUND TRIP COMMUTING DISTANCE . 5. #08
- 6. MILES ON LN. 2 THAT REPRESENTS COMMUTING . 6. #09
- 7. OTHER PERSONAL MILEAGE ................... 7. #10
- 8. DO YOU HAVE ANOTHER VEHICLE FOR PERS.USE?. 8. [#11
- 9. DO YOU USE EMPLOYER'S CAR IN OFF HOURS? .. 9. [#12
- 10. DO YOU HAVE SUPPORTING EVIDENCE? .........10. [#13
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- **** SECTION B - STANDARD MILEAGE RATE ***********
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- 11. SMALLER OF LINE 3A OR 15,000 .............11. #14
- 12. SUBTRACT LINE 11 FROM LINE 3 .............12. #15
- MILES ELIGIBLE FOR $.21 PER MILE RATE........ #16
- 13. MILEAGE TIMES $.21 PER MILE ..............13. #17
- 14. MILEAGE TIMES $.11 PER MILE ..............14. #18
- 15. ADD LINE 13 AND LINE 14 ..................15. #19
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- **** SECTION C - ACTUAL EXPENSES *****************
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- 16. GAS, OIL, REPAIRS, & INSURANCE ...........16. #20
- 17. VEHICLE RENTALS ..........................17. #21
- 18. VALUE OF EMPLOYER-PROVIDED VEHICLE........18. #22
- 19. ADD LINES 16 THROUGH 18 ..................19. #23
- 20. MULTIPLY LINE 19 BY PERCENT IN LINE 4 ....20. #24
- 21. DEPRECIATION FROM SECTION D (COL. F) .....21. #25
- 22. ADD LINE 20 AND LINE 21 ..................22. #26
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- **** SECTION D - DEPRECIATION ********************
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- A. COST OR OTHER BASIS ...................... A. #27
- B. BASIS FOR DEPRECIATION ................... B. #28
- C. METHOD OF DEPRECIATION ................... C. #29
- RECOVERY PERIOD (YRS) .................... #30 YRS
- DEPRECIATION RATE ........................ #31 %
- D. DEPRECIATION DEDUCTION ................... D. #32
- E. SECTION 179 EXPENSE ...................... E. #33
- F. ADD COL. D AND COL. E .................... F. #34
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