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Form 4684 Form Field Reference for TY2011

FORM 4684 Casualties and Thefts

Field No.

Description

Line Ref.

 

0015

Property Desc A (1)

1A

0020

Cost or Other Basis (1)

2A

0030

Insurance (1)

3A

0040

Gain from Casualty or Theft (1)

4A

0050

Fair Market Value Before Theft (1)

5A

0060

Fair Market Value After Theft (1)

6A

0070

Line 5 minus Line 6 (1)

7A

0080

Smaller of Line 2 or Line 7 (1)

8A

0090

Line 8 minus line 3 (1)

9A

0100

Property Desc B (2)

1B

0110

Cost or Other Basis (2)

2B

0120

Insurance (2)

3B

0130

Gain from Casualty or Theft (2)

4B

0140

Fair Market Value Before Theft (2)

5B

0150

Fair Market Value After Theft (2)

6B

0160

Line 5 minus Line 6 (2)

7B

0170

Smaller of Line 2 or Line 7 (2)

8B

0180

Line 8 minus Line 3 (2)

9B

0190

Property Desc C (3)

1C

0200

Cost or Other Basis (3)

2C

0210

Insurance (3)

3C

0220

Gain from Casualty or Theft (3)

4C

0230

Fair Market Value Before Theft (3)

5C

0240

Fair Market Value After Theft (3)

6C

0250

Line 5 minus Line 6 (3)

7C

0260

Smaller of Line 2 or Line 7 (3)

8C

0270

Line 8 minus Line 3 (3)

9C

0280

Property Desc D (4)

1D

0290

Cost or Other Basis (4)

2D

0300

Insurance (4)

3D

0310

Gain from Casualty or Theft (4)

4D

0320

Fair Market Value Before Theft (4)

5D

0330

Fair Market Value After Theft (4)

6D

0340

Line 5 minus Line 6 (4)

7D

0350

Smaller of Line 2 or Line 7 (4)

8D

0360

Line 8 minus Line 3 (4)

9D

0370

Total Casualty or Theft Loss

10

0380

Applicable Amount 

11

0390

Net Casualty or Theft Loss

12

0400

Total Line 12 Amount

13

0410

Total Casualty or Theft Gain

14

0420

Line 14 more than Line 13

15

0430

Line 13 more than Line 14

16

0456

10% of Adjusted Gross Income

17

0458

Subtract Line 17 from Line 16

18

0460

Record ID

 

0461

Form Number

 

0462

Page Number

 

0463

Taxpayer Identification Number

 

0464

Filler

 

0465

Form Occurrence Number

 

0467

Revenue Procedure 2009-20 Indicator

 

0470

Property Desc A (1)

19A

0480

Cost or Adj Basis (1)

20A

0490

Insurance (1)

21A

0500

Gain from Casualty or Theft (1)

22A

0510

Fair Market Value Before Theft (1)

23A

0520

Fair Market Value After Theft (1)

24A

0530

Net Fair Market (1)

25A

0540

Property Basis or Net Fair Market (1)

26A

0545

Form 8829 Indicator

27A

0550

Net Property Loss (1)

27A

0560

Property Desc B (2)

19B

0570

Cost or Adj Basis (2)

20B

0580

Insurance (2)

21B

0590

Gain from Casualty or Theft (2)

22B

0600

Fair Market Value Before Theft (2)

23B

0610

Fair Market Value After Theft (2)

24B

0620

Net Fair Market (2)

25B

0630

Property Basis or Net Fair Market (2)

26B

0635

Form 8829 Indicator

27B

0640

Net Property Loss (2)

27B

0650

Property Desc C (3)

19C

0660

Cost or Adj Basis (3)

20C

0670

Insurance (3)

21C

0680

Gain from Casualty or Theft (3)

22C

0690

Fair Market Value Before Theft (3)

23C

0700

Fair Market Value After Theft (3)

24C

0710

Net Fair Market (3)

25C

0720

Property Basis or Net Fair Market (3)

26C

0725

Form 8829 Indicator

27C

0730

Net Property Loss (3)

27C

0740

Property Desc D (4)

19D

0750

Cost or Adj Basis (4)

20D

0760

Insurance (4)

21D

0770

Gain from Casualty or Theft (4)

22D

0780

Fair Market Value Before Theft (4)

23D

0790

Fair Market Value After Theft (4)

24D

0800

Net Fair Market (4)

25D

0810

Property Basis or Net Fair Market (4)

26D

0815

Form 8829 Indicator

27D

0820

Net Property Loss (4)

27D

0825

Casualties Computation

                         27

0830

Total Casualty or Theft Loss

                         28

0840

Short - Casualty or Theft Desc (1)

29(a)

0850

Short - Trade or Rental Property (1)

    29(b)(i)

0860

Short - Income Producing Property (1)

    29(b)(ii)

0870

Short - Gains from Casualties or Thefts (1)

    29(c)

0880

Short - Casualty or Theft Desc (2)

     29(a)

0890

Short - Trade or Rental Property (2)

    29(b)(i)

0900

Short - Income Producing Property (2)

     29(b)(ii)

0910

Short - Gains from Casualties or Thefts (2)

   29(c)

0920

Short - Totals Trade, Business

    30(b)(i)

0930

Short - Totals Income Producing Property

     30(b)(ii)

0940

Short - Totals Gains from Casualties or Thefts

30(c)

0948

PAL Indicator

31(c)

0950

Net Gain or (Loss)

31(c)

0958

PAL Indicator

32(c)

0960

Amount on Line 33(b)(ii)

32(c)

0970

Casualty or Theft Gains from F4797

33(c)

0980

Long - Casualty or Theft Desc (1)

34(a)

0990

Long - Trade Rental Property (1)

   34b)(i)

1000

Long - Income Producing Property (1)

      34(b)(ii)

1010

Long - Gains from Casualties or Thefts(1)

34(c)

1020

Long - Casualty or Theft Desc (2)

34(a)

1030

Long - Trade Rental Property (2)

     34(b)(i)

1040

Long - Income Producing Property (2)

      34(b)(ii)

1050

Long - Gains from Casualties or Thefts (2)

34(c)

1060

Long - Total Losses Trade, Business

    35(b)(i)

1070

Long - Total Losses Income Producing Property

     35(b)(ii)

1080

Long - Total Gains

        36         

1090

Add Line 38 Amounts Cols (b)(i) and (b)(ii)

       37       

1098

PAL Indicator

38(a)

1100

Net Gain or (Loss)

38(a)

1108

PAL Indicator

38(b)

1110

                 Line 38 Amount Col b)(ii)

38(b)

1115

PAL Indicator

         39      

1120

Loss equal to or smaller than Gain

          39       

Page Last Reviewed or Updated: 2012-11-20